The narrowing of the bone tunnel through which the spinal cord passes is called narrowing of the stricture,stricture or narrowing of the spinal cord. This stricture can be in the neck and waist area. Compression with constriction affects the nerves and causes complaints in the arm and limbs according to the area of contraction.
Stricture in Waist
In the waist region, stricture of the diameter of the bone tunnel through which the spinal cord passes, reveals the problem of stricture in waist. The cause of stricture disease, which is more common in elderly ages, is usually congenital. Osteoarthritis of the vertebrae joint structures and thickening of the connective tissues are among the factors that constitute the stricture.
Symptoms of stricture in Waist
Symptoms of the stricture are similar to the lumbar disc herniation and therefore mixed with the waist. Pain from the waist to the hip, leg pain, weakness in the leg and numbness symptoms are among the common symptoms. However, the most important complaint that distinguishes the narrowing from hernia is that patients usually get tired while they are walking and standing. It may become very difficult to walk as contraction progresses. Pain is also felt when sitting and lying. After a certain stage, the patient may face problems such as urinary incontinence, large abduction incontinence, as well as herniated disc.
Treatment of stricture in Waist
If the patient’s complaints are low, if we do not see a serious problem in our diagnosis, we perform non-surgical treatment. Exercises for strengthening the waist muscles, pysical therapy, swimming and walking, weight loss and prolothreapy are some of the non-surgical treatment methods. If the complaints are serious, the clinical picture should be operated if it support it.
Surgery of stricture in Waist
In the stricture surgery, microsurgical methods are usually used, sometimes with open surgery. Microsurgery is a method performed by entering a very small incision and assisted by a microscope. A small incision means that the postoperative process is easy. In the case of stricture surgery, it is usually necessary to screw. If the complaints are unilateral, there may be no need for a screw if there is no slip. The screw that are put are completely body friendly, their presence is not felt, it does not constitute a barrier to normal life. After surgery, patients can stand up and go home the next day.
Stricture in Neck
The diameter of the bone tunnel through which the spinal cord passes is called stricture in the neck area. As in the stricture in the waist, the old age, congenital causes, osteoarthritis, thickening of the connective tissue and soft tissues are the factors that cause the stricture. The neck area is a more risky area than the waist area. Because the nerves from here affect the whole nerve. With the prolonged increase in the press, the spinal cord is directly damaged and the condition called myelomalacia can occur. As a result, the patient’s arms and legs contractions and walking difficulty (unbalanced, almost as if drunk walking) occurs. In tis case, treatment is usually surgery. .
Symptoms of stricture in Neck
- Weakening of arms and hands
- Numbness and tingling in the arms
- Difficulty in walking
- Contraction of arms and legs
- Loss of balance
Treatment of stricture in Neck
Non-surgical methods may be used in mild conditions, but if contraction is advanced and complaints are serious, they should be treated with surgery. The purpose of surgery is to open the channel through which the nerve passes. In doing so, we use microsurgery just like the lumbar surgery.
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