Presentation
Lower extremity pain is not known to be a clinical symptom unless concomitant lumbar spinal disease is present. [clinicalgate.com]
In this case neurological symptoms may present and a full neurological examination is required. [physio-pedia.com]
A total of 13 children (9 male, 4 female) presented with cervical cord neurapraxia after a sports-related cervical spinal cord injury. Age ranged from 7 to 15 years (mean ± SD, 11.5 ± 2.7 years). [journals.lww.com]
Hoffman sign, if present, has been shown to positively correlate with CSM. 11 A Babinski sign, ankle clonus, and Lhermitte phenomenon should be documented, if present. [now.aapmr.org]
This type of spinal stenosis is frequently present at multiple levels, usually necessitating a multilevel surgical approach. [alamoneurosurgicalinstitute.com]
Entire Body System
- Difficulty Walking
It also causes difficulty walking or leads to a decrease in how far the individual can walk. Spinal stenosis almost always causes pain, even if it has not yet caused problems in the limbs. [scoliosisassociates.com]
When myelopathy, or spinal cord compression, creates problems, the symptoms and physical findings may include hand clumsiness, clumsiness of gait, numbness in the hands, jumpy reflexes, a heavy feeling in the legs and difficulty walking, weakness, and [emoryhealthcare.org]
A person suffering from sufficient pain or weakness may be more prone to experiencing falls, and may have difficulty walking even for short periods of time. [nspc.com]
Cervical (neck) spinal stenosis can cause: Neck pain Shoulder and arm pain Arm numbness and tingling Difficulty walking due to balance problems Arm or leg weakness Dr. [northwestneurosurgery.com]
Myelopathy symptoms may include: Neck, arm, leg or lower back pain Tingling, numbness or weakness Difficulty with fine motor skills, such as writing or buttoning a shirt Increased reflexes in extremities or the development of abnormal reflexes Difficulty [hopkinsmedicine.org]
- Arm Pain
Myelopathy often develops suddenly or gradually and is characterized by neck pain, arm pain, weakness, and rarely paralysis. [sgspine.com]
Arm pain (radiculopathy) Often it is the arm pain that prompts someone with this condition to seek medical treatment, and then the myelopathy is discovered through medical history and physical exam. [spinepainbegone.com]
Typical myelopathy symptoms may include neck and arm pain, weakness, leg dysfunction, and/or paralysis. [spinesurgery.com]
This patient has neck and arm pain with numbness, weakness, and leg weakness with walking. Nonoperative Treatment Many different nonsurgical treatments help relieve symptoms. [coloradospineinstitute.com]
Cervical (neck) spinal stenosis can cause: Neck pain Shoulder and arm pain Arm numbness and tingling Difficulty walking due to balance problems Arm or leg weakness Dr. [northwestneurosurgery.com]
- Severe Pain
Back pain is treated either surgically or non-surgically depending upon the severity and duration of pain or associated symptoms. [houstonbacksurgeon.com]
While often a result of aging, narrowing of the central spinal canal can cause mild to severe pain and uncomfortable symptoms, such as tingling, numbness, or muscle weakness, as well as urine or bowel incontinence and/or urgency. [promedspine.com]
Symptoms The symptoms of cervical spinal stenosis may include: Neck pain; not always severe Pain, weakness, or numbness in the shoulders, arms, and legs Hand clumsiness Gait and balance disturbances Burning sensations, tingling, and pins and needles in [coloradospineinstitute.com]
This bulging or leaking disc filling can press on nerves in the neck and spine, causing severe pain. What can cause a herniated disc? Several factors can weaken the discs in your spine. [northwestneurosurgery.com]
Red flags [ edit ] Fever Nocturnal pain Gait disturbance Structural deformity Unexplained weight loss Previous carcinoma Severe pain upon lying down Recent trauma with suspicious fracture Presence of severe or progressive neurologic deficit [16] Treatments [en.wikipedia.org]
- Limb Pain
The lower limb pain is increased by bending forward. The incidence of unsatisfactory results after surgery for lumbar stenosis is not known. [en.wikibooks.org]
Respiratoric
- Sneezing
[…] top of the legs, knees and hips (along the sciatic nerve) impaired bladder or bowel control pain when exercising or lifting heavy objects, usually immediately loss of balance and easily falling pain when standing for long periods of time, coughing, sneezing [draxe.com]
Musculoskeletal
- Neck Pain
Myelopathy often develops suddenly or gradually and is characterized by neck pain, arm pain, weakness, and rarely paralysis. [sgspine.com]
Treatment of neck pain: noninvasive interventions: results of the bone and joint decade 2000-2010 task force on neck pain and its associated disorders. Spine. 2008;33(4 Suppl):S123-S152. Catz, A., Itzkovich, M., et al. [now.aapmr.org]
