6 Ways to Avoid Surgery for Spinal Stenosis

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As people age, pain can result in the legs due to spinal stenosis. This refers to spinal arthritis over growing areas and pinching on spinal nerves as they tried to leave the spinal Spinal Stenosis Treatmentcanal. It’s one of the most common diagnoses as an individual in the 50 to 85 age range develops pain in the lower extremities.

Once the diagnosis is made and is deemed not to be a vascular issue, the question is how to avoid surgery for symptomatic spinal stenosis. The surgery that is done to relieve the pain is called a laminectomy and is purely an elective procedure.

Here are the 7 most effective ways to treat stenosis to avoid going under the knife.

1. Over-the-counter anti-inflammatories and Tylenol. This sounds very simple and it is. These medications are low risk when taken according to manufacturer’s recommended dosing. In addition, they can be extremely effective for mild to moderate symptoms of spinal stenosis. As a nerve roots gets pinched from the overgrown tissue with arthritis, inflammation can result, which is what the anti-inflammatories can reduce.

2. Physical therapy. PT can be extremely helpful for reducing stenosis pain,

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Physical therapy can be great for spinal stenosis symptoms.

strengthening up the muscles in the back, along with core strengthening, flexibility and relieving pressure on nerves. In addition, there are treatments including electrical stimulation and ultrasound which may also relieve symptoms.

3. Chiropractic treatment. While not a permanent solution, spinal stenosis can be helped with Phoenix chiropractor manipulations. This may temporarily decompress nerve roots and hence reduce pain.

4. Spinal decompression therapy. This treatment became FDA cleared back in the late 1990s and involves intermittent spinal traction. Continuous spinal traction has been shown not to be helpful for spinal stenosis or degenerative disc disease. However, individuals with spinal stenosis often can obtain 3 to 6 months of pain relief with a series of decompression therapy.

The treatment is noninvasive and most individuals fall asleep during the treatments as it is Pain Doctors in Phoenixnot painful.

5. Additional medications. Pain management doctors in Arizona may treat stenosis with medications including nerve membrane stabilizers such as Lyrica or Neurontin. It is unclear how these medicines work, but they can help a lot with sciatica type pain from stenosis. For periods of acute exacerbation, narcotics may be indicated to relieve bad symptoms. Over the long-term, the risks start to outweigh the benefits however.

6. Epidural steroid injections. These have long been a gold standard treatment for spinal stenosis treatment. The injection places cortisone medication around the inflamed nerve roots. Phoenix pain clinic

Modern Arizona pain management involves the usage of fluoroscopy, which is a real-time form of x-ray for increased accuracy. There are multiple different ways of performing epidural injections, including intralaminar epidurals, transforaminal epidurals or caudal injections. A person may need a series of injections to obtain maximum pain relief, and this can be repeated every few months.

If you or a loved one is experiencing spinal stenosis type symptoms, help is available. Arizona Pain Specialists offers comprehensive pain treatments for spinal stenosis, which are performed by an Award Winning team of Board Certified pain management doctors Phoenix pain doctorsand chiropractors. There are 4 locations throughout the Valley, including a new Phoenix pain clinic.

Arizona Pain accepts over 50 different insurances. The clinics have Arizona pain doctors accepting Medicare, Medicaid, major medical, Personal Injury, Worker’s Compensation and self pay. For more information and scheduling, call (602) 507-6550 today!

An Overview of Epidural Injections for Spinal Stenosis

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For the millions of Americans suffering from spinal stenosis, epidural injections provide excellent pain relief. Spinal stenosis is an elective problem, surgery is not mandatory and conservative treatment with treatments such as epidural steroid injections may offer the pain management needed to stay active.

Hear David Greene, CEO of the Arizona Pain Network, explain epidural steroid injections for spinal stenosis.

If you have spinal stenosis and are suffering with pain, Arizona Pain Specialists can help. These pain clinics in Arizona offer comprehensive support with Award Winning pain management serving Phoenix, Scottsdale and surrounding areas in the Vallley.

