Stenosis
What is it?
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Stenosis occurs when there is a narrowing of the space where nerves pass through in the spine.
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It typically occurs in people over the age of 50.
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It can be associated with poor balance and a higher risk for falls.
Typical Symptoms/features
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Leg pain, numbness, or pins and needles.
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Possible weakness in the legs.
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Symptoms can be in one leg or both.
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Symptoms are generally worse with prolonged walking or standing.
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Symptoms usually relieved by sitting or bending forwards.
Management
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Activity modification
- When you first start noticing pain, it may help to reduce your activity for a short amount of time to allow the pain to settle.
- Pacing your activity with frequent sitting breaks may be helpful.
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Ice or heat
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Pain relief
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Physiotherapy including range of movement exercises and a graded strengthening programme.
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Orthopaedic options- In more severe and/or prolonged cases, orthopaedic surgical opinion may be indicated to help with leg symptoms.
Do I need imaging?
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Imaging (X-rays or scans) is not routinely required to diagnose stenosis.
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However, MRI may be appropriate if symptoms do not improve with conservative measures and surgery is being considered.
