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Surgery for spinal stenosis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I have severe spinal stenosis and central stenosis in the lumbar. My Neurologist recommends surgery. I've read quite a few articles on the surgery. What should I do other than call him and say 'yes'? Never had surgery before. What should I do?
Doctor :   hello
User :   hello
Doctor :   i am Dr
Doctor :   may i know your age and gender please ?
User :   36 male
Doctor :   and can you tell me when were you diagnosed ?
User :   a couple weeks ago, but the issues are chronic and keep getting worse
Doctor :   the pain is constant ?
User :   yes
User :   i'm always adjusting in my seat, or while standing. makes me look weird
Doctor :   and what all medications you had been on ?
User :   various NSAIDs, Valium, Percocet, Flexeril, Vicodin, steroids
User :   that's what pops into my mind right now
Doctor :   did you underwent physical therapy ?
User :   yes
User :   chiropractor too
Doctor :   ok well you have undergone the right procedure and now with still in pain you have no other option but to undergo surgery
Doctor :   are you unable to perform your daily functions properly ?
User :   i read up on it and it seems to be the right direction, but what do i do other than call the neuro up and say i want the surgery?
User :   to some degree
User :   everything i do gives me pause
Doctor :   yes dont worry once you set up an appointment with the neurosurgeon, a detail through examination will be done and all your all detail medical reports will be discussed
Doctor :   if if you will be benefit with surgery then you will be told accordingly
Doctor :   my personal advice to you would be to seek a surgeon who has experience in the number of surgeries done by him
User :   if insurance requires 2nd opinion, he would know or be told beforehand?
Doctor :   In most cases the prognosis for spinal stenosis is very good.
Doctor :   you can tell him
Doctor :   and he can always pull up your medical records
Doctor :   Most patients obtain good relief of the symptoms in their arms and legs soon after the surgery relieves the compression of the nerves
User :   i read that. like 80%
Doctor :   trust me it will be better than what you are having right now
User :   not really afraid of surgery. afraid of not taking right steps getting there
Doctor :   dont worry, every surgeon you go to is trained to make sure you are on the right path
Doctor :   more over you can always discuss all your options
Doctor :   i am sure you will be guided well
Doctor :   spinal surgery is not something that anyone takes lightly
User :   ok. thank you very much. i'll call him today and start the ball rolling.
Doctor :   your most welcome
Doctor :   i wish you a speedy recovery
Doctor :   take care of your self
User :   thank you
User :   you too
Doctor :   good bye
User :   good bye
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