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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Profile picture for gently @gently

@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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thanks for the advice...

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Profile picture for az09 @az09

I'am 82 Year old male. I was dianosed with Dengertive Spine Diease about 2 Years ago. I have been doing Physical Therpy and Spine adjustment. My problem is lack of movement of the bowel. Small Rabbit Droppings. The AM Something seems stuck and wont fully come out. I am trying real hard to get enough Fiber and using Firer Supplements. Any Suggestions

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@az09 Hi. I was experiencing something similar and wasn't sure what the issue was so I had a colonoscopy. Though most find the cleansing a chore, I liked it because it allowed me to get everything out. After that, I was ok, then the constipation returned which worried me. So I changed my diet in that I try to refrain from rice and pasta and eat a lot of salad and veggies. I snack on things like celery and prunes. I also try to refrain from sugar. Hope that helps.

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For loose stools, just take "Imodium" OTC product. Then for constipation,,take " Sennakot" gummies a stool softener daily. Both these items do not require any Dr orders.
But they helped. Hope it does for you too!
W regards,
VJ

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Profile picture for josephrotella @josephrotella

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

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@josephrotella I'm sorry that you are suffering with a spine problem. I know surgery can be scary, but it can also be the best thing that you do for yourself. It was for me! I chose to have surgery when my symptoms were just beginning, because that was my best shot for success. I have no regrets, and it was a success.

You will have to ask your surgeon what is best for you. Honestly, when there is spinal cord and possible nerve root compression, it may cause disability and loss of function. Surgery may help that, but also may not depending on how advanced it is. When nerves are compressed, they can die causing permanent damage. Surgeons can't always tell you when that would happen, but they have the training to advise your care.

Most of us are scared of surgery. It is a weighty decision and you need to get a lot of medical information so you can understand your choices, and choose you best path forward. As patients, we hope for a miracle cure. Surgery requires patience to get though healing and rehab, and believing that your life will get better. Surgery may also cause lasting pain, but that has to be answered by the doctor. Your experience will be different from someone else's. You owe it to yourself to find out so you can make your best choice going forward.

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Profile picture for Jennifer, Volunteer Mentor @jenniferhunter

@josephrotella I'm sorry that you are suffering with a spine problem. I know surgery can be scary, but it can also be the best thing that you do for yourself. It was for me! I chose to have surgery when my symptoms were just beginning, because that was my best shot for success. I have no regrets, and it was a success.

You will have to ask your surgeon what is best for you. Honestly, when there is spinal cord and possible nerve root compression, it may cause disability and loss of function. Surgery may help that, but also may not depending on how advanced it is. When nerves are compressed, they can die causing permanent damage. Surgeons can't always tell you when that would happen, but they have the training to advise your care.

Most of us are scared of surgery. It is a weighty decision and you need to get a lot of medical information so you can understand your choices, and choose you best path forward. As patients, we hope for a miracle cure. Surgery requires patience to get though healing and rehab, and believing that your life will get better. Surgery may also cause lasting pain, but that has to be answered by the doctor. Your experience will be different from someone else's. You owe it to yourself to find out so you can make your best choice going forward.

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Thank you so much Jennifer, I have elected to do a minimally invasive
Laminectomy on the Thoracic spine L4 and L5 my doctor explained the
differences of various options and I did research regarding my symptoms and
I agree with him

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