Lumbar stenosis and bowel issues

Posted by Mari @marip, Oct 29, 2023

Recently diagnosed with lumbar stenosis and arthritis of the lower spine. Been having issues with loose stools. Anyone here experiencing the same? My doctor prescribed physical therapy. Does physical help the stenosis or my looking at surgery down the road?

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Yes, loose stools could be a reason of the lumbar problem, though depending on type of nutrition, in my case, i do get constipation occasionally. Nobetheles i got prescribed 2 DOCUSATE 100mg ea. small gelcaps to losen stool plus after results from a study, i was prescribed a syrup 2 tbps LACTULOSE SOL. 10mg/15 to help push out stool. That is if you know you went but still feel there is more but you can't push it out by yourself. So both meds are as needed and used for several days if necessary. Your body will show you.

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These are facts...I don't know the specifics of your situation but I thought this might help. Lumbar stenosis (mild-moderate) Constipation Rarely Most common symptom is constipation
Lumbar stenosis (severe/cauda equina) Incontinence, loss of control Sometimes (emergency) Cauda equina syndrome is a medical emergency
Osteoarthritis (lower spine) Rarely affects bowel Unlikely No strong link to bowel dysfunction
Ankylosing spondylitis/Enteropathic arthritis Diarrhea (if IBD present) Yes (if IBD present) Inflammatory arthritis can be linked to IBD

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Profile picture for Jennifer, Volunteer Mentor @jenniferhunter

@marip It does help spine issues in general to increase the core strength of the muscles that support the spine and allow good posture. When you have good posture and the spine is stacked ergonomically, there is much less stress on it. Physical therapy can address that and it can make a difference if the stenosis is not very advanced. Physical therapy does not change what is causing the stenosis which can be overgrowth of bone or enlarged ligaments or ruptured discs. If vertebrae have shifted and are offset by slipping past each other, it will increase the pressure from stenosis by essentially making the spinal canal or foramen smaller. In the foramen which are the spaces between vertebrae, stenosis there gets increased pressure from slipping of vertebrae, ruptured discs, bone growth or by discs that are collapsing, because it starts narrowing down that space where nerves roots exit when the bones get closer together physically because the disc isn't support them.

Sometimes, they need to see if physical therapy helps or not before making a decision to go forward with surgery, and that decision is made based on where the stenosis is affecting the nerves and spinal cord.

You may be interested in checking out this discussion in the Spine Health group where members are discussing stenosis.

Spine Health - "Stenosis/Pain"
https://connect.mayoclinic.org/discussion/stenosis-pain/
Jennifer

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@jenniferhunter I have sever thoracic and lumbar stenosis I do not want to have any surgery what can I do

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Profile picture for Colleen Young, Connect Director @colleenyoung

Hi @marip, I merged your 3 discussions on the same topic into one discussion so that you only have one place to search for the helpful responses members like @jenniferhunter @marymargaret0501 @gently and others have offered.

Have you been to see a spine specialst?

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Profile picture for gently @gently

Mari, if you haven't had an MRI you might want one. Spinal stenosis can be central canal or foraminal. Arthritic changes refer to the joints at the sides of the vertebra. But your symptoms indicate central canal. An MRI would sort that and give you a better indication of the likelyhood of any future surgical intervention.
Physical therapy is great, but won't answer your question.
I would guess that you won't need future surgery. But my guess isn't good enough.

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@gently how long can stenosis exist before causing severe symptoms

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Profile picture for brotherchuckles80 @brotherchuckles80

I had to have a fusion done. It failed and so I now have a spinal cord stimulator in my Lumbar. I an I receive periodic injections for pain that has developed due to arthritis in the area of the fusion. God bless you dabswquestions2. brotherchuckles80

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@brotherchuckles80 not good how are you functioning

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Profile picture for josephrotella @josephrotella

@gently how long can stenosis exist before causing severe symptoms

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@josephrotella, hi.
Some people have spinal stenosis with no symptoms. It usually progresses slowly, but may not progress at all. If there are mild symptoms, you still may never progress to severe symptoms. But if you are having unavoidable pain, you may be damaging the nerves. Knowing the causative element (disc, ligament, bone) you can better understand the probability of intensifying symptoms.

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Profile picture for gently @gently

@josephrotella, hi.
Some people have spinal stenosis with no symptoms. It usually progresses slowly, but may not progress at all. If there are mild symptoms, you still may never progress to severe symptoms. But if you are having unavoidable pain, you may be damaging the nerves. Knowing the causative element (disc, ligament, bone) you can better understand the probability of intensifying symptoms.

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@gently My doctor says I have severe thoraticand lumbar stenosis. However I have little back pain and some aches in my legs I am going to continue exersize andtherapy what is your take.

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Profile picture for josephrotella @josephrotella

@brotherchuckles80 not good how are you functioning

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@josephrotella I am doing very well. Thank you for asking. Charles

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Profile picture for josephrotella @josephrotella

@gently My doctor says I have severe thoraticand lumbar stenosis. However I have little back pain and some aches in my legs I am going to continue exersize andtherapy what is your take.

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@josephrotella
It is entirely your choice. Difficult because there is no guarantee of surgical outcome. The surgeries usually involve retraction of the muscles that aren't involved to get to the surgical site and our muscle don't like it.
I would, though, ask for an MRI if you haven't had one and take a surgical consultation, so that in the future if pain makes surgery more attractive, you'll completely understand what it involves.
There might be bracing that would help you through tasks or activities that cause aches.
I'd want to know all of the options just in case the pain worsens. So, I'd look at
The minimally invasive procedures now percutaneous pedicle screws, motion preserving devices like TOPS. and a paraspinous tension bands LimiFlex interbody cages for MIS-TLIF/XLIF, and innovative motion-preserving devices like the TOPS.
Otherwise, I'd be doing exactly what you are.

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