Re: Statins or lumbar spinal stenosis??
- From: "Bill" <xxx@xxxxx>
- Date: Sun, 31 Jul 2005 14:08:56 GMT
"Rita" <nitany_98@xxxxxxxxx> wrote in message
news:9dcpe11fj47pvbhjk229kbm5vfve1b6f7i@xxxxxxxxxx
> On Sun, 31 Jul 2005 03:43:01 GMT, "Bill" <xxx@xxxxx> wrote:
>
>>
>>"Rita" <nitany_98@xxxxxxxxx> wrote in message
>>news:rd8oe1tb2m3g3k3ippcuupm4cdeat9skom@xxxxxxxxxx
>
>
>>>
>>> There are causes of lumbar spinal stenosis other than bone spurs.
>>> From the Mayo clinic website:
>>>
>>> The main cause of spinal degeneration is osteoarthritis, an arthritic
>>> condition that affects the cartilage that cushions the ends of bones in
>>> your joints. With time, the cartilage begins to deteriorate and its smooth
>>> surface becomes rough. If it wears down completely, bone may rub painfully
>>> on bone. In an attempt to repair the damage, your body may produce bony
>>> growths called bone spurs. When these form on the facet joints in the
>>> spine, they narrow the spinal canal.
>>>
>>> Osteoarthritis can also affect the disks in your spine. By the time you're
>>> 30, your disks may start to show signs of deterioration. They begin to
>>> lose
>>> their water content, becoming flatter and more brittle.
>>>
>>> Eventually, the tough, fibrous outer covering of the disk may develop tiny
>>> tears, causing the jelly-like substance in the disk's center to seep out
>>> (herniation or rupture). The herniated disk presses on the surrounding
>>> nerves, causing pain - which sometimes may be excruciating - in your back,
>>> leg or both. Sometimes you may also have numbness, tingling or weakness in
>>> the buttock, leg or foot on the affected side.
>>>
>>> The ligaments in your back may also undergo degenerative changes, becoming
>>> stiff and thick over time. This loss of elasticity may shorten the spine,
>>> narrowing the spinal canal and compressing the nerve roots. Sometimes wear
>>> and tear on the disks and ligaments causes one lumbar vertebra to slip
>>> over
>>> another - a condition called spondylolisthesis. This often compresses the
>>> spinal nerves, leading to numbness, tingling and weakness in your legs,
>>> especially when you stand for long periods or when you walk
>>>
>>> (Which I may interject, are exactly my troublesome symptoms.)
>>>
>>
>>Do you think this might show up on X-rays or other tests? The reason I ask
>>is
>>because I often have numbness in my left leg after being on the treadmill
>>for
>>about 1/2 hour. I've had this for several years and it does not seem to be
>>getting worse. It goes away after a few hours.
>>
>>Bill
>>
> I had an MRI of the lumbar spine and I understand that this test and
> also CAT scans can reveal certain problems that can cause these symptoms.
> I have yet to see my doctor fact to face for a detailed run down but he
> described the MRI results to me briefly over the phone. Pressure on
> spinal nerves can cause numbness in legs and this pressure can orginate
> in the spinal column. A neurologist or orthopedist can do certain
> tests both in an office exam and via MRI or CAT scan that can help
> with the diagnosis. There are other causes for leg pain and numbness
> that are associated with other diseases so one can't know until one
> has it investigated. The symptoms can come and go depending on the
> type of physical activity. All I can say is that when I described my
> leg symptoms to the neurologist he was very interested and said they
> could well be caused by spinal stenosis. He did not, however, rule out
> other causes without the MRI. I will be interested in seeing the
> results of my MRI and have them further explained to me.
>
> I have known people who have arterioscleroris who also experienced
> leg pain and numbness when walking due to a narrowing of the blood
> vessels in the leg caused by the disease.
>
> I don't believe an Xray can reveal much, if anything definitive.
> But an MRI or CAT scan can. Years ago when I had a disc problem I
> had to have a mylogram to show that the disc was involved in the
> sciatica I experienced. That is a far more invasive test than an
> MRI or CAT scan. So the imaging now available is a vast improvement
> in diagnosing this kind of thing.
Thanks. I printed out a copy and will discuss with my Dr.
Bill
.
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