Stenosis

Снимка 1

Back pain may be due to stenosis of the spinal canal.

The treatment of stenosis is done after a well-made differential diagnosis.

Stenosis is a narrowing of the spinal canal in some of its diameters (spinal stenosis) or intervertebral foramina (foraminal stenosis)

Снимка 2

The highest frequency of spinal stenosis, about 75%, occurs in lumbar stenosis. Usually in the area of ​​narrowing, there is compression of nerve roots, which leads to low back pain, which can radiate to the lower extremities. Stenosis is also possible in both the cervical and thoracic departments. The reasons may come from a change in the structure of the intervertebral discs and in the bodies of the vertebrae themselves. It is possible that the condition of spondylolisthesis can also cause the above symptoms.

Symptoms of stenosis

  • Cervical stenosis presents with symptoms in the hands – pain, stiffness, tingling and muscle weakness
  • In more severe stenosis, there are disorders in the function of the lower extremities, which can be expressed as weakness in walking, stiffness, and paralysis. There may be problems with normal bowel and bladder function.
  • Frequent falls when walking, awkwardness, hot flushes, decreased skin and muscle sensitivity
  • Pain during exercise and disappearance at rest
  • Disorders of defecation and sexual function

Cause of stenosis

  • Degeneration and dystrophy of the vertebrae
  • Genetically congenital defects in the structure of the spine
  • Disc herniation
  • Tumor processes
  • Infectious diseases
  • Paget’s disease
  • Certain forms of diabetes
  • Rheumatoid arthritis and osteoarthritis
  • Spondylolisthesis
  • Traumatic accidents

Diagnosis of stenosis

Diagnosis only by history and physical tests is difficult due to the similarity with other diseases resembling stenosis. Therefore, it is very important to use imaging:

  • Computed tomography
  • Nuclear magnetic resonance imaging
  • Myelography
  • Electromyography

Diagnosis of spinal stenosis with typical 3 symptoms can be seen in the following video:

Treatment of stenosis

Treatment with allopathic medicine

  • In some cases of compression there is an outflow with inflammation, which is affected by non-steroidal anti-inflammatory drugs – ibuprofen, diclofenac, indomethacin, nimesulide, and noramidopyrine, for example.

Physiotherapy and Rehabilitation

  • Positional therapy – training the body to keep slightly bent when walking. Lying down, with legs bent towards the chest to relieve the pain caused by stenosis by moving the vertebrae away from the spinal nerves.
  • A set of therapeutic exercises after the period of rest and reduction of severe pain, including therapy with water gymnastics, etc.

Surgery

This is often used conservative treatment produces little to no result.

  • Decompression intervention
  • Interspinal spacers
  • Spondylodesis

Treatment with alternative medicine

Treatment of stenosis with homeopathic products

  • In case of symptoms of pain and tingling caused by stenosis – RUTA GRAVEOLENS 5 CH, RADIUM BROMATUM 9 CH, ACTEA RACEMOSIS 9 CH, BERBERIS VULGARIS 9 CH, POTASSIUM CARBONICUM 15 CH

Treatment of stenosis with Ayurvedic medicine

According to Ayurveda, stenosis is caused by an imbalance in the energies of Vata and Kapha.

The following therapies are performed according to the Panchakarma system

  • Snehana – therapy with healing oil for the body
  • Bashpa swedan – steam therapy with medicinal herbal decoction
  • Ruksha sweda – Thermal therapy with hot cotton bags filled with herbal powder
  • Virechana – laxative therapy
  • Matra vasti – enema therapy with healing oil
  • Kashayam vasti- yogavasti – (Combination of three kashya vasti and five matra vasti)
  • Kati vasti – therapy in the affected area with retention of healing oil
  • Nasya- placing healing oil in the nose
  • Pizhichil – dousing the body with healing oil
  • Pindasweda – Therapy with hot cotton bags of rice and herbal decoction
  • Shirovasti – Head therapy with healing oil
  • Agnikarma – Therapy in the affected area with a hot metal instrument
  • Abhyantra shehana- internal intake of curative ghee

These therapies can be performed in Ayurveda Clinic Bansko.

Treatment of stenosis with yoga poses

Due to the ability of yoga to correct the position of the spine, slow down degenerative processes, and increase mobility and flexibility, it can be useful as a way to reduce pain, reduce stiffness and numbness, and release the pinched nerve.

You need to be very careful when performing yoga poses which include bending back and forth from an upright position, as well as twisting poses. Avoid power yoga systems, bikram yoga, etc.

Poses used to treat stenosis are:

  • Tadasana
  • Dandasana
  • Ananda Balasana
  • Marjaryasana
  • Adho Mukha Svanasana
  • Setu Bandha Sarvangasana
  • Matsyasana
  • Pawanmuktasana

Yoga will help to lengthen the shortened muscles, increase body relaxation, improve blood circulation, remove toxins from the body, increase flexibility, and strength of the spine.

An example of a treatment for stenosis with yoga poses is in the following video.

In case of severe spinal stenosis, be sure to consult a specialist before starting any type of treatment. Depending on the level of compression of the spinal cord or spinal nerves, the most successful method of treating stenosis can be determined.

Yoga will help to lengthen the shortened muscles, increase body relaxation, improve blood circulation, remove toxins from the body, increase flexibility, and strength of the spine.

An example of a treatment for stenosis with yoga poses is in the following video.


In case of severe spinal stenosis, be sure to consult a specialist before starting any type of treatment. Depending on the level of compression of the spinal cord or spinal nerves, the most successful method of treating stenosis can be determined.

https://lejanki.bg