Spine Treatment & Neurosurgery

Lumbar Spinal Stenosis

Home Spine Treatments Lumbar Spinal Stenosis

Senior Neurosurgeon & Spine Specialist

Dr. Dilip S. Kiyawat, Leading Spine & Neurosurgeon in the Field of LUMBAR SPINAL STENOSIS

LUMBAR CANAL STENOSIS

Lumbar canal stenosis is a condition characterized by the narrowing of the spinal canal in the lower spine. This narrowing can put pressure on the spinal cord and nerves, leading to various symptoms which include difficulty in walking, tingling & heaviness in both lower limbs after walking some distance. This condition is described as intermittent neurogenic claudication.

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MICROSURGICAL DECOMPRESSION & SPINAL PRESERVATION

Relieving cauda equina and thecal sac impingement to alleviate neurogenic claudication and restore pain-free walking endurance

Causes

The spinal canal becomes narrow due to thickening of the ligaments & multiple disc prolapses as age advances, combined with facet joint hypertrophy.

Symptoms

Symptoms of lumbar spinal canal stenosis include pain & tingling of lower limbs after standing & walking for some time, relieved typically by sitting or leaning forward.

Treatment

In early stages, patients benefit from physiotherapy and targeted medications. In later stages, surgical treatment by decompression of the spinal canal is essential.

Rehabilitation

For those who undergo surgery, rehabilitation focuses on core muscle strengthening, lumbar flexion exercises, and gradually returning to normal daily activities.

Clinical Evaluation & Pathological Factors

LUMBAR SPINAL STENOSIS

Detailed breakdown of key clinical contributors, diagnostic modalities, and definitive surgical decompression:

Herniated Discs

Discs that bulge or herniate into the spinal canal can contribute significantly to stenosis by reducing central canal diameter and compressing exit neuroforamina.

Imaging Studies

X-rays, MRI, or CT scans provide high-resolution cross-sectional visualization of the lumbar spine to pinpoint ligamentum flavum hypertrophy and the exact levels of stenosis.

Difficulty Walking

Patients experience leg pain, cramping, numbness, and progressive weakness, particularly during prolonged standing or walking (neurogenic intermittent claudication).

Decompressive Surgery

Removal of bone or thickened soft tissue to create more room for compressed nerve roots (laminectomy, hemilaminectomy, or micro-decompression).

Diagnostic Records & Clinical Management

Pathology, Anatomy & Advanced Management

Educational diagrams and clinical reference documentation from Dr. Dilip Kiyawat's neurosurgical practice:

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Clinical Anatomy

Lumbar Spinal Stenosis Guide

Comprehensive educational chart depicting central canal narrowing, facet joint enlargement, and root impingement responsible for neurogenic claudication.