Pain may be primarily felt in the neck. It is common for pain to travel or radiate into one or both upper shoulders, arms, and/or hands. This is radicular pain or radiculopathy. [spinesurgery.com]
Home > Causes of Back Pain > Neck Pain > Cervical Spinal Stenosis > Causes Free Back Surgery Guide! [greatriverspineclinic.com]
Cold/heat therapy, especially during the first 24-48 hours of pain onset. " Spinal injections (i.e. epidural) may help relieve neck and related upper extremity pain. [coloradospineinstitute.com]
- Arm Weakness
Weakness in the arms or legs Diagnosis Proper diagnosis starts with an experienced pain management doctor. [treatingpain.com]
[…] in the arms or legs, or problems with balance. [spine-health.com]
Pinched nerves cause pain in the neck and arm, weakness, numbness, and tingling among other symptoms. A compressed spinal cord can cause weakness in the arms and legs, numbness, balance trouble, pain, difficulty with using the hands, etc. [texasspineandneurosurgerycenter.com]
Neurologic
- Radiculopathy
This means that either radiculopathy (compression of a nerve) or myelopathy (compression of the spinal cord) are being experienced. [drmoza.com]
This condition is called radiculopathy. [northwestneurosurgery.com]
Myelopathy Versus Radiculopathy Myelopathy may sometimes be accompanied by radiculopathy. [hopkinsmedicine.org]
Also, patients with stenosis complain of mechanical back pain and radiculopathy that may be unilateral or bilateral. [spinepainbegone.com]
This narrowing of the spinal canal may result in compression of the spinal cord and/or the nerve roots and affect the function of the spinal cord or the nerve, which may cause symptoms associated with cervical radiculopathy or cervical myelopathy. [physio-pedia.com]
- Irritability
This spinal constriction results in irritation and tightening of the nerves and can also cause a blockage of cerebrospinal fluid, thereby affecting the nervous system. [fibromyalgia-symptoms.org]
So in the spine the bone spurs can be helpful when they limit the irritation of movement, but the spurs are a problem when they pinch the adjacent nerves. [seniorliving.org]
Cervical Spinal Stenosis Symptoms Compression of the nerve roots where they exit the bony spinal cord or irritation of the spinal cord itself can cause a number of unpleasant or even serious symptoms. [braceability.com]
Trauma – The spine can be dislocated or fractured, or bone fragments can penetrate the canal or irritate surrounding tissue, causing the condition. [nspc.com]
[…] mm and the lateral canal usually measures 5 mm diameter and less than 2 mm indicates stenosisDevelopmental stenosis or degenerative disease in association with vascular problems (venous hypertension or ischaemia), inflammation of neural elements and irritation [orthopaedicsone.com]
- Paresthesia
Patients with cervical foraminal stenosis may complain of radicular arm pain as well as of paresthesias, dysesthesias, numbness, and weakness of the upper extremity. [clinicalgate.com]
Neurapraxia of the brachial plexus or cervical nerve roots, often called a stinger or burner, causes pain and paresthesia in a single upper extremity, usually radiating from the neck into the shoulder, arm, or hand. [aafp.org]
Symptoms are caused by compression of the cauda equina and include pain, paresthesias, and neurogenic claudication. The condition either may be congenital or may be caused by spinal degeneration. [medical-dictionary.thefreedictionary.com]
Spurling maneuver may reproduce radicular pain and/or paresthesias, which may be relieved by asking the patient to elevate the affected arm overhead (ie, Bakody sign). [now.aapmr.org]
Intermittent neurogenic claudication [11] [14] [15] characterized by lower limb numbness, weakness, diffuse or radicular leg pain associated with paresthesia (bilaterally), [14] weakness and/or heaviness in buttocks radiating into lower extremities with [en.wikipedia.org]
- Dizziness
Incapacitating headaches, dizzy spells, blurred vision, vague pains, foggy thought processes and years of incorrect diagnoses. This is the world of people with unrecognized and untreated Chiari malformation. [columbia-stmarys.org]
Other symptoms include: Nausea Vomiting Dizziness and vertigo Sensitivity to light, sounds and smells Widespread pain Weakness and clumsiness Balance problems Difficulty with memory and concentration Increased urinary urgency and frequency Disturbances [drmoza.com]
I have noticed increasing balance problems, no dizziness, just having to regain balance sometimes as I turn around or when I just close my eyes like when showering. [healthboards.com]
- Dysesthesia
Increased compression results in dysesthesias (tactile hallucinations) even to the point of paralysis, and reflexes may fail. [harms-spinesurgery.com]
Patients with cervical foraminal stenosis may complain of radicular arm pain as well as of paresthesias, dysesthesias, numbness, and weakness of the upper extremity. [clinicalgate.com]
