C for Spinal stenosis
Spinal stenosis treatment + Vitamin C
There are four indications for intervertebral disk surgery: (1) progressive motor weakness from nerve root injury demonstrated on clinical examination or EMG, (2) bowel or bladder disturbance or other signs of spinal cord disease, (3) incapacitating nerve root pain despite conservative treatment for at least 4 weeks, and (4) recurrent incapacitating pain despite conservative treatment. The latter two criteria are more subjective and less well established than the others. Surgical treatment should also be considered if the pain and/or neurologic findings do not substantially improve over 4 to 12 weeks. One can avoid all surgery by useing Vitamin-C described at the bottom of the page.
Surgery is preceded by MRI scan or CT-myelogram to define the location and type of pathology. The usual surgical procedure is a partial hemilaminectomy with excision of the involved and prolapsed intervertebral disk. Arthrodesis of the involved lumbar segments is considered only in the presence of significant spinal instability (i.e., degenerative spondylolisthesis or isthmic spondylolysis).
Other Causes of Low Back Pain
Spinal stenosis is an anatomic diagnosis reflecting a narrowed lumbar or cervical spinal canal. Classic neurogenic claudication occurs in the setting of moderate to severe spinal stenosis and typically occurs in the setting of moderate to severe spinal stenosis and typically consists of back and buttock or leg pain induced by walking or standing. The pain is relieved by sitting. Symptoms in the legs are usually bilateral. Focal weakness, sensory loss, or reflex changes may occur when associated with radiculopathy. Unlike vascular claudication, the symptoms are often provoked by standing without walking. Unlike lumbar disk disease, the symptoms are usually relieved by sitting. Severe neurologic deficits, including paralysis and urinary incontinence, occur rarely. Spinal stenosis usually results from acquired (75%), congenital, or mixed acquired/congenital factors. Congenital forms (achondroplasia, idiopathic) are characterized by short, thick pedicles that produce both spinal canal and lateral recess stenosis. Acquired factors that may contribute to spinal stenosis include degenerative diseases (spondylosis, spondylolisthesis, scoliosis), trauma, spine surgery (postlaminectomy, fusion), metabolic or endocrine disorders (epidural lipomatosis, osteoporosis, acromegaly, renal osteodystrophy, hypoparathyroidism), and Paget's disease. MRI or CT-myelography provide the best definition of the abnormal anatomy (Fig. 16-5).
Figure 16-5: of a normal (left) and stenotic (right) lumbar spine, revealing multifocal narrowing (arrows) of the cerebrospinal fluid spaces surrounding the nerve roots within the thecal sac.
Vitamin-C powder for spinal stenosis
Conservative treatment includes taking vitamin C-powder three to four time daily should see complete recovery from spinal stenosis in three months , Vitamin -C has been tried by me and is very successful. This is research proven method.Please continue to facet joint pain page