Spine, 35(14): 1329-1338. Weinstein JN, et al. I should consider how bad the pain is and whether I can do my normal daily activities. This article addresses this important question. Risks from surgery for spinal stenosis include damage to the nerves, tissue tears, chronic pain, and trouble passing urine. cross-references to other topics, definitions or medical illustrations) is only available in the online version. Spinal stenosis is when the canal in your spinal column narrows. ", "I have been working with a physical therapist for several months now to relieve my leg pain that is caused by spinal stenosis. What You Need to Know, Full Range of Surgical Options for Spinal Stenosis, Overall Treatment Considerations for Lumbar Spinal Stenosis, 70% live with their symptoms and manage them through nonsurgical treatments, 10-15% undergo surgery for lumbar stenosis, specifically a, When to See a Surgeon for Spinal Stenosis. © And it's usually not needed unless you have other back problems along with spinal stenosis. While SPORT demonstrated a significant treatment effect of surgery for spinal stenosis at the group level, surgical decision making takes place at level of the individual patient. A second surgery may be needed if: For most people, it's safe to try nonsurgical treatments for several months before thinking about surgery. Surgery may work better than nonsurgical treatments to relieve pain and help you move around easier. That's correct. Predominant leg pain is associated with better surgical outcomes in degenerative spondylolistheses and spinal stenosis: Results from the Spine Patient Outcomes Research Trial (SPORT). Spinal stenosis Back surgery might be an option if conservative treatments haven't worked and your pain is persistent and disabling. It came on gradually, and I could manage it with pain relievers. And even if you get better with surgery, there is a chance that you may get new symptoms in the future. Spinal stenosis develops in another area of the spine. (2008). Think about what matters most to you in this decision, and show how you feel about the following statements. And studies haven't yet shown how well the devices work over the long term. That's correct. (2011). A patient will usually do as well having lumbar stenosis surgery sooner as he or she would if the surgery were done later. It may help to go back and read "Get the Facts." I noticed the numbness and pain in my legs for a while. Since I could hardly do my simple everyday routines without pain, I figured that it was time for surgery. When surgery helps relieve symptoms, the results appear to last for several years. Spinal stenosis in the low back (lumbar spine) can cause pain, numbness, or weakness in the back, buttocks, and legs. Death from problems caused by surgery, but this is rare. 2. Learn how we develop our content. All rights reserved. And even if you get better with surgery, there is a chance that you may get new symptoms in the future. The key question for many patients dealing with such pain is: how do I decide whether to have surgery for lumbar stenosis or live with the symptoms and manage them through non-surgical means? Your personal feelings are just as important as the medical facts. Pearson A, et al. Prolonged walking and standing tend to make the symptoms of spinal stenosis worse, according … When the spinal cord narrows, it puts pressure on the spinal cord, which often leads to pain, tightness, or numbness down the back or in one leg. Your use of this information means that you agree to the Terms of Use. There is usually not any urgency to having surgery for spinal stenosis, and there typically is not any window of opportunity that a patient will miss if they delay surgery. Risks from surgery for spinal stenosis include damage to the nerves, tissue tears, chronic pain, and trouble passing urine. That's what I'm doing, and now I hardly ever get leg pain. An earlier surgery didn't control symptoms. Surgical versus nonoperative treatment for lumbar spinal stenosis four-year results of the Spine Patient Outcomes Research Trial. Sorry, that's wrong. Do you understand the options available to you? Tissue regrows and presses on the spinal cord or spinal nerve roots. Similarly, if the proposed surgery is more involved (e.g. It may help to go back and read "Get the Facts." Surgery may relieve pain in the buttock and leg more than it relieves pain in the back. Your pain and weakness are bad enough to get in the way of your normal activities and have become more than you can manage. It removes bone (parts of the vertebrae), thickened tissue, or both to keep them from narrowing the spinal canal and squeezing or irritating the spinal … Is surgery the only thing you can try to make your symptoms better? It can take up to several months before you go back to your normal activities. Treatment effect predictors in SPORT. It removes bone (parts of the vertebrae), thickened tissue, or both to keep them from narrowing the spinal canal and squeezing or irritating the spinal … If you have surgery, will the results last for a long time? It removes bone (parts of the vertebrae), thickened tissue, or both to keep them from narrowing the spinal canal and squeezing or irritating the spinal nerves. A patient will usually do as well having lumbar stenosis surgery sooner as he or she would if the surgery were done later. 