Primary tabs

Did you mean
team held codes

Search results

  1. Conditions

    Sites with Brooklyn header: HealthNavigator < http://tbh-se3.adam.com/content.aspx?productId=65 > In-Depth Reports http://tbh-se3.adam.com/content.aspx?productId=10 Wellness Tools< http://tbh-se3.adam.com/content.aspx?productId=20 > Hea ...

  2. Medical Service

    Head & Neck Surgery

    The Brooklyn Hospital Center's Division of Head and Neck Surgery manages the diagnosis and surgical treatment of benign and malignant tumors of the head and neck. Staffed by a team of highly capable sur ...

  3. Medical Service

    Otolaryngology (ENT)

    ring, balance, smell, taste, voice, speech and language. Common ENT Conditions and Services head and neck inf ... cer papillomas spasmodic dysphonia throat infections vocal fold nodules Head ...

  4. Medical Service

    Pediatric Surgery

    anomalies and tumors of the head, neck, chest, abdomen and pelvis ...

  5. Medical Service

    Pediatric Emergency Care

    sicians:  Noah Kondamudi Haamid Chamdawala Melissa Hersh Majo Joseph Heather MacAdam ...

  6. Medical Service

    Allergy & Immunology

    rrhea, headache, runny nose itching of the nose, mouth, throat, skin, or any ...

  7. Medical Service

    Neurology

    disorders neck and back pain stroke headaches carpal tunnel syndrome Featured ...

  8. Medical Service

    Plastic Surgery

    years of specialty training in head and neck surgery and facial pla ... of the head and neck provides the facial plastic surgeon with a strong foc ...

  9. Medical Service

    Nuclear Medicine

    including one single-head and three dual-head gamma cameras. We are als ...

  10. Medical Service

    Pediatric Genetics

    lude: unexplained developmental/speech delays or mental retardation small head siz ...

Pages

Search | The Brooklyn Hospital Center
 

Primary tabs

Did you mean
team both codes

Search results

  1. Medical Service Parent

    Cancer Care

    cer, but being aware of your body and seeking medical care when you start to notice ...

  2. Heart Disease

    tent above is based on Adam Health Content, for  more details related to  ... .599.6200   HEALTH RESOURCES Wellness for Life Club   What is Your  BODY MASS IND ...

  3. Diabetes

    el.   The content above is based on Adam Health Content, for  more details related ... t is Your  BODY MASS INDEX >   Need Help Losing Weight?  Visit our Wei ...

  4. Article

    Cared For — Body and Mind

    When I woke up in the middle of the night with a very painful "charley horse" in my calf after a trip to Washington DC, I thought nothing of it. I just figured I had strained it from the active day, no big deal. But the pain lingered on, intensi ...

  5. Medical Service

    Pediatric Emergency Care

    sicians:  Noah Kondamudi Haamid Chamdawala Melissa Hersh Majo Joseph Heather MacAdam ...

  6. Medical Service

    Otolaryngology (ENT)

    us disease swallowing and voice disorders snoring and sleep apnea foreign body ... d and Neck Surgery foreign body removal infections, cysts, lesions and masses ...

  7. Medical Service

    Dermatology

    n and body, offering skin care for the entire family. Not all skin conditions ... cer, ethnicity matters Malignant melanomas can appear anywhere on the body ...

  8. Medical Service

    Allergy & Immunology

    is oversensitive in a person with allergies. When the body recognizes an all ...

  9. Medical Service

    Wound Care

    O” therapy is a medical treatment that enhances the body’s natural healing ...

  10. Medical Service

    Palliative Care

    decisions Help improving your body’s tolerance for medications Coordination ...

Pages

Spinal stenosis

Definition

Spinal stenosis is narrowing of the spinal column that causes pressure on the spinal cord, or narrowing of the openings (called neural foramina) where spinal nerves leave the spinal column.

Alternative Names

Pseudo-claudication; Central spinal stenosis; Foraminal spinal stenosis; Degenerative spine disease; Back pain - spinal stenosis

Causes

Spinal stenosis usually occurs as a person ages.

Spinal stenosis may also be caused by:

Symptoms

Symptoms often get worse slowly over time. Most often, symptoms will be on one side of the body, but may involve both legs.

Symptoms include:

Symptoms are more likely to be present or get worse when you stand or walk. They often lessen or disappear when you sit down or lean forward. Most people with spinal stenosis cannot walk for a long period.

