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Re: spinal canal stenosis

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---Carolyn wrote:

>

> Anyone had surgery for this and had a good or not good outcome? My doctor is

recommending it.

Carolyn -

What kind of surgery specifically is he recommending? I believe there are

several possible procedures, depending on where the narrowing is.

I have severe congenital stenosis and several surgeons have tried to talk me

into a surgery, but I can still walk so I won't even consider it unless it

degenerates to the point that I can't walk anymore.

Cheryl in AZ

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What do you do to keep it at bay? I can walk but not very far at a time. They

haven't come up with a treatment plan and I just kind of want to see how it

might turn out. I've been putting it off since I could still walk and my doctor

has been great about pain meds but I just can't walk very far anymore. I've gone

form three mile hikes to less than 100 yard in just 6 months all of a sudden.

Carolyn Eddy

" Sweet Goat Mama "

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Carolyn wrote:

> Anyone had surgery for this and had a good or not good outcome? My doctor is

recommending it. I can't walk more than 100 feet without everything just

quitting on me.

> Carolyn

> " Sweet Goat Mama "

>

Carolyn,

I am assuming he wants to do a fusion. I was to the same point that I could not

walk. I had the three level fusion, which most Doctors shudder about as after

two levels, the vertabrae above the fusion receive all the impact of movement

and wear down.

It seems that three level are shunned but I thought of all the scolosis patients

that have multiple fusions and needed to be functional. I had good results and

the only thing was muscle spasm as the hardware was making me stand straight and

I do not have strengthened abdomen muscles.

I encourage physical therapy for this and a home program for life. I wish I

could tell you more but the auto accident after my fusion confuses the issues of

trying to differtiate where my pain generates from.

I have Degenerative Disc Disease with moderate stenosis, sacral iliac

syndrome,piriformis syndrome, siatica,and it seems, for me, muscle spasms and

staying in spasm are my worst problem.

Let us know what surgery you are considering and I hope you get the results you

need, Carolyn. Thinking of you and wishing the best. Bennie

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It's possible that this will solve your problem if they have pinpointed that the

narrowing (lumbar stenosis) is causing the legs to give out. What level is the

stenosis? Do you have pain or numbness in your legs as well?

I've not had the surgery but I've studied to know when and if I would consider

surgery for my cervical stenosis.

Jennette

>Carolyn " Sweet Goat Mama " wrote:

Anyone had surgery for this and had a good or not good outcome? My doctor is

recommending it. I can't walk more than 100 feet without everything just

quitting on me.

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--- Carolyn wrote:

>

> What do you do to keep it at bay?

Carolyn -

I'm just " lucky. " Mine is congenital, not due to age and degeneration, so it's

holding pretty steady. It's been bad my whole life, but not so bad that I can't

walk. I do have to stop frequently and bend over or sit to relieve the pressure

so that my right leg and foot in particular doesn't go numb. I walk bent over

the grocery cart in the stores, I do tons of stretches and physical therapy

exercises. Standing kills me, can't do it. Walking is a challenge but I'm not

so disabled by it that I can't still do it.

I have no doubt that as I age the degenerative stuff will make the stenosis

worse. My neurosurgeon saw my films four years apart and swore it was

substantially worse, but frankly I can't tell the difference what with all the

other stuff I have going on back there (adhesive arachnoiditis, multiple disk

problems, etc).

If you're having significant disability due to it, then you need to see about

having it " fixed " if possible. You don't want permanent nerve damage if it can

be avoided. I know that you know to get several opinions first, though!

Cheryl in AZ

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Carolyn wrote:

> What do you do to keep it at bay? I can walk but not very far at a time. They

haven't come up with a treatment plan and I just kind of want to see how it

might turn out. I've been putting it off since I could still walk and my doctor

has been great about pain meds but I just can't walk very far anymore. I've gone

form three mile hikes to less than 100 yard in just 6 months all of a sudden.

Hi Caroln

That happened to me too. In the end, I put off surgery too long and

ended up darned near dying from cauda equina. My insides just started

shutting down.

Before I went for surgery (and before the cauda equina), I went for

physical therapy, I got stretched on a rack :-), tried a myriad of home

exercises, special knee pillows, and on and on. One day, I woke up and

my legs no longer worked at all.

Please find a good surgeon, who has done lots and lots of the type of

surgery you will need. Ask for patient references and follow them up.

Then just sit on the whole thing while you try other things first. Some

people get a whole lot better with physical therapy and some don't.

My orthopaedic surgeon was in his early 70's when he operated on me. He

had been doing surgery for almost 50 years by then. He really knew his

stuff.

The neurosurgeons said I was inoperable and I should go home and make a

new will and find someone to take over the care of my teenage children.

The neurosurgeons were in their 30's and obviously didn't have the

skill that my dear old ortho did. He did an incredibly good job on my

lower back. His work has held up for almost 20 years now.

My neck is now shot, but I haven't been able to find a surgeon I trust

even half aa much as the doctor I had years ago. When I do find one

that I think has his level of skill, I'll suck it up and get my neck

done. Until then, I'll keep getting radio frequency lesioning, and

doing my physio exercises. The two help some, but the pain is still wicked.

Good luck with your quest. You may be one of those lucky people who

gets relief from physical therapy. If not, I sure hope you find a

surgeon with years and years of practice on other people!

Lyndi

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> Carolyn wrote:

> What do you do to keep it at bay? I can walk but not very far at a time. They

haven't come up with a treatment plan and I just kind of want to see how it

might turn out. I've been putting it off since I could still walk and my doctor

has been great about pain meds but I just can't walk very far anymore. I've gone

form three mile hikes to less than 100 yard in just 6 months all of a sudden,

Carolyn,

I would have a physical therpaist evaluate me to see what is going on, if it is

impingement on a nerve or bone on bone.

Bennie

*Have you had myelogram ?

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