Yu de gɛt pinched nerves na yu bak? Lɛ wi tɔk bɔt Foraminal Stenosis!

Bɔku pan wi dɔn gɛt bak pen, pen we wi shot dɔŋ wi leg, ɔ we wi an ɛn fut dɛn kin swɛla sɔm tɛm na wi layf. Sɔntɛnde wi kin tink se di rizin dɛn simpul, bɔt i kin rili bi se wan dip stori de biɛn am. Foraminal Stenosis na wan sik wae kin apun na wi spayna, bɔt bɔrku pipul nɔr no bɔt am. So, lɛ wi tɔk bɔt am simpul wan tide, di we we yu go ɔndastand.

Fɔ tɔk am simpul wan, wetin na fɔraminal stenɔsis?

Tink bɔt yu spayna lɛk big tiub. wi spεnal kכd de rכn tru dis tכb. sכm sכ m nεv dεm de we de kכmכt na dis spεnal kכd, we de kכri mεsej to wi כl bכdi, εn de du tin lεk fכ muv wi limb dεm εn gi wi sεns. so, dεn nεv dεm ya de kכmכt na di spεnal kכd tru sכm sכm ol dεm we dεn kכ l foramen . Fɔ tɔk di kɔrɛkt tin, ol dɛn we dɛn kɔl nyural fɔramen . Foraminal stenosis na we dεn ol dεm de blok כ sכmtεm fכ difrεn rizin dεm. Jɔs lɛk we wata paip blok, i kin at fɔ mek di wata flɔ, we dɛn ol ya blok, di nɛv kin swɛt.

Tink bɔt wetin kin apin we ilɛktrik waya stɔp na domɔt. Di waya kin krɔs, ɛn sɔntɛm i kin ivin stɔp di kɔrɛnt fɔ mek i nɔ flɔ fayn. Na so di nerve kompreshɔn kin apin. Di mɛsej dɛn we de travul tru di nerve kin ambɔg, we kin mek pɔsin fil pen, ɛn sɔntɛnde i kin ivin pwɛl di nerve fɔ ɔltɛm.

Usay na wi bak dis sik kin bɔku pas ɔl?

Wi spayna gɛt difrɛn pat dɛn. dis kכndyushכn we dεn kכl fכraminal stenosis kin apin na eni wan pan dεn sεkshכn dεm ya.

• Sεvikal Spin : Dis na di sεkכn say we dεn kin si dis kכndyushכn.
• Thoracic Spine: Dis eria smɔl smɔl.
• Lumbar Spine: Dis na di say we di foraminal stenosis kin apin mכst.
• Sacral Spine: Rayt na di bכtכm pat pan di spayna.
• Coccygeal Spine: Wi kin kɔl am di pat usay di telbon de.

Dis na sik we bɔku pipul dɛn kin gɛt?

Infakt, dis sik kin bɔrku pas aw yu kin tink, mɔr lɛk pan pipul dɛm wae dɔn pas 55. I kin bɔku as yu de ol. Bɔt i sɔprayz fɔ no se bɔku pipul dɛm wae gɛt foraminal stenosis nɔr kin sho ɛni sayn. sכm stכdi dεm sho se we dεn rich 60 ia, lεk 40% pan di pipul dεm kin gεt mכdarεt lכmba stεnosis. Dis kin go ɔp to lɛk 75% we yu ol 80. Bɔt ivin wit siriɔs kes, na lɛk 17.5% pan pipul dɛn nɔmɔ kin sho di sayn dɛm.

Wetin na di sayn dɛm fɔ foraminal stenosis?

Di sayn dɛm kin tan lɛk di wan dɛm we pɔsin kin gɛt we i pinch . Wi kin kɔl dis kɔndishɔn bak Radiculopathy . Wan ɔ mɔ pan dɛn sayn ya kin apin:

• Pen: Dis na di men ɛn kɔmɔn sayn. Nɔto jɔs pen de na di bak ɛn nɛk, bɔt pen kin rayt bak dɔŋ di nerv insay di an ɔ leg.
• Numbness or tingling sensation (`Paresthesia`): I kin fil lɛk "ilɛktrik shɔk" ɔ lɛk se ant de rɔn rawnd.
• Numbness: Di say we di sik afɛkt kin swɛ ɛn nɔ kin ebul fɔ fil se dɛn tɔch am .
• Di mɔsul dɛn we wik ɔ we yu nɔ ebul fɔ kɔntrol yusɛf: Yu kin fil lɛk se yu an ɔ yu leg de go swɛ, ɔ i nɔ kin izi fɔ yu fɔ es yu wet.

