Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
126 Doctors are Online

What does congenital central stenosis throughout lumbar spine means?

DOCTOR OF THE MONTH - Feb 2014
Feb 2014
User rating for this question
Excellent
Answered by

Orthopaedic Surgeon, Joint Replacement
Practicing since : 2004
Answered : 5931 Questions
Question
Large paracentral L5-S1 disc protusion/extrusion with considerable mass effect on the abutting and transversing left S1 nerve root. Also, congenital central stenosis throughout lumbar spine.

What does this mean in lamens terms? What is the prognosis?
Posted Sat, 9 Mar 2013 in Osteoporosis
 
 
Answered by Dr. Saurabh Gupta 1 hour later
Hi,
Thanks for posting your query.

To understand what it means to have congenital spinal stenosis, first it helps to have a general knowledge of what spinal stenosis is and how it develops over time. As you age, it’s natural for your spinal canal to experience some narrowing. Bone spurs grow, discs bulge, ligaments thicken – all of these issues and more begin to take up space in your spinal canal. Eventually, this narrowing can press upon surrounding tissues and nerves, causing pain and other symptoms.

For a person with congenital spinal stenosis, however, spinal stenosis symptoms can start much earlier. If you are born with a narrow spinal canal, even the slightest age-related changes can result in spinal stenosis symptoms. People with the congenital, or inherited, form of spinal stenosis may have symptoms in their 40s, 30s, 20s, or even earlier.

Between two adjacent Vertebrae , there is a disc which is held in position by tenacious ligaments.Disc material is "rubbery" in consistency. The Disc acts as a "shock absorber" between each Vertebral Body and lies in front of the Spinal Canal.During lifting or bending injury this disc got protruded and extruded and cause pressure over nerve root and causing pain, numbness and parasthesia in distribution of that nerve.

Hope this will help you. Please do write back if you have any additional concerns.

Wishing you good health...

Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.
Above answer was peer-reviewed by
 
Follow-up: What does congenital central stenosis throughout lumbar spine means? 11 minutes later
What is/are the likely treatment for this injury?
 
 
Answered by Dr. Saurabh Gupta 1 hour later
Hi,
Thanks for posting your query again.

There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks.

The medications like anti-inflammatory drugs and muscle relaxants will relieve pain and help muscles to relax.

Physiotherapy shall also help a lot, especially exercises that strengthen your back.Often, the muscles in your lower back and buttocks become tight in response to the disc herniation. This typically can be alleviated by stretching exercises . Kindly note that exercises should only be done when it doesn't hurt.

You can start with swimming and mild aerobic exercises. These do help a lot in the back pain. Adequate rest and proper nutrition is equally important. Drink lots of fluids since dehydration affects the disc.

If you dont get better with these treatment , surgery is advisable, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms.

Hope this discussion was useful. Please close this discussion, if you do not have any other queries. I would appreciate your reviews about this service.

Wishing you good health...

Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Treatment/Therapy
Medical Topics

The user accepted the expert's answer

Ask an Orthopaedic Surgeon

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor