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Wear and tear type arthritis (osteoarthritis) is one of the most common diseases
of old age. We all get it to different degrees. With arthritis, the joints
become bigger in response to less cartilage cushioning. This can lead to smaller
spaces for the nerves to go through. This is called stenosis.
There are three main types in the spine: central canal, foraminal, and exit
zone. Patients with stenosis in the low back, complain of standing causing numbness
down the legs. To avoid this, they sit more often or try to use a shopping cart to
walk bent over while shopping. Stenosis in the neck can present with numbness in the
hands and feet.
Diagnosis is usually made with
MRI or
CT-Myelogram.
Stenosis that's not symptomatic can become a problem with
instability
caused by a traumatic whiplash injury. Treatment is usually
surgery.
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