Spinal Stenosis Treatment Istanbul
Spinal stenosis is a narrowing of the spinal canal that may affect walking capacity. It can present with lower back, hip and leg pain, numbness or weakness.
What is Spinal Stenosis?
In spinal stenosis, narrowing of the canal may lead to neural compression. Causes may include age-related degeneration, ligament thickening, disc changes and vertebral slippage.
Symptoms
- Lower back and leg pain
- Complaints that increase while walking
- Numbness and tingling
- Difficulty standing for long periods
- Reduced walking distance
Diagnostic Process
Diagnosis is made by combining clinical examination and imaging. MRI is the primary method to assess stenosis level and neural compression. In selected cases, CT and dynamic radiographs may be used for additional evaluation.
Non-Surgical Spinal Stenosis Treatment
In mild-to-moderate cases, medication, physical therapy, exercise and injection options may be considered.
Endoscopic Spinal Stenosis Treatment
In suitable patients, it may be planned as a minimally invasive approach to reduce neural compression.
Surgical Treatment
In selected patients with advanced stenosis, motor deficit or functional decline, decompressive surgical options may be considered.
When Might Spinal Stenosis Surgery Be Needed?
- Progressive weakness
- Marked decline in walking capacity
- Severe and persistent pain
- Impairment in bladder or bowel control
- Findings of significant neural compression
Treatment Table
| Treatment | Eligibility | Goal |
|---|---|---|
| Medication/physical therapy | Mild-moderate cases | Symptom management |
| Epidural injection | Radiating pain | Pain-edema control |
| Endoscopic decompression | Selected suitable cases | Reduce neural compression |
| Surgical decompression | Advanced cases | Preserve function |
Frequently Asked Questions
Can spinal stenosis resolve on its own?
Because it is usually structural, it does not completely resolve on its own; symptoms may be managed with appropriate treatment.
Can spinal stenosis be treated without surgery?
Yes, in some patients. Suitability is determined through clinical evaluation.
Does spinal stenosis affect walking?
Yes. Pain and numbness that increase while walking can occur.
Internal Link Suggestions
In spinal stenosis treatment, method selection is planned by evaluating neurological status, functional capacity and imaging findings together.