More serious symptoms include:

Exams and Tests

During a physical exam, your doctor will try to find the location of the pain and figure out how it affects your movement. You will be asked to:

Your doctor will also move your legs in different positions, including bending and straightening your knees. This is to check your strength and ability to move.

To test nerve function, the doctor uses a rubber hammer to check your reflexes. To test how well your nerves sense feeling, the doctor touches your legs in many places with a pin, cotton swab, or feather.

A brain and nervous system (neurologic) examination helps confirm leg weakness and decreased sensation in the legs. The following tests may be done:

Treatment

Your doctor and other health professionals will help you manage your pain and keep you as active as possible.

Treatments for back pain caused by spinal stenosis include:

Spinal stenosis symptoms often become worse over time, but this may happen slowly. If the pain does not respond to these treatments, or you lose movement of feeling, you may need surgery.

Surgery may include removing a bulging disc, removing part of the vertebra bone, or widening the opening where your spinal nerves are.

After some spinal surgery, the surgeon may fuse some of the spine bones to make your spine more stable.

   

Outlook (Prognosis)

Many people with spinal stenosis are able to be active with the condition, although they may need to make some changes in their activities or work.

Spine surgery will often partly or fully relieve symptoms. It is hard to predict if you will improve and how much relief surgery will provide. 

Rarely, changes caused by pressure on the nerves may be permanent, even if the pressure is relieved.

When to Contact a Medical Professional

Call your health care provider if you have symptoms of spinal stenosis.

More serious symptoms that need prompt attention include:

References

Weinstein JN, Tosteson TD, Lurie JD, Tosteson AN, Blood E, Hanscom B, et al. Surgical versus nonsurgical therapy for lumbar spinal stenosis. N Engl J Med. 2008;358:794-810.

Katz JN, Harris MB. Clinical practice. Lumbar spinal stenosis. N Engl J Med. 2008;358:818-825.

Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical versus nonoperative treatment for lumbar spinal stenosis. Four-year results of the Spine Patient Outcomes Research Trial. Spine. 2010;35:1329-1338.

Chou R, Baisden J, Carragee Ej, Resnick DK, Shaffer WO, Loeser JD. Surgery for low back pain: a review of the evidence for an American Pain Society clinical practice guideline. Spine. 2009;34:1094-1109.

Chou R, Atlas SJ, Stanos SP, Rosenquist RW. Nonsurgical interventional therapies for low back pain: a review of the evidence for an American Pain Society clinical practice guideline. Spine. 2009;34:1078-1093.



Review Date: 4/16/2013
Reviewed By: C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com
Search | The Brooklyn Hospital Center
 

Primary tabs

Did you mean
team food codes

Search results

  1. Medical Service

    Orthopaedic Services

    of the foot, knee, shoulder, hip, hand or other joints. We also treat bone ... advanced reconstructive surgery of the foot, ankle, knee and sho ... er ligament tears Foot and Ankle achilles tendonitis and tears peroneal ten ...

  2. Medical Service

    Podiatry

    The Division of Podiatry offers high-quality, state-of-the-art therapies to treat a wide range of foot and ankle disorders. Conditions Treated at The Brooklyn Hospital Center ingrown toenails ankle sprains ...

  3. Medical Service

    Pediatric Emergency Care

    sicians:  Noah Kondamudi Haamid Chamdawala Melissa Hersh Majo Joseph Heather MacAdam ...

  4. Medical Service

    Geriatrics

    ression, memory loss urinary and bowel incontinence foot ulcers and oth ...

  5. Conditions

    Sites with Brooklyn header: HealthNavigator < http://tbh-se3.adam.com/content.aspx?productId=65 > In-Depth Reports http://tbh-se3.adam.com/content.aspx?productId=10 Wellness Tools< http://tbh-se3.adam.com/content.aspx?productId=20 > Hea ...

  6. Heart Disease

    tent above is based on Adam Health Content, for  more details related to  ...

  7. Diabetes

    el.   The content above is based on Adam Health Content, for  more details related ...

  8. Event

    Healthy Back 2 School Fair!

    e blood pressure and foot screenings • Health insurance information • Sch ...

  9. Article

    Saturday in the Park! Annual health fair in Fort Greene Park helps us keep Brooklyn healthy.

    r prostate cancer). Dental and foot screenings, HIV/AIDS education, infant CPR ...

  10. Article

    Saturday In The Park-- TBHC Health Fair Emphasizes Wellness and Prevention

    tal, glucose, blood pressure, cholesterol, postural, foot, PSA, and BMI ...

Pages