Severe spinal stenosis

Posted by katie215 @katie215, Aug 15, 2020

Age 71yo old gal here. L5S1 autofusion, Grace II spondylolisthesis. Severe spinal stenosis complicated by significant impingement L5 nerves, both foramen caused by loss of foramenal height. Extensive spurring. Surgery ruled out due to possible need to refracture autofusion.

Ergo, surviving with opioid "cocktail", gabapentin, +++twisting, burning, stabbing pain, both calves and thighs, 24/7.

Very cooperative helping husband but wearing thin on perseverance here. Cannot imagine another 10+ years of this with a brain that's operating at warp speed.

Perhaps there is someone somewhere sharing these same issues looking at same future.

Interested in more discussions like this? Go to the Spine Health Support Group.

Profile picture for kmfdallas @kmfdallas

@heyjoe415 Thank Joe. This has been going on for a number of years. Rehab Drs have said surgery is not an option for me with osteo and being a DES Daughter. Physican therapy, pain meds and now my new recliner - from Relax the Back - had helped soooo much. Do not need my canes like I was relying on. I use ice.. so helpful. I have had a back week of night pain. I use Ralph's secret sauce to help with the pain.

Being a DES Daughter has been rough my entire life..especially the past couple of years.

Karen

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Hi Dallas,

Well I'm glad you've been able to reduce reliance on a cane. And icing really works wonders. Too many people choose heat because it feels good immediately. Ice is an acquired taste. But heat draws in blood, white blood cells, and inflammation - increasing pain ultimately.

What does DES stand for?

All the best, friend.

Joe

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Profile picture for heyjoe415 @heyjoe415

Hi Dallas,

Well I'm glad you've been able to reduce reliance on a cane. And icing really works wonders. Too many people choose heat because it feels good immediately. Ice is an acquired taste. But heat draws in blood, white blood cells, and inflammation - increasing pain ultimately.

What does DES stand for?

All the best, friend.

Joe

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@heyjoe415 DES = Diethylstilbestrol

It was prescribed to pregnant women between the late 1940s and late 1970s. It is a powerful synthetic hormone that was also a carcinogen and teratogen. It affected my reproductive organs and my spine.

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Profile picture for kmfdallas @kmfdallas

@heyjoe415 DES = Diethylstilbestrol

It was prescribed to pregnant women between the late 1940s and late 1970s. It is a powerful synthetic hormone that was also a carcinogen and teratogen. It affected my reproductive organs and my spine.

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Thanks for the info Dallas and I am so sorry for what happened to you.

Medical science does make progress, but it is slow and measured, and even then, mistakes are made.

In the early 70s I suffered my first panic attack and chronic depression at age 18. I had no idea what was happening, and neither did my frustrated parents, or our "family" doctor whose advice was - "You need to grow up and paddle your own canoe Joe." Geez, thanks doc.

That was before anti-depressants became available, so I've somewhat forgiven the Dr. My parents shunned me though, thinking me mentally ill, and that was taboo around our house. I finally got the help I needed in 2002, almost 30 years later. I also started talk therapy then and continue to this day.

And I am in no way comparing what I went through with your situation. Bad medicine and stigma affects a lot of people.

I wish you the best Dallas. You deserve some good karma.

Joe

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Profile picture for mick472 @mick472

I was just diagnosed a couple months ago with lumbar spinal stenosis. I have good days and uncomfortable days. I am not in severe pain, but very limited on what I can do so I don't aggravate it. But, I am having a terrible time upon wake up for some reason. I have to hold on to doors, wall whatever, as I can hardly walk. It eventually subsides as I take a anti-inflammatory and hang on in a hot shower for about 20 minutes. Does anyone have this problem or better yet a routine at night to help prevent this in the AM?

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I have same issue... I've been setting an alarm in mornings to wake up an hour before I need to get up, so I can take my Meds, go back to lying down or sleeping more, until I get out of bed an hour later when the meds have kicked-in.

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Profile picture for mick472 @mick472

I was just diagnosed a couple months ago with lumbar spinal stenosis. I have good days and uncomfortable days. I am not in severe pain, but very limited on what I can do so I don't aggravate it. But, I am having a terrible time upon wake up for some reason. I have to hold on to doors, wall whatever, as I can hardly walk. It eventually subsides as I take a anti-inflammatory and hang on in a hot shower for about 20 minutes. Does anyone have this problem or better yet a routine at night to help prevent this in the AM?