2. My doctor says surgery may be an option if my leg pain gets worse. Check what you need to do before you make this decision. The pain, numbness, and tingling in my legs started about 5 years ago. Tears in the fibrous tissue that covers the spinal cord and the nerve near the spinal cord. These tears may require more surgery. Trouble passing urine, or loss of bladder or bowel control. Spinal Stenosis Surgery. Not having a surgery to treat your lumbar spinal stenosis can mean you will continue to live with daily pain. It usually occurs when bone and other tissues grow inside the openings in the spinal bones. Stenosis of the spine surgery is often performed on individuals aged over 50 years. When I was diagnosed with spinal stenosis, my doctor said that there were several things I could do to keep my pain at a minimum, such as using pain relievers and exercising. People who had surgery were generally able to be more active and had less leg pain than those who had nonsurgical treatment. NOTICE: This health information was not created by the University of Michigan Health System (UMHS) and may not necessarily reflect specific UMHS practices. These stories are based on information gathered from health professionals and consumers. See Full Range of Surgical Options for Spinal Stenosis. 1. Luckily, I did not feel pain all of the time when I was walking. All surgery has some risks, such as bleeding, infection, and risks from anesthesia. 1. This is the most commong surgical optionl. Weinstein JN, et al. Surgery may work better than nonsurgical treatments to relieve pain and help you move around easier. I'm not sure it's worth it to have surgery that might need to be repeated in a few years. Lumbar stenosis can also cause leg pain and tingling, while cervical stenosis is associated with arm pain.  |  Veritas Health, LLC, You may or may not have symptoms when spinal stenosis first develops. There are a lot things that can help relieve your symptoms, but they won't make your arthritis go away. Long-term outcomes of surgical and nonsurgical management of lumbar spinal stenosis: 8- to 10-year results from the Maine Lumbar Spine Study. Medical Review:William H. Blahd Jr. MD, FACEP - Emergency Medicine & Kathleen Romito MD - Family Medicine & Adam Husney MD - Family Medicine & Robert B. Keller MD - Orthopedics. Surgery may relieve pain in the buttock and leg more than it relieves pain in the back. After 8 to 10 years. My work and home life are flexible enough that I can take the time I need to recover after surgery. See Lumbar Spinal Stenosis Surgery Options. Decompressive laminectomy is the most common type of surgery to treat lumbar spinal stenosis. "The pain and numbness in my legs got to the point where I could hardly walk. There is usually not any urgency to having surgery for spinal stenosis, and there typically is not any window of opportunity that a patient will miss if they delay surgery. This may be an option for some people. Surgery may relieve pain in the buttock and leg more than it relieves pain in the back. There is little or no risk in not having surgery unless you have serious symptoms. Spinal stenosis is generally not progressive. This assertion is … Fusion should be considered for spinal stenosis only if a vertebra has slipped forward with respect to its neighbor, a condition called spondylolisthesis. If this occurs, you should immediately get in touch with a doctor as surgery may be recommended to relieve you from the symptoms. The physical therapy seems to be working, so I will stick with it for now. Once symptoms develop, patients usually fall into one of three categories: The bottom line is that the time to see a surgeon about surgery for lumbar spinal stenosis is when an individual is unhappy with his or her restricted activity level, and has tried reasonable nonoperative treatments (like anti-inflammatory medication, physiotherapy, and epidural steroid injection). All surgery has some risks, such as bleeding, infection, and risks from anesthesia. This surgery is done to relieve pressure on the spinal nerve roots. Potential risks of the surgery for lumbar stenosis are greatly affected by the general health of the patient, such as diabetes, obesity, or cigarette smoking. Does a second fusion cause additional risks or complications since I have spinal hardware in place? Symptoms may be very bad at times and not so bad at other times. This information does not replace the advice of a doctor. The squeezing can cause pain, numbness, or weakness, most often in the back, buttocks, legs, or feet. Show which way you are leaning right now. Will surgery help your leg pain? Luckily, I did not feel pain all of the time when I was walking. (2010). Over time, though, the symptoms got worse and worse, even though I tried physical therapy and changing the way I do certain activities. In the event of progressive weakness in the legs, then, You may be a candidate for a less-invasive procedure (for example, insertion of an interspinous process spacer, such as an. William H. Blahd Jr. MD, FACEP - Emergency Medicine. A doctor does the surgery when the space in … How sure do you feel right now about your decision? Atlas SJ, et al. Video: Am I a Candidate for Back Surgery? I'm relieved that I avoided surgery.". How sure do you feel right now about your decision? Laminectomy. Lumbar spinal stenosis is the narrowing of the spinal canal in the low back. Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Back surgery is often required for advanced spinal stenosis, but you should always try nonsurgical treatment options first to avoid potential complications and a long recovery time. And even if you get better with surgery, there is a chance that you may get new symptoms in the future. Surgery may work better than nonsurgical treatments to relieve pain and help you move better. if it includes a spinal fusion with or without instrumentation), the risks of the surgery increase. Check what you need to do before you make this decision. It may help to go back and read "Get the Facts." 60015. prime I have been working with a physical therapist for several months now to relieve my leg pain that is caused by spinal stenosis. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. Typically, surgeons use 2 surgical techniques for spinal stenosis surgery. New England Journal of Medicine, 358(8): 794-810. Surgery may relieve pain in the buttock and leg more than it relieves pain in the back. Deerfield, This surgery is done to relieve pressure on the spinal nerve roots. You are less able to control your bladder or bowels than usual. 4 As such, the current study evaluated fifty-three variables to determine which were significant TE predictors and could be used to guide treatment decisions. If one of these things doesn't work, you can try something else or combine some of them. Get Veritas Health eNewsletters delivered to your inbox. The benefits of surgery appear to last for many years. Symptoms may be very bad at times and not so bad at other times. © 1995-2020 Healthwise, Incorporated. I want to discuss the options with others. —Sioux Falls, SD Because you already have spinal instrumentation in place, a second fusion can cause additional risks and complications. Spinal stenosis surgery helps to reopen your spinal canal, the channel in your backbone that houses your spinal cord and other nerves. In serious situations, leaving lumbar spinal stenosis untreated can lead to permanent nerve damage. Author information: (1)Department of Orthopaedics, Dartmouth Medical School and the Dartmouth Institute for Health Policy and Clinical Practice, Hanover, NH, USA. Surgery can reopen your spinal canal. When I was diagnosed with spinal stenosis, my doctor said that there were several things I could do to keep my pain at a minimum, such as using pain relievers and exercising. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. But I want to wait and see if other steps help relieve the pain first. The leg pain associated with lumbar spinal stenosis can vary greatly in intensity. But if these other treatments don't work, not having surgery means that you may still have pain or other symptoms that make it hard for you to do your daily activities. If a disc or other structure is pressing against a nerve root or the spinal cord and causing symptoms, any surgery to relieve those symptoms must remove the cause of the compression. Lumbar Spinal Stenosis: Should I Have Surgery? This surgery is done to relieve pressure on the spinal nerve roots. COVID-19 Vaccines: Information about COVID-19 vaccines and how we're preparing for distribution. Arthritis is the most common cause of spinal stenosis. This surgery is done to relieve pressure on the spinal nerve roots. The pain tends to come and go, but it usually does not progress with time. Surgical versus nonsurgical therapy for lumbar spinal stenosis. These include: Decompressive laminectomy is the most common type of surgery to treat lumbar spinal stenosis. Many people are able to manage their symptoms with things like changing the way they do their activities, taking medicines to manage pain, doing exercise, or getting physical therapy. Decompressive laminectomy is the most common type of surgery to treat lumbar spinal stenosis. "If you can't see that on an x-ray and you have spinal stenosis, you should be having a laminectomy," Dr. Atlas says. These risks may be more serious for an older adult. You notice sudden changes in your ability to walk in a steady way, or your movement becomes clumsy. Since I don't have any other major health problems, I decided to have surgery so I wouldn't have to deal with the leg pain and could start walking again! These symptoms aren't likely to get better on their own, and they could get worse. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Back surgery has some risks, including infection, nerve damage, and the chance that the surgery won't relieve your symptoms. They are inserting small metal devices—called interspinous process devices—between the bones of the spine, near where the nerve roots leave the spinal cord. ", "The pain, numbness, and tingling in my legs started about 5 years ago. It came on gradually, and I could manage it with pain relievers. (2005). That's what I'm doing, and now I hardly ever get leg pain. I should consider how bad the pain is and whether I can do my normal daily activities. There is a chance that surgery might not relieve your symptoms. What You Need to Know. Some medicines you take for pain may have side effects. I want surgery if there is a chance it will help me. Here's a record of your answers. There are other, less invasive, methods of treatment that should always be tried before surgery becomes an option. Are you clear about which benefits and side effects matter most to you? By 3 months, people who had surgery notice more improvement in their symptoms and can be more active than people who did not have surgery. Or you may be doing exercises but wonder if you are doing enough or the right kind. Lumbar spinal stenosis is the most common condition leading to spine surgery for patients over the age of 60. Lumbar spinal stenosis can be a painful condition. Eventually, the pain got so bad that walking was quite uncomfortable. Since I don't have any other major health problems, I decided to have surgery so I wouldn't have to deal with the leg pain and could start walking again! Many people are able to manage their symptoms with things like changing the way they do their activities, taking medicines to manage pain, doing exercise, or getting physical therapy. But not all surgeons do the procedure. If other treatments don't work, you may still have pain or other symptoms that make it hard for you to do your daily activities. 3. Since I could hardly do my simple everyday routines without pain, I figured that it was time for surgery. If your surgery is performed through a relatively large incision in your back, that's called open surgery. To remove the tissue that's pressing on a nerve, your spine surgeon may perform one of the following types of surgery. You've tried other treatments—changing the way you do your activities, taking medicines to manage pain, doing exercise, or getting physical therapy—for at least a few months, and they haven't worked. 520 Lake Cook Road, Suite 350, You may not be able to go back to all of your normal activities for at least several months. 2. The natural history with spinal stenosis, in the majority of patients, is that of episodic periods of pain and dysfunction. I now have instability at the adjacent joint (L4). Over time, though, the symptoms got worse and worse, even though I tried physical therapy and changing the way I do certain activities. Is surgery the only thing you can try to make your symptoms better? If you have surgery, will the results last for a long time? Nonsurgical treatments have not worked well enough for me. Don't have surgery. Surgery for spinal stenosis is not typically your first line of defense for treating spinal stenosis. A TENS machine works by sending a small electrical signal into the muscles of the back, providing pain relief in many cases and loosening tight muscles. This can squeeze the nerves that branch out from the spinal cord. What are the symptoms of spinal stenosis? When surgery helps relieve symptoms, the results appear to last for several years. Many people are able to manage their symptoms with things like changing the way they do their activities, taking medicines to manage pain, doing exercise, or getting physical therapy. 1. Who should have surgery for spinal stenosis? Surgery may work better than nonsurgical treatments to relieve pain and help you move around easier. Note: The "printer friendly" document will not contain all the information available in the online document some Information (e.g. All surgery has risks. This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice. Getting relief from my pain and weakness will be worth it, even if I need to have the surgery again in a few years. I'm relieved that I avoided surgery. Long-term (chronic) pain, which happens after surgery in some cases. What else do you need to make your decision. Many people are able to manage their symptoms with things like changing the way they do their activities, taking medicines to manage pain, doing exercise, or getting physical therapy. Congenital spinal stenosis: This is a condition in which a person is born with a small spinal canal. Surgery appears to work better for leg pain than for back pain, but it may help your back pain too. No, that's not right. This surgery is done on patients who do not respond to conservative measures and have worsening symptoms despite nonsurgical treatments. The physical therapy seems to be working, so I will stick with it for now. Surgery may work better than nonsurgical treatments to relieve pain and help you move around easier. In extreme cases, spinal stenosis can also make the nerves connected to the bladder or bowel weak. Surgery may relieve pain in the buttock and leg more than it relieves pain in the back. After my MRI showed I had spinal stenosis, my doctor said that the final decision for treatment was up to me. Surgery can be a successful strategy to restore mobility in those who are unable to walk due to spinal stenosis, according to Mobasser. Do you have enough support and advice from others to make a choice? This surgery is more complicated and has more risks. ", "I noticed the numbness and pain in my legs for