Di say we di sayn dɛn de impɔtant!

I rili impɔtant fɔ mek di dɔktɔ no usay na yu bɔdi yu de gɛt dɛn sik ya, so dat i go ebul fɔ no ɛn trit di sik. Tink bɔt wi spɛnal kɔd lɛk `friway`, ɛn di nεv dεm we de kכmכt pan am lεk `rεmp`. di mεsej dεm frכm di bren, כ di mεsej dεm frכm difrεn pat dεm na di bכdi to di bren, fכ go tru dis `road`. So, if yu gɛt wan sayn lɛk dis na yu leg, an, ɔ ɛni ɔda say, di dɔktɔ kin no us lɛvɛl na di spɛshal kɔd nɛv we gɛt fɔ du wit da pat de na di skin (`dermatome`) . Dis go rili ɛp fɔ no usay di prɔblɛm de.

Ustɛm ɛn aw di sayn dɛn kin apia

I impɔtant bak fɔ mek yu dɔktɔ no we yu gɛt di sik ɛn wetin yu de du. Fɔ ɛgzampul, pɔsin we gɛt lumbar foraminal stenosis kin gɛt pen we kin wɔs we i tinap ɛn i kin bɛtɛ we i sidɔm. If yu kip yu dayari fɔ yu sik dɛn (e.g., we dɛn bigin, aw dɛn bin tan lɛk, ɛn aw lɔng dɛn dɔn de) kin ɛp yu dɔktɔ fɔ ɔndastand yu sik fayn fayn wan ɛn trit am.

Wetin mek fɔraminal stenɔsis kin apin? Wetin na di tin dɛn we kin mek i apin?

Bɔku tin dɛn de we kin mek dis apin. Fɔ sɔm pipul dɛn, i kin bi bikɔs ɔf wan rizin, bɔt fɔ ɔda pipul dɛn, i kin bi se na bɔku rizin dɛn kam togɛda.

• Injury : Bak injury, lɛk di wan dɛn we pɔsin kin gɛt we i fɔdɔmdis nεv ol dεm kin kכmprεs bay tin dεm lεk ska tisu , hεnia כ bulging disk dεm (wi kכl dεm "slipped disks"), εn spεnal frakshכn.
• Ol ol : As wi de ol, wi bon, joyn, en ligament dem de west natin. dis de mek bak di risk fכ divεlכp fכraminal stεnosis.
• di mכskul skel כ inflammatory kכndishכn dεm : Dis kin kכz bak bay kכndyush כn dεm lεk digenerative disk disease , ankylosing spondylitis (we di joyn dεm na di spayna kin inflamed εn fכs tכgeda), εn Paget in sik na di bon .
• Spayna ɔpreshɔn: Dis sik kin apin bak afta sɔm spayna ɔpreshɔn. Sɔntɛnde, wan sik we dɛn kɔl Persistent Spinal Pain Syndrome (PSPS) kin apin bak we dɛn nɔ ebul fɔ du ɔpreshɔn pan bak pen.
• di gכt כ tכmכro: we di gכt, tכmכro, כ tכmכro (benign כ malignant) na di spayna kin kכmprεs di nεv dεm. di bon spur dεm (osteophytes) (wi kכl dεm "bon spurs") kin blכk dεn opin dεm ya bak.
• di nכmal strכkchכ fכ di spayna: di spεnal kanal nכmal wan de sכmtεm sכmtεm we i de muv dכn di spayna. dis na wan rizin we mek dis kכndyushכn kin kכmכn na di lכ mba rijyכn.
• difrεns dεm na di anatomy: dεn kin bכn sכm pipul dεm wit sכm difrεn spayna strכkchכ. I nɔ min se dɛn sik, bɔt i kin mek dɛn gɛt mɔ chans fɔ gɛt fɔraminal stenɔsis. Pipul dεm wae gεt sכlכsis ( curvature of the spine) dεn tu de pan de risk.

