Severe spinal stenosis

Posted by gotoandrea @gotoandrea, Oct 5 1:48pm

Severe spinal stenosis in elderly. Tried hydrocodone, spinal injection and not interested in surgery. Currentky taking a blood thinner for atrial fibrillation. What gives you relief?

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@heisenberg34

I had lower back and buttock pain related to a hard fall on my back. The only thing that helped were meds and a spinal cord stimulator. Got my life back. Was able to go cycling again, work around the ouse, and go walking. Pain reduced by about 70-80%.

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Can you give me more information about the spinal cord stimulator?

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@loyal

I have had x-rays and MRIs that confirm that I have severe stenosis in 2 areas. I am 79. I have had restless leg syndrome since I was 18 years old. I had tarsal tunnel surgery in July 2023 and then I had a stroke in December 2023. It my right hand and leg and seemed to keep my leg from recovering. I have numbness in my right leg. My neurologist said that I have lumbar radiculopathy. My physical therapist son and my personal physical therapist and my pain management and also neurologist all think that my back is causing my numbness. I started taking Lyrica in March 2024 -50 mg in am and 50 mg in pm. I gradually have gone off the 50 mg of lyrica in AM and able to cope, but still have trouble at night even though still take 50 mg at night. I am not sure that the lyrica is even helping. I did not like the side effects during the daytime. I feel so much better in the daytime without the lyrica in the morning. I am wondering if the Lyrica is actually causing some numbness along with the numbness from my stenosis. Does it make sense for me to reduce 50 mg to 25mg at night????? I still do my physical therapy exercises. The neurologist does not want me to have steroid injections for my stenosis until after the one year anniversary of my 2024 stroke.
I can no longer take ibuprofen because of my plavix blood thinner. I am afraid to take a muscle relaxer. Soaking in the bathtub helps my leg often to help me sleep. I have on iron and Vitamin C to help my restless leg because my iron was low. I have been using a CPAP machine for 20 years. My sleep apnea number is 6. Both tests have showed that the restless legs was more of a problem.
Any suggestions?

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Hello @loyal Other than restless leg ... and the fact that I'm 73.... our stories are pretty much alike. I recently saw a new NP in a neurosurgeon's office. I will be having more MRIs and X-Rays.... but he did prescribe Robaxin, a muscle relaxer I had never heard of, to be taken three times a day. After just a few days, I've been surprised at the difference. Not a miracle.... but less muscle and nerve pain than before. I really didn't want to take a muscle relaxant, as I have used Flexaril and it makes me groggy all day. But they told me this one would cause less grogginess... and so far that seems to be true. Just sharing for what it's worth. Different people react differently to different things... and I can't say this would have the same effect for you. But perhaps something to ask your doctor about. I, too, take Eliquis for AFib. Lyrica helped me gain 35 pounds before I stopped it. Gabapentin made me loopy. So I no longer take those. You've found a great spot for information here at Connect. I hope you find something that helps! Best wishes! Mike

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@domiha

Hello @loyal Other than restless leg ... and the fact that I'm 73.... our stories are pretty much alike. I recently saw a new NP in a neurosurgeon's office. I will be having more MRIs and X-Rays.... but he did prescribe Robaxin, a muscle relaxer I had never heard of, to be taken three times a day. After just a few days, I've been surprised at the difference. Not a miracle.... but less muscle and nerve pain than before. I really didn't want to take a muscle relaxant, as I have used Flexaril and it makes me groggy all day. But they told me this one would cause less grogginess... and so far that seems to be true. Just sharing for what it's worth. Different people react differently to different things... and I can't say this would have the same effect for you. But perhaps something to ask your doctor about. I, too, take Eliquis for AFib. Lyrica helped me gain 35 pounds before I stopped it. Gabapentin made me loopy. So I no longer take those. You've found a great spot for information here at Connect. I hope you find something that helps! Best wishes! Mike

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Thank you so much. I took only 25mg of Lyrica at bedtime last night and did ok. Hopefully, I can get off Lyrica soon and then I will consider Robaxin. I did gain weight while on Lyrica. I started it in March. I did get so much help from this Mayo Clinic Connect support group during the 13 months I was on prednisone for PMR. The experiences and advice that people gave me about tapering off prednisone was so helpful.