Call (602) 507-6550 for one number scheduling.

Treatment Options for Spinal Stenosis from an AZ pain center

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Spinal Stenosis

Spinal stenosis can cause pinching in the middle of the canal or also the side areas where the nerve roots are exiting.

Spinal stenosis affects millions of Americans predominately as they enter the fifth decade and older. It is a condition that results mostly from spinal arthritis causing bony and soft tissue overgrowth which then pinches on nerve roots as they come off of the spinal cord and attempt to leave the spinal canal.

Symptoms of spinal stenosis tend to vary between individuals. It may cause some buttock and hip pain, or it may cause pain that radiates down a person’s legs into the thighs or past the knee to the feet. Because the pinching of nerves may be positional, the symptoms may wax and wane on any given day or may come on for a few weeks and then subside. Inflammation may spark up and then die down every few months.

Undergoing surgery for symptomatic spinal stenosis is a quality of life decision. No one ever died from having spinal stenosis, so whether or not to have a laminectomy performed is completely an elective decision. Most of the time, non-surgical pain management options work very well for individuals.

First line treatment for symptomatic spinal stenosis should involve over-the-counter medications such as Tylenol and nonsteroidal anti-inflammatory’s. These should be taken according to the manufacturer’s recommended dosing. As a low risk, inexpensive treatment, these may provide excellent relief for spinal stenosis pain that is mild to moderate.

Spinal stenosis treatmentFor those periods when the symptoms are severe, short term narcotic medications provide excellent relief. It is not a good idea to take opiate medications for a chronic duration for spinal stenosis. The risks of those medications start to outweigh the benefits including potential tolerance and addiction issues.

Additional treatment for symptomatic spinal stenosis may include neurologic modifying agents such as gabapentin, otherwise known as Neurontin. It is unknown exactly how this medication works for relieving the pain from pinched nerves, but it does work fairly well. There is a newer medication that is similar called Lyrica, and they are low risk non-narcotic prescription medications that may provide excellent symptomatic relief from the pain of spinal stenosis. Some studies have displayed their benefits.

Physical therapy and chiropractic treatment also can provide excellent symptomatic relief. The chiropractic manipulations can un-pinch nerves that are causing pain. This is not a permanent solution, they can provide some relief, especially if performed on a regular basis. Physical therapy can strengthen up the muscles around the spine and relieve some of the pain as well. Electrical stimulation can help modify the way that the brain perceives pain signals. This can be applied during treatment sessions, or it can also be applied by the patient themselves with a TENS unit.

Spinal decompression therapy is another nonsurgical treatment that has been shown to help provide nerve root decompression. As spinal stenosis is a mechanical problem, spinal decompression therapy does not provide a permanent solution. But it is low risk, FDA cleared, and the cost is less than 5% that of spine surgery.

Interventional pain management treatments with epidural steroid injections are the gold standard for pain management injections for spinal stenosis. Multiple studies have shown injection for spinal stenosisthem to be extremely beneficial for the condition, and over 75% of individuals with symptomatic spinal stenosis obtain relief from these cortisone injections.

There are some pain management injections involving nonsteroidal medications, but there is not extensive research to show their benefit for spinal stenosis. The epidural cortisone injections may provide weeks to months of pain relief, and can then be repeated as necessary for the condition.

If you suffer from symptomatic spinal stenosis, let Arizona Pain Specialists help you. These Award-Winning and Board-Certified pain management doctors and chiropractors offer comprehensive pain management for spinal stenosis. The treatments range from medication management to chiropractic treatment as well as physical rehabilitation and interventional pain treatments.

Each location serving Chandler, Scottsdale, Glendale, Mesa, Phoenix, Avondale, Tempe, Fountain Hills and more also has a spinal decompression therapy table as well.

Call today at 602-507-6550 for more information and scheduling, sometimes same day appointments are available!