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I have a Tempur-Pedic Breeze with an adjustable base. I had to put a walker beside my nightstand as I do the log roll to get out of bed. I need my walker some mornings until the stiffness goes away. Laminectomy and fusion of L2-L4 in March and still not better

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Profile picture for alicemae @alicemae

@loriesco
Thanks for your post.
In total agreement with you that the greatest relief I have found so far is the RFA in the facets. It worked well the first time which was 6 months ago. I am having another one next week. The nerves have grown back but I’m not as bad as I was the first time going into the procedure. I am hoping over time that the nerves will eventually deaden and I will need fewer ablations.
I have Sjogren’s Disease so need to drink a lot of water, which also helps to keep the spine hydrated.
Also, a good bed, heat on the lower spine, physio to loosen tight muscles in that area,
I now have hope going forward for controlling pain with lower lumbar spinal stenosis. 🙏

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@alicemae yes Alice I know the pain. It is sometimes unbearable or debilitating. It is especially bad after a day before which has been active. Also I keep my walker close to bed to get better strength to stand. The experts say to get out and moving, but the consequences are severe for me. I have always had frozen gel bags — not heat. I put heat on my feet due to poor circulation. My back injury was years ago, complications accumulated over time so I take pain meds just as I wake up. Be aware of your body relaxing, helpful app is Breathr for breathing exercises and meditation. Good mornings how you can modify life. Hugs.

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Profile picture for sandyclaire1313 @sandyclaire1313

Yes, yes. I am also recently diagnosed with the same as you. I stay in bed as long as possible because I have to use my left elbow to propel me out which is very painful. I turn on the heater and lie down again to do exercises for my lower back and legs. When I finally get up, I walk inside to loosen up the stiffness in my legs. Then, I exercise my legs, arms, back, and shoulders.
My sore arms are my biggest problem but as the day goes on they loosen up however, I am never pain-free. These exercises are my strategy, I cannot take NSAIDs but do use acetaminophen and hydrocodone. I wish you well and hope you can find something to help.

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I had triple laminectomy with spinal fusion (L-2 thru L-4) in March taking care of the most serious first (vertebrae pushing into spinal cord) There is profuse stenosis and arthritis from neck to tail bone. Also had right shoulder replacement and left shoulder is shot but I had a mastectomy with lymph nodes removed so they won't replace that shoulder. I have severe gastro issues with narcotics an NSAIDS, so I use a combo of Tylenol, Voltaren arthritis gel and a TENS unit. I sleep on a TemperPedic Breeze that is softer on my shoulders.

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Profile picture for Phil, Alumni Mentor @upstatephil

@mmalone1804 - Good morning. I'm sorry to hear of your severe stenosis. I understand the discomfort along with your very real quandary as to what to do next. My neurosurgeon (who I grew to be close to and who was very willing to talk straight with me) described my spine as "a mess". In 2023 I did a 4-level job on both cervical and lumbar regions. One year+ post surgeries - I'm happy to report that 99% of pre-surgical symptoms are gone. But recovery is still progressing.

I had all the symptoms you mentioned including rectal pain (at times almost unbearable) and GI problems. Now? All of those discomforts and inconveniences are totally gone! And I don't miss them. Folks who've never experienced "sudden and surprising onset of a bowel movement" may not appreciate how much your life can be impacted!

Where are you in the diagnostic process? Do you have a strategy in place? Mayo Connect is a great place to ask questions, share feelings, and gain new knowledge.

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@upstatephil Wow, so glad you had success! What kind of surgery did you have? I'm not sure I'm understanding a 4-level job. Thank you.

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Profile picture for coldwinter12 @coldwinter12

@upstatephil Wow, so glad you had success! What kind of surgery did you have? I'm not sure I'm understanding a 4-level job. Thank you.

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@coldwinter12 Welcome to Connect. @upstatephil is an Alumni mentor and shared a lot of valuable experience having had both cervical and lumbar spine surgery. Unfortunately, he hasn’t been on Connect in about a year. If you click on his name you can go to his profile to see his comments. There are also other helpful members with similar experiences. I am a cervical surgical patient.

Would you like to introduce yourself and share more about yourself or ask a question?

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Profile picture for mmalone1804 @mmalone1804

Thank you so much for your reply. I’m into the third year of this nightmare. Starting with GI and colorectal doctors finding nothing. Then urogynecology and vascular, again unable to find anything wrong. Finally, a lumbar MRI shows severe stenosis, a possible culprit. We’re starting with an epidural injection into the caudal space to see if I get improvement and a surgical referral. What levels did you have your surgery performed on? I am happy you have gotten relief, and you have given me hope that I am finally on the right track.

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@mmalone1804 Thank you for sharing this because that is exactly how it started for me but I couldn't have said it any simpler.
I was still in my 20's when that stuff started. Now I'm 35 and had Lumbar fusion last year and just got cervical disc replaced last week smh.

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