What helps with back pain? If you’ve ever had lower back pain, you’re definitely not alone. Low back pain is very common and many people end up having surgery because of the pain.
Lumbar spine Stenosis is one of the causes of lower back and leg pain and is usually treated with surgery. What if you are too extreme with a knife and an operation is not for you?
The good news is what helps with back pain! Conservative treatment, such as physiotherapy, may provide results that are similar to surgery and less invasive. A recent study shows that physiotherapy in lumbar spine stenosis is as effective as long-term sugary. Research by Delitto et al. Compared with individuals with lumbar spinal stenosis who received physical therapy to those who underwent decompression surgery.
What is a spinal stenosis?
Spinal stenosis once causes back pain that affects your spine. Her spine contains vertebrae that accumulate. Under each vortex is a disc that provides space and serves as a cushion or shock absorber. In each spine, there is a bony ring, and together they form a hollow tube, which is penetrated by your spinal cord, the so-called spinal canal. When a stenosis occurs, the spike ring formed by your spine becomes narrower, leaving less space for your spinal cord. Reduced space leads to increased pressure on the spinal cord and nerves. Spinal stenosis can be caused by years of wear flattening the intervertebral discs between the vertebrae.
If the discs are flattened, less space and more pressure on the nerves. Also, conditions such as arthritis can cause a lump in your spinal bone or bony prominence that protrudes into your spinal canal, adding pressure to your medulla or nerves. Another cause of spinal stenosis is a narrow spinal canal than usual, so there is a risk of later spinal stenosis.
Lumbar spine stenosis usually progresses slowly over time because the main cause of the stenosis is worn or degeneration. Most of your symptoms will affect your legs because the nerves that are pressed on your lower back will control the movement and feel in your lower legs. In lumbar spine stenosis, you may notice the following:
-Pin and needle on your hips, thighs or legs.
-Weakness or weight on the feet.
-Problems with the intestine and the bladder
-The symptoms of preventing or sitting
– Increased symptoms due to walking, standing or bending back
Bending to the front can help your pain with spinal stenosis as it expands the spinal canal and reduces pressure on the spinal cord or nerves. On the other hand, bending back can reduce the spinal canal and make the symptoms worse.
Your physiotherapist will write a thorough story and ask specific questions to get rid of other conditions that may occur. You will ask questions about the pain or other symptoms you are experiencing, how you move, assess your strength and flexibility, check your balance and test your sensations. Your therapist will also work with your doctor to make sure you get the right treatment. An X-ray or MRI scan can be performed to confirm the diagnosis. If your symptoms are severe and severely impaired, surgery may be recommended. Otherwise, physiotherapy has shown the same or better results in all cases of extreme spinal stenosis.
How does physiotherapy help me?
Your physiotherapist will design a training program based on what you found during the exam. The goal is to improve your ability to participate in daily activities while reducing your symptoms. Your therapist will educate you on what to avoid in order to prevent the pressure on your nerves from increasing. Therapy also includes:
Strengthening – Exercises that strengthen the muscles in the back and in the legs support pressure on the lower back.
Stretching – Your therapist will show you stretching to improve movement of your back and legs, reduce symptoms, and ensure proper movement.
Hands-on care – Manual therapy can also help to improve symptoms and reduce stiffness in the joints.
Training Posture – Individuals with stricture tend to have a crooked posture, resulting in shortened or tense muscles, which can further improve symptoms. Your therapist will tell you to sit up, stand, and walk without worsening your symptoms.
Physical therapy is the first line of defense that is very good in terms of treating your lumbar spine symptoms. Surgery can be invasive and costly with no added benefit compared to physical therapy.