How is lumbar spinal stenosis treated?
Disease description:
I've been having recurring lower back pain during this period, and medication hasn't helped. I went to the hospital for an examination and was diagnosed with lumbar spinal stenosis. How should this condition be treated?
Doctor's answer (1)
Dr. Chen Jian
Lumbar spinal stenosis mainly presents with symptoms such as lower back pain, leg pain, or numbness. Common treatment methods include:
1. Physical therapy: Such as heat application and physiotherapy, which can relieve muscle tension and pain.
2. Medication: Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen capsules, may be used to reduce pain and inflammation.
3. Rehabilitation exercises: Conducted under professional guidance to strengthen the muscles of the lower back and improve spinal stability.
4. Lifestyle modifications: Avoid maintaining the same posture for prolonged periods, change positions regularly, and reduce strain on the lower back.
5. Surgical treatment: Surgery is necessary for patients with severe symptoms or when conservative treatments are ineffective. Surgical options include various procedures such as laminoplasty, laminectomy, spinal endoscopic surgery, interlaminar fenestration, and posterior lumbar interbody fusion with internal fixation. The goals of these surgeries are to enlarge the lumbar spinal canal, relieve nerve compression, and restore spinal stability.
