Stenosis symptoms

BACK PAIN BLOG

Q. What are the signs of spinal stenosis?

A. While the majority of back conditions are made worse by sitting and are better standing up, patients with stenosis of the spinal canal have the exact opposite symptoms. They are worse standing and walking, and better sitting down.

Here too the radiographic finding of stenosis in people who are free of any symptoms reaches the 20% mark in those over 60 years old. Thus the physician must listen to and observe the patient carefully to make the proper diagnosis. These patients will tend to have problems with balance, they adopt a wider based gait, and will sway when standing with their feet together and their eyes closed (positive Rhomberg sign).

They tend to avoid social gatherings where they need to stand, and they tend to lean forward on their shopping carts. The muscles in the legs may be considerably weakened. Although surgery is the common approach to this problem, we have many successful outcome with spinal stenosis patients, making Prolotherapy a sensible first line of treatment.

Answered by Robert Filice, M.D. Former staff physician
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Ross Hauser, M.D.
Dr. Hauser received his M.D. from the University of Illinois, Chicago; completed his residency at Loyola-Hines VA-Marianjoy Hospitals in Physical Medicine and Rehabilitation; and received his Bachelor of Science degree from the University of Illinois, Urbana-Champaign. Dr. Hauser is the Medical Director and co-founder of the physician-run, comprehensive natural medicine clinic, Caring Medical & Rehabilitation Services in Oak Park, Illinois. Dr. Hauser is one of the leading experts in the treatment of chronic pain and sports injuries with Prolotherapy. He, along with his wife Marion, have written seven books on the topic of Prolotherapy, a comprehensive book on the natural medicine approach to cancer, as well as a myriad of articles and newsletters for the general public. Read more
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