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Lumbosacral spondylosis without myelopathy

Lumbosacral spondylosis is a painful degenerative spinal condition that occurs primarily as the result of aging. Spondylosis can affect several areas of the spine, but when it occurs in the lower, or lumbar, part of the spine, it is called lumbosacral spondylosis.

Causes

Degenerative disease, like lumbar spondylosis may also cause myelopathy. However a general cause of Lumbar Spondylosis without Myelopathy is the normal aging process of an individual when the vertebral disc is degenerated. Displacement of a lumbar disc refers to extension or herniation of the cushion-like disc which is between the two of any lumbar vertebrae in the lower spine. Lumbar spondylosis, where Spondyl means spine and ‘Osis means a bad condition. It means that there is an occurrence of a degenerative process in the spinal joints. Due to this it starts to pain at the back. The degree of soreness and firmness which it causes differs from one individual to another. There is no dependable outline to it. If there is any unsteadiness to the vertebrae at the degenerative location, that means one bone slides next to the top of other bone, rather than it being held by the ligaments, then there is a larger dimension of unceasing pain. However in many conditions of individuals, the degenerative pain flows down to the buttock and thighs. In many cases, the pain is less severe and it many show no symptoms at all ot they start occurring at a very old age when. You can also state that when the symptoms of lumbar spondylosis is less severe or of no significance, this can be referred to as Lumbar spondylosis without myelopathy.

Symptoms

Symptoms of Lumbosacral spondylosis usually include:

  • Stiffness and pain early in the morning when you wake up
  • Activities like sitting, bending or lifting for long periods of time can worsen the pain since this activity can put more pressure in your lower back.
  • In some cases where disc degeneration is present then you may experience numbness, muscle spasm, weakness or tingling sensation in your legs.
  • Bowel and bladder problems may also arise because of nerve compression.

Tests and Diagnosis

Diagnosis of these conditions usually involves taking of your detailed medical history and taking in your symptoms followed by physical examination. Your doctor will check for any signs of abnormalities like tenderness or any muscle spasm. Your doctor may also try to see your range of motion if you have any difficulty in extending, rotating or bending your spine. Some imaging test may be required like MRI or X-ray.

Treatment

  • Analgesics, anti-inflammatory medications and muscle relaxants are helpful in treating pain.
  • Physical therapy treatments, including application of heat and electrical stimulation, can help relieve spasms and pain.
  • Surgery to remove damaged discs or fuse part of the spine is usually only considered in cases in which the pain is severe or when the spine is compressed.

  • Lifestyle Changes:

    Exercising to strengthen the back and abdominal muscles can help these muscles better support the spine. Orthotics, special shoe inserts designed to keep the foot in the optimal position to support the weight of the body, can also help reduce symptoms. If your pain is severe and your job requires lifting heavy objects or bending, your doctor may recommend that you find a job that is less stressful on your spine. Losing weight will help reduce pressure on your spine

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