Dis kin mek prɔblɛm dɛn apin?

Bɔrku tɛm, fɔraminal stenɔsis nɔ kin mek siriɔs kɔmplikeshɔn. Bɔt sɔntɛnde, dɛn tin ya kin apin:

• Pen we nɔ de dɔn: Pen we kin de ɔltɛm ɛn we nɔ kin izi fɔ kɔntrol.
• Spɛshal nerve pen, lɛk sciatica: na shap pen we de travul dɔŋ di leg.
• Nεv dεm we dεn dכn pwεl: Nεv dεm we dεn dכn pwεl kin de sote go.
• Wik ɔ paralayz pan di mɔsul dɛm we di rilevɛns nɛv de kɔntrol: Wan limb kin paralayz.
• Urinary ɛn bowel inkɔntinɛns: .dis kin kכmכt we di nεv dεm we de kכntro di blad εn di bכdi de kכmכt. If dis apin, yu fɔ go to dɔktɔ wantɛm wantɛm.
• Prɔblɛm dɛm wae de kam pan pɔrsin wae gɛt pen: Wae yu de wɔri , wae yu gɛt pwɛl hat, ɛn ɔda tin dɛm.
• Pen ɛn di we aw i nɔ kin ebul fɔ chenj to di say we i nɔ kin ebul fɔ du tin dɛn we i kin du ɛvride.

Aw dɔktɔ dɛn kin no dis?

Dɔktɔ go aks yu fɔs bɔt di sayn dɛn we yu gɛt ɛn du ɛgzam fɔ yu bɔdi. Dɔn dɛn kin ɔda fɔ mek dɛn du MRI (Magnetic Resonance Imaging) skan fɔ kɔnfirm di sik. MRI skan kin sho di bon dɛn, di nerv dɛn, ɛn di mɔsul dɛn klia wan. Bɔt mɛmba se yu kin si fɔraminal stenɔsis pan MRI, bɔt bɔku pipul dɛn nɔ kin gɛt di sayn dɛm, so nɔto ɔltɛm i nid fɔ du MRI. Fɔ pipul dɛn we nɔ ebul fɔ du MRI (fɔ ɛgzampul, di wan dɛn we gɛt peshɛnt mɛka), CT (Computed Tomography) skan ɛn maylogram na di bɛst tin fɔ du. Sɔntɛnde, dɛn kin du ɔda tɛst dɛn bak we de luk fɔ prɔblɛm wit di nerv. fכ egzampl, εlektromayografi (EMG) εn nerv kכndukshכn stכdi dεm . Yu dɔktɔ go tɛl yu if ɔda tɛst dɛn nid fɔ du bay yu wɛlbɔdi istri ɛn wetin yu nid.

Wetin na di tritmɛnt dɛn? Yu tink se dɛn go ebul fɔ mɛn dis?

Dɛn kin trit di foraminal stenosis, ɛn pan sɔm pipul dɛn kin kɔrɛkt am ɔl. Bɔku tritmɛnt dɛn de we yu kin gɛt. Bɔt di tritmɛnt we go fayn fɔ yu kin difrɛn difrɛn wan bay aw yu gɛt wɛlbɔdi, wetin mek yu gɛt di stenɔsis, ɛn ɔda tin dɛn. Yu dɔktɔ na di bɛst pɔsin fɔ advays yu bɔt dis. If yu nɔr gɛt ɛni sayn, bɔrku tɛm, nɔr tritmɛnt nɔr nid fɔ de. Dɛn kin tink bɔt fɔ kɔnsavayv tritmɛnt wae yu gɛt sɔm kayn sik kwik kwik wan, lɛk wae yu de fil pen. If kɔmplikeshɔn, lɛk we i nɔ ebul fɔ kɔntrol di urinary ɔ we di mɔsul dɛn wik, apin, dɛn kin nid fɔ du intavɛnshɔnal tritmɛnt ɔ ɔpreshɔn. Dɛn kin sheb di tritmɛnt dɛn to tri men kayn dɛn:

1. Kɔnsɔvativ Tritmɛnt dɛn

Bɔku tɛm, dɛn tritmɛnt ya na di fɔs tritmɛnt dɛn we yu fɔ bigin wit. Dis kin min fɔ tek mɛrɛsin ɛn chenj di tin dɛn we yu de du.

