When dealing with spinal stenosis we offer the following procedures:
- PLDD - percutaneous laser disc decompression
- SED - selective endoscopic discectomy
- METRx™ - minimally invasive foraminotomy and discectomy
- Coflex implant for spinal stenosis
Spinal stenosis appears if there is a narrowing inside the spinal channel, which then makes pressure to the spinal marrow, and by that to the nerves going through it. In order to understand spinal stenosis, you must first get to know your spine.
When we are familiar with the fact, that the spine consists of vertebrae placed one onto another, between them are discs (shock absorbers), that it all is connected with ligaments, keeping them together, and that our spine carries our whole body weight, it is also important to know that it also has another very important function. Along the spine there is a channel, and in it is the spinal marrow. Spinal marrow is full of nerves coming from the brain, which are than dispersing through the whole body, and this is the way our brain controls our body, as a “host computer”. Electric impulses go through the nerves, and if they run into an obstacle, it is only logical that it will lead to a problem in the body reaction.
Emergence of spinal stenosis
Spinal stenosis emerges when there is a narrowing inside the spinal channel, which put pressure to the spinal marrow, and by it to the nerves going through it. Such a situation can cause pain, stupor or lack of strength in the legs. If it happens in the lower part of the back, we call it lumbar spinal stenosis.
Spinal stenosis generally appears because of ageing during the years, since soft tissue tends to harden or ossificate, which leads to spinal channel narrowing. Such degenerative changes in the spine occur with more than 95% people in the world older than 50, and mostly with people older than 60. Spinal stenosis is not specially connected to any gender, both men and women suffer form it equally.
One of the main reasons for emergence of spinal stenosis is arthritis. Arthritis is a degenerative disease, that affects all the joints in the human skeleton, and by it even the spine.
Symptoms of spinal stenosis
Some patients will suffer back or neck pain, but it is not a rule. Its appearance, as well as the pain, vary depending on the stage of the spinal stenosis.
Beside general pain, it can be manifested in different other ways, like e.g.:
- Pain in the behind or legs – the pressure to the spinal marrow causes pain in the regions where nerves are under pressure. It can be described as uncomfortable pain also prickling, mostly from the behind towards the legs. It can even advance to the feet.
- Stupor or shudder in the behind or legs – growing pressure to the nerves causes stupor or just temporary shuddering of the behind and legs. Most patients also feel pain and stupor, but it is not a rule and the symptoms can occur individually.
- Weakness in the legs – when the pressure reaches its “critical” stage, your legs will start feeling weak and you will feel unstable on your own legs, as well as feeling lack of strength in one or both legs. When walking, you could feel like you are pulling your feet on the ground and you will have no strength to raise them to walk normally.
- Less pain while bending forward of sitting – most patients can feel relief from the back pain when bending forward or even sitting. The main reason for it is that in such situations the spine bends, making the gap between the vertebrae bigger, which reduces the pressure to the spinal marrow and the nerves in it.