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Forum Name: Spinal problems and back pain

Question: Spinal Stenosis pain


 vchau - Sun Jul 24, 2005 4:26 pm

I'm a 40 year old male with constant sharp pain in the right hip for over 2 years. The MRI shows I have herniated disks and spinal stenosis, but the pain does not come directly from the spine but rather in the hip area.

Please let me know if the pain is actually casused by the spinal stenosis or something else?

Best Regards
 Dr. Safaa Mahmoud - Tue Aug 08, 2006 6:13 pm

User avatar Hello,

Herniated disc and spinal stenosis causes back pain referred to both legs if they affect lumbar vertebrae with nerve compression,
However, associated Muscle spasm alone can cause or aggravate the pain.

In most of the cases with back pain the primary cause is muscle spasm.

In these cases, self care and avoiding the precipitating cause will lead to a gradual but clear improvement in the pain. Home treatment includes the use of analgesics, cold or hot therapy.
Rest for maximum two days is also beneficial.
If these measures fail to relief the pain or to improve symptoms in 48 hours, otherwise the pain is more likely to be due to other causes, like:

Herniated disk, in which the inter-vertebral disc press on his nerves & Spinal stenosis.
MRI is of choice in the diagnosis.

These conditions can be treated in the majority of cases with medical and conservative treatment (non surgical).
Non surgical treatment include, physical therapy, certain exercises, weight reduction, epidural steroid injections, non-steroidal anti-inflammatory medications, and decreased daily activities.

Surgery for disc herniation is only considered if symptoms are not controlled after at least one month (6 weeks) of medical and conservative treatment, or in very complicated cases with serious symptoms.

Follow up with your doctor is essential.
Best regards,

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