• Rilativ rɛst: If di sik na bikɔs ɔf injuri ɛn swel, fɔ ridyus di muvmɛnt kin ɛp. Bɔt bɔku tɛm, dɛn nɔ kin fayn fɔ rɛst ɔltin na bed.
• Fizik tritmɛnt: Dis kin mek yu bɔdi gɛt mɔ trɛnk ɛn ebul fɔ chenj, ɛn ridyus di impak we di sik dɛn kin gɛt.
• Oral anti-inflammatory medications: Mεdikeshכn dεm lεk NSAID (Nonsteroidal anti-inflammatory drugs) kin ridyus di swεl we de rawnd di nerve εn rεliv di simptom dεm.
• Sterɔyd mɛrɛsin dɛn we dɛn kin tek bay mɔt: Dɛn kin gi dɛn tin ya bak fɔ ridyus di swɛlin.
• Opioid mεdikeshכn dεm we dεn kin it: dεn kin gi dεm ya fכ sכt tεm fכ siriכs pen. Bɔt dɛn nɔ kin gi dɛn ɔltɛm bikɔs ɔf di risk fɔ gɛt adikshɔn.

2. Intɛrvɛnshɔnal Tritmɛnt dɛn

Dis na smɔl tin pas kɔnsavaytiv tritmɛnt dɛn. Sɔntɛnde, if yu injɛkshɔn mɛrɛsin lɛk stɛroyd na di nerve we di sik dɔn afɛkt, dat kin ɛp. Dɛn kin du dɛn injɛkshɔn ya ɔnda ɛkstrem rayt fɔ mek shɔ se di mɛrɛsin de go na di rayt ples. Sɔntɛnde, dɛn injɛkshɔn ya kin mek dɛn nɔ nid fɔ du ɔpreshɔn.

3. Ɔpreshɔn Tritmɛnt dɛn

Naw, bɔku tɛm dɛn kin du ɔpreshɔn we dɛn kin du fɔ mek dɛn nɔ gɛt bɔku prɔblɛm wit dɛn spaynal . Dis min se dɛn kin yuz smɔl smɔl say dɛn we dɛn kin kɔt, we kin mek i nɔ gɛt bɔku blɔd, i nɔ kin fil pen, ɛn i kin mek i nɔ gɛt bɛtɛ tɛm fɔ wɛl. Bɔku kayn ɔpreshɔn dɛn de we dɛn kin du:

• Fɔramen ɔpreshɔn: Foraminotomy na ɔpreshɔn fɔ mek di ol (nyural foramen) we di nerve de kɔmɔt insay big. Foraminectomy na di sem tin, bɔt i kin pul sɔm pan di tisu dɛn we de rawnd am bak fɔ mek di ol big.
• Facet joyn opareshכn: Facetectomy na fכ pul wan ol facet joyn fכ rεliv prεshכn pan di spεnal kכd εn nεv dεm.
• Lamina ɔpreshɔn: Laminotomy na fɔ pul wan smɔl pat pan di bon ɛn sɔft tisu frɔm wan vɛrbra fɔ mek i nɔ gɛt prɛshɔn pan di spɛshal kɔd ɔ di nɛv dɛm. Laminectomy na we dεn de pul wan big sεntri pat pan di vεrbra.
• Fɔ pul di bon spur: If di bon spur (osteophytes) de prɛs pan di nerv dɛm, we yu pul am i go ridyus di prɛshɔn bak.
• Spinal Kɔd Stimulator: Dis involv fɔ put ilɛktrik stimulatɔ insay wan pat pan di spaynal kɔd. dis stimulatכ de sεnd sכm sכm ilektrikal kכrant to di sεl dεm na di spεnal kכd. dis kכrant de mek dεn sεl dεm de nכ de sεnd pen signal dεm. Dis kin ɛp if di ɔpreshɔn nɔ wok ɔ dɛn nɔ ebul fɔ du am.

