What a great
question! Spine surgeons aren’t positive what is best for
spinal stenosis, yet
conservative care is earning more
and more attention in the medical research! Hollstrom & Associates Inc
gives
non-surgical care
that is quite relieving to Largo spinal stenosis sufferers. Our patients at Largo dealing with spinal stenosis come to Hollstrom & Associates Inc will find our care gentle and
comfortable and commend the
research and
guidelines backing its administration.
What is spinal stenosis first of
all? Spinal
stenosis is the narrowing of
the spinal canal area.
In particular
lumbar spinal stenosis happens
as we age for many of us when erosion of the spine emerges. It may be due to how the spinal elements developed from square one. (In some cases people are born with narrow spinal canals.) It
could also be a disc
herniation that is inserting itself into the spinal canal, taking up the space that is intended for for the spinal nerves. Regardless
of the cause, spinal stenosis’ narrowing causes pain.
When surgeons identify
spinal stenosis in a patient they often provide surgical options
to widen that narrowed space. There are many approaches
from which one may choose. Decompressive surgery is one such kind. It is cost-effective for lumbar spinal stenosis, but surgical and conservative
treatment approaches result in comparable quality of life at one year follow
up.
(1) Spinal fusion can also be instrumental against spinal stenosis. A Cochrane Database Review, a big deal in the world of
research, reports that there is no significant
difference at 6 months and 12 months post spine surgery for lumbar spinal
stenosis. Cochrane pulled from 12,966 citations to conclude
further that they have very little confidence to determine whether surgical or
conservative care is better for lumbar spinal stenosis. They, therefore, offer
no new clinical practice recommendations for doctors to follow. They do
emphasize though that side-effects
from surgery range from 10% to 24% and side effects from conservative
care, 0%. There
were no side effects from conservative care for lumbar spine stenosis in their
review. Further,
they report that there
were no clear benefits seen with surgery versus no surgery. They warn clinicians to carefully
inform patients about possible treatment options “especially given that
conservative treatment options have results in no reported side effects.”
(2)
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the
DISCLAIMER page. Content is reviewed by
Dr. James M. Cox I."