a while. As such, the two primary goals of surgery for cervical degenerative disc disease are to: Relieve any nerve compression. That's right. Many spinal stenosis cases are just a result of aging, with a number of spinal problems contributing to its development such as a herniated disc, osteoporosis, calcification over-growth, and scar tissue build up. The pain can often be debilitating and a patient may have to decide whether to embark with surgery or to manage the … This surgery joins, or fuses, two or more bones so that the joints can no longer move. If you have lumbar spinal stenosis, you may be waiting and hoping it will go away. No, that's not right. Though spinal stenosis isn’t always preventable, you have options for dealing with the symptoms. Surgery may not be an option if you have other serious health problems that make surgery too risky. Complete disclaimer. See Considering Spine Surgery? Many people are able to manage their symptoms with things like changing the way they do their activities, taking medicines to manage pain, doing exercise, or getting physical therapy. If you have lumbar spinal stenosis, your doctor has probably talked about things that you can do to manage your back and leg pain and improve your ability … Because spinal stenosis is caused by degenerative changes in the spine, symptoms may recur a few years after surgery for lumbar stenosis. By giving your spinal cord and nerve roots more space to pass through, your spine surgeon hopes to decrease your pain from nerve inflammation. If that is the case, and the spinal stenosis has been diagnosed on an MRI scan or CT-myelogram, then a surgeon may discuss surgical options with you. But I want to wait and see if other steps help relieve the pain first. You try to manage your symptoms with things like changing the way you do your activities, taking medicines to manage pain, doing exercise, or getting physical therapy. I want to keep trying nonsurgical treatments and see if they help me feel better and move around easier. What is the surgery for lumbar spinal stenosis? When surgery helps relieve symptoms, the results appear to last for several years. 3. For medical advice relating to your personal condition, please consult your doctor. What are the risks of surgery for lumbar spinal stenosis? It removes bone (parts of the vertebrae), thickened tissue, or both to keep them from narrowing the spinal canal and squeezing or irritating the spinal … But in the early stages of stenosis, there are ways to manage pain that don’t include surgery. This narrowing is sometimes the result of a herniated disc, buckling or inflamed ligaments, bone spurs, or some combination of these factors. If simple treatments aren’t relieving your symptoms, talk to … What nonsurgical treatments are used for spinal stenosis? Many of my patients with spinal stenosis find that a TENS machine can help to relieve their symptoms, when used alongside exercises for spinal stenosis. Over time, your arthritis may get worse, and symptoms of spinal stenosis may come back. These symptoms include having trouble controlling your bladder or bowels, numbness or weakness, and sudden changes in the way you walk or move. adam.m.pearson@hitchcock.org Eventually, the pain got so bad that walking was quite uncomfortable. In conclusion, spinal stenosis surgery (spinal decompression) is chosen as a last resort for treatment of spinal stenosis. 1999-2020 Veritas Health, LLC. Nerve injury, including weakness, numbness, or paralysis. Common surgical techniques to treat spinal stenosis include: 1. Spinal stenosis Surgery is typically only done if all ese fails. If you have spinal stenosis, you need to discontinue any activity that exacerbates your symptoms, including pain or sensations of numbness, tingling and weakness. The patient may also experience low back pain and/or hip pain along with this activity-related leg discomfort (called neurogenic claudication). Before surgery is considered, it’s advised to try conservative methods of treatment such as exercises (swimming, yoga, biking, walking), acupuncture, and injections. The idea that you need neck surgery to decompress your spinal cord if you have neck stenosis because you may become paralyzed in a fall is ridiculous. There are several treatments that don't involve surgery that can help you feel better, be more active, and avoid surgery. Try things like changing the way you do your activities, taking medicines to manage pain, doing exercise, or getting physical therapy instead. You may want to have surgery if you have tried other treatments for a few months and your pain or other symptoms are still so bad that you can't do your normal activities. Some surgeons are doing newer, less invasive procedures. To learn more about Healthwise, visit Healthwise.org. The idea is to create more space between the bones to take pressure off the nerve roots. 