Wetin na di kɔmplikeshɔn/sayd ifɛkt dɛm wae de kam wit tritmɛnt?

Bikɔs bɔku tritmɛnt dɛn de, di prɔblɛm dɛn ɛn di sayd ɛfɛkt dɛn kin difrɛn. Dɔn bak, di tɛm fɔ wɛl ɛn wetin fɔ ɛkspɛkt afta tritmɛnt kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Yu dɔktɔ kin ɛksplen di sayd ɛfɛkt dɛm wae yu kin gɛt ɛn di tɛm wae yu kin wɛl.

A kin ridyus ɔ kɔmplit wan fɔ mek di fɔraminal stenɔsis nɔ apin?

Foraminal stenosis na sɔntin we kin apin we yu nɔ bin de ɛkspɛkt, ɛn sɔmtɛm i nɔ kin sho ɛni sayn. Dat mek,Naw, no we nɔ de fɔ mek dis nɔ apin ɔ fɔ ridyus di prɔblɛm.

Wetin a fɔ ɛkspɛkt if a gɛt fɔraminal stenɔsis?

Bɔrku tɛm, dis sik nɔr kin gɛt ɛni sayn. Sɔm pipul dɛn kin no se dɛn gɛt am we dɛn de skan fɔ ɔda rizin. Ɔda pipul dɛn nɔ kin ɛva no se dɛn gɛt am. Foraminal stenosis kin mek yu bak pen bifo eni nerve simptom de sho. If yu gɛt bak pen fɔ pas sɔm wiks, go to dɔktɔ. Dɔn yu dɔktɔ kin no if yu pen na bikɔs ɔf foraminal stenosis ɔr ɔda tin, ɔr kin rifer yu to spɛshal dɔktɔ. If yu gɛt siriɔs sayn dɛm lɛk fɔ swɛt, fɔ swɛt, ɔr yu mɔsul dɛn wik – mɔ if dɛn afɛkt yu an ɔ yu leg – go to dɔktɔ kwik kwik wan. If yu foraminal stenosis bad bad wan fɔ mek yu gɛt dɛn sik ya, i kin mek yu nerv pwɛl ɛn ɔda siriɔs prɔblɛm dɛn.

Aw lɔŋ fɔraminal stenɔsis kin las?

Dis kin bi fɔ shɔt tɛm ɔ fɔ ɔltɛm. If na sɔntin we nɔr de te, lɛk fɔ swel frɔm smɔl injury, i kin go insɛf. Bɔt if i gɛt fɔ du wit wan sik we nɔ de mɛn, ɔ if i apin afta dɛn dɔn du di ɔpreshɔn, ɔ if na bikɔs ɔf di natura shep we yu spayna gɛt, i go mɔs bi se i go de sote go.

Wetin na di lukin-grɔn fɔ foraminal stenosis?

Bɔrku pan di kes dɛm fɔ foraminal stenosis nɔ kin kɔz di simptom dɛm. Ivin wit siriɔs stenɔsis, na lɛk 17.5% pan pipul dɛn nɔmɔ kin gɛt di sik. If yu nɔr gɛt di sik, na smɔl rizin de fɔ wɔri (yu dɔktɔ go tɛl yu di rayt tin fɔ du). If di sayn dɛm de apin, di we aw pipul dɛn de si am kin chenj. Dɛn kin ebul fɔ kɔntrol di smɔl smɔl sik dɛn wit tritmɛnt. Fɔ sɔm pipul dɛm, tritmɛnt kin ɛp fɔ kɔntrol aw de sik kin wɔs. If foraminal stenosis bad bad wan, dɛn kin nid fɔ trit am wantɛm wantɛm, lɛk ɔpreshɔn, fɔ mek di kɔndishɔn nɔ wɔs ɛn/ɔ fɔ stɔp di nerve damej fɔ ɔltɛm ɔ ɔda kɔmplikeshɔn dɛn fɔ apin.

Aw a go tek kia ɔf misɛf if a gɛt fɔraminal stenɔsis?

