Your doctor may also order tests to check for signs of stenosis, such as: X-ray, MRI scan, or CT scan to view images of your spine. electromyelogram to check the health of spinal nerves. bone scan to look for damage or growths in your spine.
Is spinal stenosis hard to diagnose?
Physical Exam, X-rays, CT Scans, and MRIs to Diagnose Spinal Stenosis. Diagnosing spinal stenosis can be challenging. The symptoms can mimic those of other conditions, plus the symptoms can come and go.
Can spinal stenosis be seen on MRI?
Since spinal stenosis is a gradual onset condition, the symptoms tend to start slowly and worsen over time. In fact, spinal stenosis may appear on an MRI or a CT scan without the patient having any symptoms at all.
How quickly does spinal stenosis progress?
Spinal stenosis is generally not progressive. The pain tends to come and go, but it usually does not progress with time. The natural history with spinal stenosis, in the majority of patients, is that of episodic periods of pain and dysfunction.
Will I end up in a wheelchair with spinal stenosis?
The symptoms are often so gradual, that patients seek medical attention very late in the course of this condition. Patients may be so disabled and weak that they require the use of a wheelchair for mobility. In rare instances, severe spinal stenosis can cause paraplegia and/or bowel/bladder incontinence.
Is spinal stenosis a crippling disease?
Depending on its severity, untreated stenosis can become debilitating or even fatal. Mild cases of spinal stenosis can be treated through symptom management. For severe cases, especially those that affect quality of life or the nervous system, doctors might recommend surgery.
What happens if you let spinal stenosis go untreated?
It occurs from spinal stenosis that causes pressure on the spinal cord. If untreated, this can lead to significant and permanent nerve damage including paralysis and death. Symptoms may affect your gait and balance, dexterity, grip strength and bowel or bladder function.
What causes spinal stenosis to flare up?
The most common cause of spinal stenosis is osteoarthritis, the gradual wear and tear that happens to your joints over time. Spinal stenosis is common because osteoarthritis begins to cause changes in most people’s spines by age 50. That’s why most people who develop symptoms of spinal stenosis are 50 or older.
How does spinal stenosis affect bowel movements?
Lumbar spinal stenosis, a condition characterized by a narrowing of the spinal canal in your lower back, can also cause back pain, weakness or numbness in your legs, and loss of bowel or bladder control.
What is considered severe spinal stenosis?
When Spinal Stenosis Is Serious
If a spinal nerve or the spinal cord is compressed for long enough, permanent numbness and/or paralysis can occur.
How should you sleep with spinal stenosis?
People with spinal stenosis should consider sleep in the fetal position, or in an adjustable bed that allows the head and knees to be elevated. This relieves the pressure on the spinal nerves. When patients have hip pain, the best sleeping position is on their sides with a pillow between their knees.
Do you need an MRI to diagnose spinal stenosis?
The two diagnostic imaging tests that are commonly used to diagnose lumbar spinal stenosis are computed tomography (CT) scans and magnetic resonance imaging (MRI) scans. Both will show the narrowing of the spinal canal.
What should I avoid with spinal stenosis?
What Is Spinal Stenosis?
- Avoid Excessive Back Extension. …
- Avoid Long Walks or Running. …
- Avoid Certain Stretches and Poses. …
- Avoid Loading a Rounded Back. …
- Avoid Too Much Bed Rest. …
- Avoid Contact Sports. …
- Consult a Physical Therapist. …
- Strengthen the Core and Hips.
Can you live a normal life with spinal stenosis?
Spinal stenosis can’t be cured but responds to treatment
“The symptoms of spinal stenosis typically respond to conservative treatments, including physical therapy and injections.” Dr. Hennenhoefer says you can live a normal life with a spinal stenosis diagnosis and can work on improving your mobility and comfort.