Lumbar Canal Stenosis

  • Represents a “slow progressive” compression of neural elements. The wear and tear in the spine is an on going process that accelerates around 30 years of age with onset of degeneration.
  • The loss of turgidity and compressibility of the disc, reduces the effective space available for the nerves in the neural foramen and central canal. The nerves adapt to narrower and narrower space till its no longer possible.
  • Since the rate of narrowing of the effective space varies, the patient symptomatology varies. Modification of lifestyle and exercise help to control pain and maintain a relatively active lifestyle.
  • However “slow progressive functional paralysis” requires a surgical intervention. Though a true paralysis is rare, the activities slow down to an extent wherein routine activities are painfully restricted.