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Persons with lumbar stenosis may experience a deep aching in the lower back, and pain, weakness, or numbness in the legs or buttocks. The symptoms may begin by walking, and decrease when sitting, bending forward or lying down. Cervical stenosis may cause similar symptoms in the arms, shoulders, and legs, as well as clumsiness and gait disturbances. Medications can be used to treat the inflammation and pain. Spinal injections utilizing corticosteroids can be used to treat symptoms. In some cases, surgery is needed to relieve pressure on the spinal cord or nerve roots.  |
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These conditions relate to instability of the vertebrae. Spondylolysis is a defect (stress fracture) in one of the vertebrae that make up the spinal column. The vertebrae are still in the correct position. This condition is called spondylolysis. It usually affects either the fourth or the fifth lumbar vertebra in the lower back. When the defect weakens the bone so much that the one vertebra slips forward on top of the vertebra below, this condition is called spondylolisthesis. |
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Symptoms include low back pain and muscle spasms. If the slippage is significant, the spinal canal can narrow, compressing nerves and causing leg pain, weakness and numbness. Some people have spondylolysis or spondylolisthesis without any symptoms at all. Initial treatment includes non-steroidal anti-inflammatory drugs, bracing for stabilization, or epidural steroid injections. Physical therapy and stretching and strengthening exercises are also helpful. Surgical intervention may be necessary in more advanced cases. |
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