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@loyal

Can you give me more information about the spinal cord stimulator?

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If you are totally unfamiliar with it(like I was), it is a device that consists of two parts: a lead or paddle, is placed in the space next to your spinal cord(intrathecal space). The other part is the battery(also called the pulse generator). It is implanted in the upper buttock region. The two are connected by wires. The battery sends out electrical impulses to the leads/paddle, that are designed to block pain signals. There is also a remote control that is used to change programs. Different programs are designed to hit different regions of your body with varying amounts of electrical energy. Before you get the full implant, you get a trial version. Temporary leads are placed and connected to a temporary battery that is outside your body usually carried on a belt. You wear the tempopary device for 5-7 days(depending on which SCS you get). The goal is to get at least 50% pain reduction in order to get the permanent implant.

There are a number of companies that make spinal cord stimulators: Medtronics, Boston Scientific, Nevro, and a few others. Do some research to see which one you think might be the best fit for you. Most insurances will cover the cost after you pay whatever deductible you have. Medicare will also cover it. I went wiith Boston Scientific's Alpha Wavewriter. My research gave it the highest rating among all SCSs. There are a multitude of YouTube videos that have been very helpful to me. I wish you much success on you pain journey!

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@devaallen

I have had three spinal surgeries. C4-C7, L1-L3 or something like that, and C3-C4. Now, I am being told I need a fourth surgery from C7- T 2. I refused. I am sick to death of all the poking and medication. Now, I am on Morphine 15 mg. To be honest, last night I just wished it would be all over. Then I remembered I was just married on 09/20/24. It would not be fair to my husband, but I wonder, how is this mess fair to me?

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Has your doctor ever mentioned a spinal cord stimulator os a morphine pain pump? Both are sort of "last gasp options".

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Pain stimulator has been mentioned. I refuse. I don’t want any type of cutting on my body. I am on morphine but not the pump. If it involves cutting I am not doing it. Thank you for asking. Have a wonderful day.

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I have had numbness in both legs, Spinal stenosis, getting worse. Use to take sleeping pills to go into sleep mode. Did not like those pills. Someone recommended meditation. Now I am listening 1 hour at bedtime and 1 hour before getting at morning time. Many times I wake up in middle of the night and discover my cell is still connected to Meditation site. Here is the meditation site: Inside Timer. Enjoy!

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@gently

@gotoandrea, can you write a little more about the stenosis. Do you know cause and how long have you been struggling with it.

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My Mom has had stenosis for at least 20 years. She has some discomfort upon waking in the morning and uses walking aids throughout day. She has experienced “flares” about twice a year, with it she has extreme pain for approximately 7-10 days. The last flare was torture-very little relief with twice daily hydrocodone. The most recent CT scan revealed severe multi-level lumbar degenerative disc disease/malalignment and mild lumbar dextroscoliosis, most pronounced at L4-L5 indicating severe central spine stenosis. L3-L4 right central disc extrusion and progression of L2-L3 degenerative disc disease. Severe chronic bilateral sacroilititis.

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@devaallen

Pain stimulator has been mentioned. I refuse. I don’t want any type of cutting on my body. I am on morphine but not the pump. If it involves cutting I am not doing it. Thank you for asking. Have a wonderful day.

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I understand completely. I would be very reluctant to have anyone cutting into my back as well. However, I have had just about every type of treatment known to man. My pain has been ramping up to the point where I can't do much of anything any more. The SCS trial is minimally invasive...no cutting. Just a small lead inserted into the space next to your spinal cord. That is connected to an external "battery" that your wear for 4-7 days. If your get decent pain relief, you can opt for the permanent implant. I don't really have any options left. I hope you find something that will give you some relief.

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I am amazed when I read these comments about back pain. I have scoliosis and a ruptured disc. A back specialist told me that an operation would put me into a wheel chair. I do believe that we are all just experimental specimens. So I depend on Hydrocodon or Advil, depending on the degree of pain. You learn to live with it.

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