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Below we describe the symptoms and treatment options for a type of back pain with lumbar spinal stenosis. Lumbar spinal stenosis is a narrowing of the spinal canal that occurs in the lower part of the spine (lumbar region).
In a healthy spine, there is space between the spinal nerves and the borders of the spinal canal. However, with spinal stenosis, the spinal canal space is smaller, making it crowded and difficult for these nerve roots to exit freely through the foramen. Before the diagnosis of stenosis is confirmed, it is important for your doctor to rule out other conditions that may produce similar symptoms. If your pain cannot be controlled with non-surgical treatment options, a surgical procedure may be recommended. Spinal Fusion surgery involves growing bone in the diseased area of your spine by fusing a spinal segment bone from one vertebra to another vertebra. An interspinous process distraction device without surgical decompression (X-STOP®) can be inserted in your back to treat spinal stenosis.
Protects Your Surgical Decompression - Your surgeon will determine the most effective method for relieving your spinal stenosis symptoms.
Tens of thousands of coflex® patients worldwide are experiencing pain relief from their spinal stenosis symptoms. Step-wise approach tailored to patient’s needs and age (0-4 years, 5-11 years, and 12 or older). Upwards of 50% to 80% of children who have asthma experience symptoms before the age of 5 years. The AHS Inpatient Childhood Asthma Pathway has two pages of assessment, treatment, and medication recommendations. In coronary artery disease, the lumens within the coronary arteries are narrowed due to plaques which are composed of cholesterol, calcium and inflammatory cells deposited within the arteries, resulting in reduced blood flow.
If the narrowing is significant, the amount of blood supply may not be able to meet the demand of the heart muscle, especially during exertion or exercise.
On the other hand, when a plaque suddenly ruptures, platelets in blood that aid clotting, form blood clots around the plaque, and if this results in a total occlusion or complete blockage of the artery, the heart muscle will be deprived of oxygen.
The most obvious and common symptom of a heart attack is severe chest pain, usually described as an uncomfortable pressure, or heavy, crushing sensation. However, up to 25% of heart attacks may be clinically silent; some people may have a heart attack without any symptoms (silent myocardial infarction).
To confirm the diagnosis of heart attack, one would require an ECG (electrocardiogram), blood tests, and sometimes an echocardiogram (heart scan).
If you suspect that you are having a heart attack, do not hesitate to call for emergency medical help.
If your chest pain occurs especially when you exert yourself or exercise, and goes away with rest, it can be stable angina, which may indicate possible significant blockage in your coronary arteries.
This content is for educational purposes only and does not replace having a conversation with your doctor. As we age, the tissue in our spine that connects bones together (ligaments) may start to thicken and harden from arthritis, discs may start to collapse and bulge (or herniate), and bone spurs, known as osteophytes, may grow on bone in the spine.