Workup
Synovial Fluid
- Synovial Cyst
Lateral thoracic stenosis may result from hypertrophy of facet joints with occasional synovial cyst encroachment. The AP diameter of the normal lumbar spinal canal varies widely from 15 to 27 mm. [emedicine.medscape.com]
Treatment
Again, correct and precise diagnosis leads to correct treatment. Again, Dr. [spineuniverse.com]
Treatment options Patients with spinal stenosis find non-surgical treatment helps to relieve pain and symptoms. Your doctor may combine two or more therapies to maximize your treatment success. [spinesurgery.com]
Treatment Treatment of cervical spinal stenosis comprises of non-surgical and surgical treatment options. Non-surgical treatment of cervical spinal stenosis can help reduce pain and the associated symptoms. [sgspine.com]
Dan Heffez, the team at The Wisconsin Chiari Center will create a treatment plan geared to your specific situation. [columbia-stmarys.org]
Myelopathy Treatment Myelopathy treatment depends on the causes of myelopathy. [hopkinsmedicine.org]
Prognosis
Diagnosis, Prognosis, and Treatment for Congenital Spinal Stenosis Congenital spinal stenosis tends to worsen progressively with age. Many people born with the condition may develop symptoms as early as the age of 15. [spinaldisorders.com]
Prognosis The prognosis of conservative treatment is generally good for most patients. One study found about half of patients did not have any restriction of usual activities of daily living on long-term follow-up [ 18 ]. [patient.info]
[…] stenosis, where the spinal cord is affected, symptoms might include: Weakness in the arms and/or legs Spastic reflexes and movement Altered sensation Incontinence Bladder or bowel function changes If treatment is not pursued, the cervical spinal stenosis prognosis [braceability.com]
The prognosis is different in every case. [columbiaspine.org]
[…] root decompression: 62% complete success and 24% partial success (Crock S1 decompression)Degenerative spondylolisthesis pre-operatively have 40 - 65% risk of further slipping and 65% good result post operation (further slipping not associated with poor prognosis [orthopaedicsone.com]
Etiology
A sagittal canal diameter children, the role of congenital cervical stenosis in the etiology of these injuries remains unclear. [journals.lww.com]
Discussion Since Hilibrand et al 9 described the new onset of myelopathic and radiculopathic symptoms adjacent to prior anterior fusions, ASD and its etiology has become a topic of considerable interest. [healio.com]
Etiology Primary stenosis is uncommon, occurring in only 9% of cases. [emedicine.medscape.com]
[…] ses ) an abnormal narrowing or contraction of a body passage or opening; called also arctation, coarctation, and stricture. aortic stenosis obstruction to the outflow of blood from the left ventricle into the aorta; in the majority of adult cases the etiology [medical-dictionary.thefreedictionary.com]
Epidemiology
"Lumbar spinal stenosis: an update on the epidemiology, diagnosis and treatment". [en.wikipedia.org]
Epidemiology [ 7 ] Spinal stenosis is common. The exact incidence is unknown but symptomatic lumbar stenosis is thought to occur in approximately 10% of the population [ 5 ]. [patient.info]
Normal cervical vertebrae Epidemiology Cervical spine stenosis appears to be very common. [physio-pedia.com]
Congenital spinal stenosis is associated with short pedicles and bony anomalies of the lateral masses and laminae. 2 Epidemiology including risk factors and primary prevention Cervical spondylosis is a frequent finding in asymptomatic adults with prevalence [now.aapmr.org]
Pathophysiology
SPECT bone scintigraphy is sensitive to diseases that actively affect bone pathophysiology, but spatial resolution is limited. Positive results are more likely for lesions that have osteoblastic activity. [emedicine.medscape.com]
Prevention
View Article PubMed Google Scholar Pak CY: Medical prevention of renal stone disease. Nephron. 1999, 81: 60-65. 10.1159/000046300. View Article PubMed Google Scholar Pearle MS: Prevention of nephrolithiasis. [bmcfampract.biomedcentral.com]
Collaborative Meta-Analysis of Randomised Trials of Antiplatelet Therapy for Prevention of Death, Myocardial Infarction, and Stroke in High Risk Patients. [books.google.es]
Surgery may be required to prevent further damage to the cord itself and prevent paralysis. In the lower back, spinal stenosis symptoms may cause radiculopathy. This may result in pain in a leg with weakness, numbness and tingling. [texasspineandneurosurgerycenter.com]
Stretch to Maintain Flexibility Stretching the spine is a natural way to relax stiff muscles, beneficial for staying limber and helpful in preventing injuries or stiffness. [draxe.com]
The surgery is performed to prevent the progression of symptoms. In other words, the goal of surgery is simply to prevent symptoms from getting any worse. [columbiaspine.org]