1. central canal stenosis, causes neurogenic claudication [numbness,weakness, discomfort in the legs] - also suggested by your history of unable to standing for prolonged hours and legs keep going numb} Differential diagnosis
2. Peripheral neuropathy
is a frequent concomitant finding or differential diagnosis in elderly patients with spinal stenosis
. Neurophysiological assessments including electromyography
[EMG] and nerve conduction studies [nuclear imaging] are useful/additional investigations which can be performed.
3.Analgesics, non-steroidal anti-inflammatory drugs (NSAIDs), weight loss and physiotherapy
are used in the management of patients with spinal stenosis.
.epidural steroids,Nerve root blocks are useful in treating radicular pain
,Surgery is indicated when conservative measures fail and if moderate to severe leg symptoms interfere with the patient’s lifestyle.
dilaudid [hydromorphone hydrochloride]: is a potent schedule II controlled opioid agonist and have the highest potential for abuse and risk of producing respiratory depression. This product may contain inactive ingredients (such as sulfites), which can cause allergic reactions or other problems. Talk to your doctor or pharmacist for more details.