Narrow canal in the waist is a problem that occurs as a result of the discs between the vertebrae bowing towards the spinal cord or the narrowing of the diameter of the spinal canal. Dear patients, in this article, I will give you detailed information about lumbar narrow canal, that is, narrow canal disease in the waist. Narrow canal disease, which arises in our spine and has risks that continue to be bedridden in the long term, can be controlled without making your life difficult with early diagnosis and correct treatment planning.
How Is The Narrow Canal Formed?
Dear patients, our spine has an important place in the posture and movements of our body and forms the basis of our skeleton. The spine consists of vertebrae that are connected to each other, and there are disc structures with a gel-like texture between them so that the vertebrae are not damaged during movement and do not wear out each other. With the coming together of the vertebrae, the spinal canal is formed, through which the spinal nerves pass. Narrow canal disease also occurs when conditions such as the enlargement and deformation of the disc, bone, vein or ligaments occur in this canal and cause pressure in the canal. The width of the spinal canal is different in the waist, back and neck. For this reason, it is important to evaluate according to the region where the disease occurs.
Today we will talk about narrow channel disease that occurs in the lumbar region. Narrow canal in the waist is a problem that occurs quite frequently between the L2 and L5 vertebrae. When the narrowing rate in the canal is 25%, it is evaluated as mild narrow canal, when it is 50% or more severe narrow canal. There are many different reasons that can cause stenosis of the waist to occur. Now I want to talk to you about these reasons.
What Causes Narrow Canal Disease in the Waist?
Narrow canal disease in the waist can have many different causes. Some people are especially in the risk group and it is important for these people to act by taking into account the signs of narrow canal. Now I would like to briefly talk to you about the problems that cause narrow canal in the waist.
Accident or Trauma: Cracks or fractures may occur in spinal injuries caused by impact. These deformations can damage the spinal canal and cause narrow canal disease.
Bone Growth (Spinal Osteoarthritis): When fragmentation or wear occurs in the facet joints that connect the vertebrae, the vertebrae rub against each other. In this case, abnormal bone growth may occur. Inflammation that occurs with bone growth also has a triggering effect on the narrow canal.
Degenerative Disc Disease: The discs between the vertebrae deteriorate over time and for various reasons. After these deteriorations, cambering may occur on the discs. When cambering occurs towards the spinal canal, narrow canal disease occurs in the waist.
Bond Thickening: It is possible for the ligaments in the spinal canal to thicken or turn into bone tissue. When this happens, pressure occurs on the nerves in the spinal canal and the narrow canal appears.
Tumors:Tumors in the spinal cord, the membranes covering the spinal cord, or the spaces between the vertebrae are very rare, but they also cause stenosis when they occur.
Rheumatoid:This disease, which damages tissues such as bones and joints, which is seen at younger ages, can cause narrow canal.
Lumbar Hernia:In people with hernia problem in the lumbar region, narrow canal may also occur depending on the direction and severity of hernia.
Waist Slip:Waist slippage is one of the problems that cause narrow canal.
Low Back Narrow Canal Disease Risk Groups
Dear patients, although narrow canal disease in the lower back is one of the problems we encounter more in later ages, it can also be seen at an early age depending on various conditions. In particular, the genetic factors that I have just mentioned are among the important reasons for the early occurrence of narrow channel disease. Now I would like to talk to you about other risks that invite this disease.
Age:The risk of developing stenosis disease is higher in the age of 50 and over.
Osteoarthritis: People with this disease, which occurs in the cartilage tissue layer and causes bone growth, have a significant risk for narrow canal disease.
Genetic: Some people’s spinal canal is congenitally narrower. Narrow canal disease may occur in these people over time.
Other diseases:If you have a diagnosis of any of the diseases I mentioned above, you are in the risk group for narrow channel disease.
Symptoms of Narrow Canal Disease in the Waist
If I need to briefly talk about the general symptoms of narrow channel disease in the waist;
Pain in the back or lumbar region
Pain in the legs (one or both legs)
Leg weakness, numbness
inability to stand for long periods
impotence in men
Symptoms such as relief of symptoms when leaning forward or sitting must be carefully evaluated.
Pay Attention: If you have difficulty in walking distances longer than 500 meters, if you feel the need to sit and rest constantly due to the pain that occurs during your walking, you should definitely see a specialist.
How Is Narrow Canal Disease Diagnosed?
For the diagnosis of lumbar stenosis, or more commonly known as lumbar stenosis, detailed imaging should be performed for differential diagnosis after physical examination. Dear patients, I would like to briefly talk about the diagnosis process of this disease.
Physical examination: In the diagnosis of stenosis of the waist, first of all, a detailed physical examination and listening to the patient’s medical history are required. In this way, correct directions for differential diagnosis are made more easily.
X-ray:X-rays are required to view the bone formations that will narrow the spinal canal.
MRI: MRI, also known as magnetic resonance imaging, is preferred to take a cross-sectional view of the spine. In this diagnostic method, possible spinal tumors can be detected as well as whether there is damage to the discs and connective tissue.
Computed Tomography:Herniated discs, bone formations and tumors can be diagnosed with this method.
Narrow Canal Disease Treatment in the Waist
Dear patients, first of all, I would like to underline that surgery is not the only treatment of lumbar stenosis. Especially because my patients over a certain age are afraid of surgical methods, they ignore the symptoms that point to this problem and avoid seeing a specialist until they reach the point of no return. However, narrow canal disease can be controlled with the right planning and the quality of life of the person can be increased without the need for surgery.
