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Conservative
Pain Management for Back Pain and Spinal Stenosis
Spinal
stenosis is the narrowing of the spinal canal in the lumbar (lower
back) or cervical (neck) areas of the spine. The bones of the spine
(the vertebrae) start from the skull and continue down to the pelvis
to create a tunnel that contains the spinal cord and the spinal
nerve roots. The spinal canal itself is made from an opening in
the back of each vertebra. The narrowing of the spinal canal causes
pressure on the spinal cord and on the nerves of the spine, leading
to back pain and other disabling
symptoms.
Spinal
stenosis is most often associated with arthritis;
herniated discs; trauma
to the nerve roots or the spinal cord; degeneration due to aging;
or poor posture over time. This condition usually presents as pain
in the back, thighs, calves, neck, or shoulders and arms as well
as weakness in the extremities. Severe cases of spinal stenosis
might also cause balance issues and bowel and bladder dysfunction.
When
back pain of any kind occurs, it is advisable to seek treatment
as soon as possible. For cases of back pain related to spinal stenosis,
symptoms gradually worsen over time; the sooner the causative factor
is addressed, the better the prognosis.
Medical
Care/Pain Management for Spinal
Stenosis
A
Physiatrist is a specialist in pain management and disorders of
the musculoskeletal system. This type of doctor is concerned with
the non-surgical treatment of painful conditions such as those that
can cause spinal stenosis. For example, the pain management specialist
at Monmouth Pain and Rehabilitation would first work with our Physical
Therapy department, acupuncturist,
massage therapist, and Chiropractic
Doctors to resolve painful disorders and restore functionality.
When
patients with spinal stenosis are unresponsive to conservative treatments,
or when pain restricts the ability to take advantage of non-invasive
practices, a pain management doctor may use Epidural Steroid Injections
to reduce inflammation and pain. This strategy is aimed at helping
patients find pain relief so that a more moderate approach can be
used.
By
using a combination of a corticosteroid with a local anesthetic,
Epidural Steroid Injections reduce inflammation and pain. This medicine
is injected in the space around the spinal cord and nerve roots—this
is known as the epidural space. When a local anesthetic is used,
patients can experience immediate pain relief; corticosteroids have
a strong, long-lasting anti-inflammatory effect.
Relief
from Back Pain at Monmouth Pain and Rehabilitation
Patients
with back pain often face a stressful and confusing treatment process.
This generally involves visits to a medical doctor, as well as separate
offices for physical therapy, chiropractic care, and/or acupuncture.
Monmouth Pain and Rehabilitation is changing this treatment model
by offering medical care, physical therapy, acupuncture, massage
therapy, and chiropractic care in one location. Please
contact our Monmouth County pain management office if you are
experiencing back pain or if you suspect you are suffering from
spinal stenosis.
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