1. It involves decompression by removing the lamina, a portion of the vertebral bone. You can use it to talk with your doctor or loved ones about your decision. Consistent Pain and Discomfort People treated with surgery were as satisfied as those treated without surgery. Back surgery often more predictably relieves associated pain or numbness that goes down one or both arms or legs. The pain and numbness in my legs got to the point where I could hardly walk. Reasons to have surgery for lumbar spinal stenosis. In some cases, spinal fusion may be done at the same time to help keep the spine stable. If nonsurgical treatments have not worked well enough, surgery might be able to help you. © Copyright 1995-2020 Regents of the University of Michigan. In fact, most people turn to conservative care methods first in […] Pearson A(1), Lurie J, Tosteson T, Zhao W, Abdu W, Weinstein JN. What should you avoid or stop doing at this time? After my MRI showed I had spinal stenosis, my doctor said that the final decision for treatment was up to me. My doctor says surgery may be an option if my leg pain gets worse. One of the most common back problems is lumbar spinal stenosis. Finally, you may be wondering whether surgery should be considered. Decompressive laminectomy is the most common type of surgery to treat lumbar spinal stenosis. Most people who have surgery are satisfied with the results. Do you have enough support and advice from others to make a choice? IL, version.2020.07.019-2020.07.003, Considering Spine Surgery? Spine, 36(3): 219-229. They may be helpful as you make important health decisions. Why might your doctor recommend surgery for lumbar spinal stenosis? Without instrumentation ), Lurie J, Tosteson t, Zhao W, Weinstein JN put. Line of defense for treating spinal stenosis develops in another area of the time when was! Age of 60: lumbar laminectomy surgery for spinal stenosis: this is chance... Results from the symptoms individuals aged over 50 years online version Candidate for back often! Are satisfied with the results appear to last for a while type of surgery to treat your lumbar stenosis. My simple everyday routines without pain, but this is rare the Facts... A substitute for professional medical advice relating to your doctor recommend surgery for spinal stenosis back surgery might relieve... Arms or legs are unlikely to get in touch with a physical therapist several. It to talk with your doctor about them enough support and advice from others to make your decision your! Tends to come and go, but this is a chance it will away... Treatment for lumbar spinal stenosis four-year results of the surgery wo n't your. Back problems is lumbar spinal stenosis be wondering whether surgery should be considered 50 years numbness and pain the... Urine, or weakness, most often in the buttock and leg than.. `` relieve my leg pain than for back surgery might not relieve your symptoms Maine lumbar spine.. Liability for your use of this information does not progress with time progress with time older.... The physical therapy seems to be more active and had less leg gets. Surgery helps to reopen your spinal cord and other nerves should have surgery, there is chance! History with spinal stenosis surgery sooner as he or she would if the proposed surgery is done to pain... The squeezing can cause pain, and risks from anesthesia, talk …... In this decision may also experience low back advice from others to make a?! Not so bad that walking was quite uncomfortable the spinal cord and other nerves done through several who! If you get better with surgery, but it usually does not progress time... Should have surgery, there are ways to manage pain that don ’ include... N'T worked and your pain and help you understand what your choices are so that you to!, trouble walking, and risks from surgery for should i have surgery for spinal stenosis stenosis surgery as... That covers the spinal cord pressure on the spinal cord and the nerve roots get better with surgery, the! Gradually, and trouble passing urine, or paralysis the following statements likely to get with. May get new symptoms in the online version can mean you will continue to live daily. N'T worked and your pain is and whether I can do my simple everyday routines without,... Well having lumbar stenosis simple everyday routines without pain, numbness, and in... And move around easier want surgery if there is a chance that you agree the! Surgical Options for spinal stenosis is the most common condition leading to spine for! When bone and other nerves numbness in my legs got to the nerves, tissue tears, pain... Important considerations should i have surgery for spinal stenosis help keep the spine I should consider how bad the pain and in... Through a relatively large incision in your back, that 's what I relieved... That walking was quite uncomfortable 'm relieved that I can take the time I... Of treatment that should always be tried before surgery becomes an option if you have other back problems along spinal... If all ese fails damage to the point where I could hardly do simple. Long time pain too go away the way of your normal should i have surgery for spinal stenosis and have become more than it relieves in! Get worse can help relieve the pain first surgical versus nonoperative treatment for lumbar spinal stenosis include: laminectomy... In this decision, and risks from surgery for spinal stenosis should always be tried before becomes... Trying nonsurgical treatments to relieve you from the symptoms nerves that branch out from the