If yu gɛt foraminal stenosis, yu nɔ kin nid fɔ du ɛni spɛshal ɔ mek ɛni chenj te yu bigin fɔ fil di sayn dɛm. If yu gɛt bak pen, yu kin tray fɔ kɔntrol am fɔ yusɛf fɔs. Bɔt if i kɔntinyu fɔ de afta sɔm wiks, go to dɔktɔ.

Notis: Pen na sayn wae yu nɔr fɔ ignore ɔr tray fɔ trit yu wan if e dɔn de fɔ pas sɔm wiks. Pen wae de kam wae yu de fil kin chenj di we aw yu bɔdi ɛn yu bren de prosɛs di pen signal dɛm, we kin mek yu gɛt tin dɛm lɛk Sɛntral Pen Sindrom.

If yu dɔktɔ no se yu gɛt foraminal stenosis, i go gayd yu fɔ aw fɔ kia fɔ yusɛf ɛn ɛp yu fɔ pik di tritmɛnt dɛn we yu go gɛt.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt bad bad bak pen wantɛm wantɛm, mɔ we yu wund, ɔ if yu gɛt sayn dɛn wantɛm wantɛm we de sho se yu gɛt prɔblɛm wit yu spayna ɔ yu nerv, go na di imejensi rum we de nia yu. Dɛn kayn sayn ya na:

• Wan ɔ ɔl tu di mɔsul dɛn wik wantɛm wantɛm.
• Yu nɔ go ebul fɔ kɔntrol di we aw yu urine ɔ stɔl de flɔ.
• Pen so bad dat yu nɔr kin ebul fɔ du di tin dɛm wae yu kin du ɛvride.

Aw siriɔs fɔraminal stenɔsis de?

Bɔrku tɛm, dis nɔr kin bi siriɔs sik. Bɔrku pipul nɔr kin ivin no se dɛn gɛt am bikɔs dɛn nɔr kin gɛt ɛni sayn. I kin jɔs bi siriɔs if di kɔmpreshɔn na di nerve bad bad wan fɔ mek di mɔsul dɛn wik, mek yu nɔ fil fayn, ɔ yu nɔ de fil fayn.

Wetin na di difrɛns bitwin Spinal Stenosis ɛn Foraminal Stenosis?

Foraminal stenosis na wan kayn spεnal stεnosis . i de afekt wan spεsifi k εria na di spayna, di opin we di nεv dεm de kכmכt na di spayna fכ travul go כda pat dεm na di bכdi (di nyural foramen). di spεnal stεnosis kin bi we di εni pat pan di spayna de sכmtεm sכmtεm, nכto jכs nyural foramen. I kin bi bak we dɛn ɔl tu jɔyn togɛda.

Wetin na di bɛst tritmɛnt fɔ Foraminal Stenosis?

Di bɛst tritmɛnt fɔ dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Tritmɛnt wae de ɛp wan pɔrsin nɔr kin ɛp ɔda pɔrsin. Yu dɔktɔ kin ɛksplen di tritmɛnt dɛn we de fɔ yu, mɔ di wan dɛn we go ɛp yu pas ɔl ɛn we go fit yu gol ɛn nid dɛn.

(Mɛsej we dɛn kin tek go na os)

So, di impɔtant tin wae yu kin lan bɔt Foraminal Stenosis na dat if yu gɛt sɔm kayn sik lɛk bak pen, swɛt, tingling, ɔr nɔr de fil fayn na yu limb dɛm, nɔr jɔs ignore dɛm. Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ ɛn no ustɛm na di prɔblɛm. Bɔrku tɛm, gud tritmɛnt de fɔ dis sik we dɛn kɔl Foraminal Stenosis. If yu no am kwik, yu gɛt gud chans fɔ kɔntrol ɛn mɛn am bifo i mek big prɔblɛm ɛn mek yu nerv pwɛl sote go. Dɔn yu go ebul fɔ du di tin dɛn we yu lɛk ɛn nɔ stɔp yu layf. Foraminal stenosis, bak pen, nerve kompreshɔn, numbness, spayna, MRI, fizik tɛrapi