A variety
of non-operative treatment methods can be applied in case of spinal stenosis. Some
of the common options are:
Exercises: Opting for a suitable program of
exercise or physical therapy is a crucial part of a spinal stenosis treatment. This
may not be a cure, but patients are benefitted greatly by staying active. The
physician will prescribe a supervised physical therapy program. After engaging
in therapy, most people can start a personalised exercise program of their own.
The key objective is to begin slowly, and build tolerance and strength
gradually.
Activity Modification: Patients are asked to avoid
certain activities as they could worsen the symptoms associated to spinal
stenosis. In case of lumbar stenosis, patients find it more comfortable to flex
forward. For example, the activity modification recommended might include
leaning on a shopping cart or walker than standing upright, relaxing on a
recliner rather than straight-back chairs, etc.
Epidural Injections: A cortisone injection inside the
epidural space can help in relieving the spinal stenosis symptoms. Certain
studies debate about the long-term efficacy of such injections. Other than
that, there are also certain concerns surrounding corticosteroid injections and
its usage with respect to fractures related to osteoporosis. It is mostly a
mainstream option physicians choose for treatment.
Medication: Anti-inflammatory drugs (like
ibuprofen or aspirin) may be used for relieving the symptoms associated to
spinal stenosis. After undergoing a careful check-up, a short term course of
certain narcotic drugs are prescribed for alleviating the severe episodes
resultingin nerve related pain. Some doctors may also prescribe nerve
desensitizing medications and muscle relaxers. At certain instances, doctors
may also opt for anti-depressants.
Side effects may occur due to the use of medications. As a precautionary
measure, patients have to make sure that the pharmacists and physician are
aware of your medication allergies.
These four
treatment methods are generally applied for treating spinal stenosis non-surgically.
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