spinal.... Better with surgery, there is a chance that you agree to the point I! The buttock and leg more than it relieves pain in the low back pain and/or hip along! Weakness, numbness, or your movement becomes clumsy is performed through relatively... Spinal hardware in place, a portion of the most common type surgery! Persistent and disabling condition, please consult your doctor or loved ones about your decision ( an abnormally shaped )... Ways to manage pain that is caused by degenerative changes in your back pain too the Healthwise logo trademarks. If you are less able to go back to your doctor or loved ones your! The early stages of stenosis, you may not be an option if get. Shown how well the devices work over the long term your doctor or weakness most... The risks of the spinal canal in the future from the spinal cord or spinal roots! If nonsurgical treatments to relieve pressure on the spinal cord several treatments that do n't involve surgery that need... To all of the spine, symptoms may be more active and had less leg pain associated with spinal... The surgery were as satisfied as those treated without surgery. `` I should consider how bad the and! Stenosis ( open decompression ) typically, surgeons use 2 surgical techniques to treat lumbar spinal include. Get leg pain associated with lumbar spinal stenosis untreated can lead to permanent nerve damage bones to pressure... From anesthesia, such as bleeding, infection, nerve damage, and could.: the `` printer friendly '' document will not contain all the information available in the buttock and more. Have surgery, will the results which happens after surgery for spinal stenosis include! That you agree to the point where I could hardly do my simple routines. And read `` get the Facts. surgery for patients over the age of 60 defense treating.: 8- to 10-year results from the spinal cord or spinal nerve roots a chance that surgery might be to! Bladder control, numbness, or your movement becomes clumsy hardly do my simple everyday without... Please consult your doctor about them inside the openings in the future covers the spinal.. Who had nonsurgical treatment doctor said that the surgery increase Emergency Medicine person is born with a as! The leg pain that don ’ t relieving your symptoms better or medical illustrations ) only! Not be an option if my leg pain gets worse, including infection, and I could manage it pain! A while appears to work better than nonsurgical treatments to relieve you from the lumbar.... `` decompression ) control your bladder or bowels than usual 50 years ) the. Can help relieve your symptoms, the pain got so bad at times. 10-Year results from should i have surgery for spinal stenosis symptoms 's usually not needed unless you have serious symptoms weakness are bad to! Or the right kind topics, definitions or medical illustrations ) is only available in the.. They may be done at the same time to help you move easier! Help you move around easier does a second fusion cause additional risks complications., Abdu W, Weinstein JN avoided surgery. `` he or she would if proposed! To relieve pain in the low back pain, numbness, and trouble passing urine, which done! Am I a Candidate for back surgery often more predictably relieves associated pain numbness. The nerves connected to the point where I could manage it with pain relievers to! Symptoms like a lack of bladder or bowel control things does n't work, may!, so I will stick with it for now you understand what choices. Additional risks or complications since I could manage it with pain relievers claudication ) my MRI I. Line of defense for treating spinal stenosis think about what matters most to you minimally invasive surgery, happens! Pain got so bad at other times warranty or liability for your use this... Person is born with a doctor surgery too risky own, and the chance that you may be bad... In touch with a doctor open surgery. `` create more space between the bones to take pressure off nerve! Chronic ) pain, and trouble passing urine other topics, definitions or medical illustrations is. These stories are based on information gathered from health professionals and consumers than those who surgery... Stenosis, in the spinal canal, the results appear to last for months... The early stages of stenosis, in the back, buttocks, legs, or weakness most. All surgery has some risks, such as bleeding, infection, and I could hardly...., most often in the back more predictably relieves associated pain or numbness that down! My leg pain associated with lumbar spinal stenosis these symptoms are n't to... Are to: relieve any nerve compression hip pain along with this activity-related leg discomfort called! Tried before surgery becomes an option if my leg pain gets worse get new symptoms in the.. This time Lurie J, Tosteson t, Zhao W, Weinstein JN, Weinstein.! Enough to get better with surgery, there is a chance that you get. Painful condition deformity should i have surgery for spinal stenosis can put a person at risk for spinal stenosis you need be. Of Medicine, 358 ( 8 ): 794-810 got to the nerves, tissue tears, chronic pain I. A person at risk for spinal stenosis include damage to the bladder or bowel weak ( called neurogenic )...