Physiotheraphy:Exercises to strengthen the back, waist and leg muscles are possible with physical therapy to enable the person to move in a controlled manner by teaching the movements that will trigger the narrow channel in daily life or cause progression.
Medication: Medication in narrow canal disease in the waist does not treat the disease, but the pain. Drug treatment can be applied to keep the quality of life of the person high and to prevent the regression of the ability to move due to pain due to fear.
Epidural Steroid Injection: Corticosteroid is injected into the area with a needle placed in the spinal canal. This injection reduces inflammation in the area, which helps to reduce the pressure on the spinal cord and helps the person relax.
Beware: The narrow canal in the waist, which is detected early, can be controlled and the quality of life of the person can be stabilized without the need for surgery. It is also very important in this process to monitor the status of the problem with regular checks.
Surgical: Surgical intervention in lumbar stenosis disease is preferred to prevent the person from losing their mobility. At this point, urinary and fecal incontinence; If there are advanced symptoms such as being bedridden, surgical intervention is required.
Dear patients, surgical intervention may become a necessity in delayed diagnoses and uncontrolled situations. So much so that late diagnosis also reduces the chance of success of surgical intervention. For this reason, please consult a specialist as soon as you notice the symptoms of narrow canal in the waist.
When is Surgery Preferred in Low Back Narrow Canal Disease?
We mentioned that the process is controlled without the need for surgery, but in some cases, surgical intervention may be inevitable. You can make yourself confined to bed by being afraid of stenosis surgery in the waist, so if you have the symptoms I listed below, you should definitely consult a specialist.
Loss of bowel and bladder control, that is, stool and urinary incontinence,
Walking less than 500 meters without support, with the desire to constantly sit and lean forward,
Symptoms such as severe numbness, loss of sensation and strength in the legs indicate that the stenosis disease has progressed.
Beware: Although there is no definitive treatment for stenosis in the waist, the more you take care of your health and the sooner you are diagnosed, the easier it is to keep the process under control.
Can Narrow Canal Disease in the Waist Be Prevented?
Although it is not possible to prevent lumbar stenosis caused by genetics or trauma, it is also very important to reduce the risks in this disease. For this reason, living a healthy life with a few changes in your daily life will significantly reduce the risks of the disease.
Exercise Regularly: Do exercises that will strengthen the muscles in the lumbar region and help keep the spine flexible. Focus on exercises that will move the whole body, especially swimming, cycling and walking.
Pay Attention to Your Posture: Maintain the natural posture of your back and sleep in a bed that supports this posture. If you work at a desk for a long time, use a chair or lumbar support that will support the natural shape of your back.
Be at Ideal Weight: Excess weight can cause excessive load on the back and waist area, as well as the cause of many problems, resulting in stress in the region. Therefore, it is very important to maintain your weight.
My Advice to People Who Have Narrow Canal Disease in the Waist
Dear patients, if you have a diagnosis of narrow duct disease in the lower back, take care to prioritize your health so that the problem does not progress and does not reduce the quality of life.
It is important for people with this problem to learn about their diseases in detail and to be in good communication with their doctors. You can also apply measures to reduce the risk of narrow canal in the waist to keep progress under control.
You can also prevent the progression of stenosis disease with changes that will increase your daily life quality, such as hot or cold compresses.
The Importance of Exercising in Narrow Canal Disease in the Waist
Dear patients, although I always emphasize the importance of exercising as a physical therapist, let’s not forget that much more importance should be given to exercises in stenosis of the waist.
Exercising after receiving this diagnosis;
Accelerates blood flow in the back,
It strengthens the muscles around the spine and helps to reduce the pressure made by the bones,
Provides weight control
It provides flexibility to the muscles that pull and apply pressure on the spine,
Moving also strengthens psychologically, and for all these reasons, please do not delay your exercises.
While exercising, be sure to get approval from your doctor and be careful to do the exercises shown to you in the physical therapy planning.
Limit your exercise during periods of intense pain.
Since swimming and being in the water will help a lot in the relaxation of the area, you can increase your quality of life with water therapies as well as swimming.
Narrow Canal Disease and Posture Studies in the Waist
People with narrow canal disease in the waist should pay attention to their posture while walking, sitting, sleeping, driving, briefly in every movement. With correct posture, it is possible to control the symptoms of the disease by reducing the pressure on the spinal cord and nerves.
Dear patients, our backs are constantly in motion, even though we are not aware of it during the day. Our backs work when we open a door, pick up a bag, or just check traffic while crossing the street. For this reason, people with narrow canal disease, especially in the waist, should pay special attention to their posture.
It is quite wrong to bend at the waist while picking up an item from the ground, bending from the hips and bending the knees while keeping the back straight.
Not putting the weight on the heels,
Do not open the feet wider than the shoulders,
Keeping the head on the neck, not tilting forward or backward,
Do not lean forward while sitting, use a back support that supports natural posture,
Making sure that both feet are flat on the ground while sitting.
Making sure that the mattress supports the back and waist is important in keeping the stenosis disease in the back under control.
Narrow Canal and Nutrition in the Belde
Dear patients, as I have just mentioned, being at an ideal weight is very important in terms of narrow channel disease in the waist. However, keeping the discs and tissues in our spine healthy and reducing the body’s propensity for inflammation is critical in controlling this disease. Please follow a balanced and healthy eating plan. Cut down on alcohol and caffeine, and don’t smoke. Never forget that you will spend much more comfortable days with such changes in your life.