You may be asked to describe the symptoms you are experiencing, how they have changed over time, and what treatments you have tried to treat your symptoms.
The ultimate goal of surgery is to increase the area of the spinal canal by relieving pressure on the spinal sac and nerves that are trying to extend to the rest of your body.
Your surgeon may suggest a laminectomy, which is a small opening made in the lamina to expose nerves that may experience compression from spinal stenosis.
Spinal fusion is often added after a surgical decompression to help keep the diseased spine segment stable. After your surgeon has performed a decompression, coflex® is implanted to help maintain the decompression.
Also, the adjacent levels to the surgical stabilization maintain physiologic motion after the procedure. This less invasive surgery reduces trauma to your back, decreases the amount of blood loss during surgery, and allows for a short hospital stay. The text on this website is for informational purposes only and should not be used in substitute for the advice of a physician or other medical professional. Characterized by a shift to Th2 phenotype resulting in eosinophil recruitment, inflammation, and allergy. Classification in pediatric patients determined by lowest level of treatment needed for control.
Diagnosis is not straightforward in this age group, and asthma may be misdiagnosed as chronic bronchitis, wheezy bronchitis, reactive airway disease, recurrent pneumonia, gastroesophageal reflux, and recurrent upper respiratory tract infections.As a reminder of the importance of fully exploring recurrent respiratory symptoms in your young patients, the slides here distill the 4 primary components of effective asthma care as put forth in 2007 in the National Heart, Lung, and Blood Institute’s (NHLBI) Expert Panel III Report. In such instances, the heart muscle suffers myocardial ischemia and signals to the person through ‘chest pain.’ When the exercise or exertion stops, the pain is relieved as the person rests.
Within a short time, heart muscle cells start to die – this is a heart attack, or also known as myocardial infarction, and it can be fatal. This chest discomfort usually lasts longer (more than 20 minutes), and is not relieved with rest or medication. A silent heart attack can occur in anyone, but occurs more commonly among people with diabetes.
In event of severe chest pain, it is essential to act immediately, and not delay for too long. This warrants a visit to a cardiologist, and it is advisable to get your heart checked early. All of these things narrow the amount of space in the spinal canal, reducing the nerve’s ability to exit and extend to your lower extremities. There are a few different surgical treatments that can possibly help relieve your pain from spinal stenosis. This tissue may include bone, ligament, pieces of disc, or anything that narrows the spinal canal. A foraminotomy specifically addresses the opening where the nerve exits the spine, called the foramen, and the goal is to enlarge the area to free up the nerve as it is leaving the spinal canal. Often, spinal fusion involves the implantation of metal devices to hold the vertebrae securely in place so the bones can grow and help fuse the vertebrae together. The X-STOP® device is designed to increase the space between the bones in your back, so the nerves that are trying to exit from your spine will not be pinched.

The coflex® device is inserted to help keep your spine stable while maintaining normal height and motion in your spine after surgical decompression. All statements, opinions, and information on this website have not been evaluated by the Food and Drug Administration. Linked to Western lifestyle, urban living, dust mites, other allergens, antibiotic use, diet, and respiratory infections during infancy. In heartburn, stomach acids rise up into the swallowing tube (oesophagus) and may also cause chest pain that radiates to neck, throat or jaw. It usually develops slowly over time in older patients who have progressive degenerative disease (arthritis). Therefore, the nerves in the lumbar spine become compressed, causing pain in the lower back, buttocks and legs.
Facetectomy is a term surgeons use to describe removing either soft tissue or bone from the facet joint to reduce any pressure on the nerve leaving the spinal canal. This process may take many months to complete, and often, patient’s activity is restricted for many months to allow for this fusion process to occur. Usually, the X-STOP® device is approved for use in distracting the spinous processes, blocking extension (bending backwards), however without the use of direct surgical decompression techniques for spinal stenosis.
The design and location of the coflex® device in your back helps offset the joints in your spine that are contributing to your back and leg symptoms. Coronary arteries are blood vessels designated specifically for the heart muscle to receive oxygen-rich blood.
The feeling of chest discomfort may also be accompanied by shortness of breath, sweating and nausea. Chest pain may also be caused by other structures in the chest cavity, including the lungs, muscles and ribs. In order to save as many of them as possible to minimize the extent of damage to the heart muscle, the diagnosis has to be made quickly, and the blocked artery needs to be opened as early as possible. For some, back pain goes away on its own within a few weeks and can get better with rest, medication, or physical therapy. The narrowing of the spinal canal compresses the nerves, which causes pain, numbness, tingling and weakness in the lower back, buttocks and legs; especially after walking and physical activity.
These decompression procedures are designed to open up specific areas where your spine may be experiencing spinal stenosis. Compared to other surgeries to treat spinal stenosis, spinal fusion usually results in higher blood loss during surgery, more tissue trauma and muscle injury, and takes more time to recover and get back to your normal quality of life. Some women may experience less central chest pain, but more of pain in the lower chest or upper abdomen, along with the feeling of dizziness and breathlessness.
Regardless of the type of back pain you are experiencing, it is important that you see your doctor to properly identify the cause.

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