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Spinal Stenosis And Pinched Nerve A Simple Guide to These conditions
Spinal Stenosis And Pinched Nerve A Simple Guide to These conditions
Spinal Stenosis And Pinched Nerve A Simple Guide to These conditions
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Spinal Stenosis And Pinched Nerve A Simple Guide to These conditions

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SPINAL STENOSIS

Lumbar Spinal Stenosis is a condition due to the narrowing of the spinal canal either in the central part or peripheral (lateral) to the side in the nerve root canal.

This results in pain in one leg without back pain

Every one can get Lumbar Spinal Stenosis.

The age of onset is usually in the late 40's.

It is also more common in men than women.

What are the causes of Spinal Stenosis?

The causes of lumbar spinal stenosis are:

1. Congenital - in born narrowing of the spinal canal

2. Acquired

a. Carrying heavy objects improperly with the back instead of the knees

b. Trauma or injury to the spine or pelvic bone

c. Staying in crouched or seated positions for too long

What are the symptoms of Spinal Stenosis?

Symptoms:

1. The onset is usually gradual with bouts of back pain and stiffness over weeks or months.

2. Early morning stiffness and pain occurs, and then wears off during the day.

3. It gradually affects the lower limbs with pain and stiffness.

4. Typically there is low back pain radiating to the buttocks and leg which is aggravated by activity especially walking

Signs:

1 .Physical signs are not present in early cases

2. There may be a Simian stance (like a monkey) with flexion at the hips and knees

3. Spinal movements are restricted

4. Motor, sensory and reflex abnormalities present in one or both lower limbs

4. Sphincter impairments may be present rarely

PINCHED NERVE

A pinched nerve occurs when there is too much pressure applied to a nerve by other surrounding tissues such as bones, muscles or tendons.

This pressure affects the nerve's function causing pain, tingling, numbness or weakness.

A pinched nerve can occur anywhere in the body.

As an example, a herniated disk in the lumbar spine may press on a nerve root causing severe pain that radiates down the back of the leg (sciatica).

Similarly a pinched nerve in the wrist can lead to pain and numbness in the hand and fingers (carpal tunnel syndrome).

Radiculopathy refers to a set of conditions in which one or more nerves is affected and does not work properly (a neuropathy).

This can result in nerve pain, weakness, numbness or difficulty controlling specific muscles.

In a radiculopathy the problem occurs at or near the root of the nerve, along the spine.

However the pain or other symptoms often radiate to the part of the body served by that nerve.

For example, a nerve root impingement in the neck can produce pain and weakness in the forearm.

Impingement in the lower back or lumbar-sacral spine can manifest with symptoms in the foot.

The radicular pain that results from a radiculopathy should not be confused with referred pain, which is different both in mechanism and clinical features.

Polyradiculopathy refers to the condition where more than one spinal nerve root is affected.

What are the causes of Pinched Nerve?

Compression on the nerve is the main cause of Pinched Nerve.

1. Bone or cartilage such as a herniated lumbar spinal disk that compresses a nerve root causing sciatica.

2. Muscle or tendons which are swollen may be the cause of pressure of the median nerve of carpal tunnel syndrome within the tunnel,

3. Enlarged bone that narrows the carpal tunnel,

4. A thickened and degenerated ligament in the carpal tunnel.

The injury may result from compression, constriction, or stretching.

Any compression of the nerve causes inflammation of the nerve and disrupts the nerve's function.

LanguageEnglish
PublisherKenneth Kee
Release dateDec 17, 2014
ISBN9781310592072
Spinal Stenosis And Pinched Nerve A Simple Guide to These conditions
Author

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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    Book preview

    Spinal Stenosis And Pinched Nerve A Simple Guide to These conditions - Kenneth Kee

    Spinal Stenosis

    And

    Pinched Nerve

    A

    Simple

    Guide

    to

    These conditions

    By

    Dr Kenneth Kee

    M.B., B.S. (Singapore)

    Ph.D (Healthcare Administration)

    Copyright Kenneth Kee 2014 Smashwords Edition

    Published By Kenneth Kee at Smashwords.com

    Dedication

    This book is dedicated

    To my wife Dorothy

    And my children

    Carolyn, Grace

    And Kelvin

    This book describes the Spinal Stenosis and Pinched Nerve such as Sciatica and Carpal Tunnel Syndrome which are seen in some of my patients in my Family Clinic.

    This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

    If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to

    Smashwords.com

    and purchase your own copy.

    Thank you for respecting the hard work of this author.

    Chapter 1

    Spinal Stenosis

    What is Spinal

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