Lateral Recess Stenosis: El Paso Back Clinic

O le tuasivi o le alatele tutotonu lea o le tino, faatasi ai ma le alavai e fai ma auala autu e faatautaia ai feoaiga uma. O lo'o iai faitoto'a ma ulufafo, po'o lua ivi, e mafai ai e neura ona lala ese mai le taula'au ma tamo'e i le tino atoa. E tupu le poloka o auala i le tapunia o auala, faalavelave, poʻo le fausiaina i le ulufale poʻo le ulufafo. Lateral recess stenosis e mafua ai le vaapiapi o le tuasivi malologa pito i tua/Le ulufale atu o Lee, lea e mafai ona fa'apipi'i neura, fa'alavelave le ta'amilo o neura, ma fa'atupu ai fa'ailoga tiga.

Lateral Recess Stenosis

O le koluma o le va'aiga e maua ai se fausaga malosi ma fetu'una'i mo le va'aiga. O neura e fealua'i mai le taula'au e ala atu i avanoa eseese ma ala i le isi vaega o le tino. O se tasi o avanoa e ta'ua o le pito i tua. Stenosis o lona uiga vaapiapi. A o'o i le pito i tua o le vetebra e tupu ai le stenosis, o le neura i lena vaega e mafai ona pipii ma leai se avanoa e gaoioi ai, ma mafua ai ona eseese auga ma lagona.

O auga

Fa'alagolago i le mea e tupu ai le stenosis (ua, ogatotonu poʻo le pito i lalo), o faʻamaoniga masani o le faʻamaʻi faʻamaʻi pito i tua e mafai ona aofia ai:

• O tiga i tua e mafai ona sosolo atu i isi vaega.
• Fa'asa'o e mafai ona sosolo atu i isi nofoaga.
• Fa'asalaina tiga e fa'ateteleina pe a gaoioi ma fa'amalieina pe a malolo.
• Pepa po'o le vaivai o vae po'o lima.
• Fa'alogona fa'aeletise i lalo o le vae po'o le lima.

Mafuaaga

le National Institute of Health lisi mafuaʻaga autu:

Laei Faanatura ma Loimata

• O le matua fa'alenatura fa'atasi ai ma le fa'asolosolo malie o lo'o tumau pea le mafua'aga sili ona taatele o le stenosis.

Congenital – Fanau mai ma Stenosis

• Scoliosis
• Achondroplasia – fa'afitauli ile fa'atupuina o ponaivi.

Maʻi

• gugu Rheumatoid
• Tumama
• Fa'ama'i o Paget

Fa'aanatura Fa'asologa o le Matua

• Faiga faʻamaonia
• Spondylolisthesis – vetebra e see i luma
• Spondylosis - oseoarthritis ole ivi

Manua Matuia

• Ta'avale fa'alavelave ma fa'alavelave
• Galuega Manua
• Taʻaloga taʻavale

faiga

E leai se vaifofō o lo'o iai nei, ae o lo'o i ai filifiliga e togafitia ai fa'a'ailoga o le stenosis.

Chiropractic ma Faʻamalositino Togafitiga

• A 'au togafitiga fa'aletino chiropractic e mafai ona faʻamalolo faʻamaoniga, toe faʻaleleia galuega, ma faʻamalosia maso.
• O vaega maso i tafatafa o le vaega o le stenosis ua fausia e aveese le mamafa mai le vaega, faʻaitiitia ai faʻamaoniga.

Vailaʻau

• E mafai e se foma'i po'o se foma'i fa'apitoa i tua'au ona fautuaina pe fa'atonu ni vaila'au e fa'amama ai fa'ailoga. E aofia ai:
• Tylenol - acetaminophen.
• NSAIDS - Advil / ibuprofen poʻo Aleve / naproxen.
• Malolo maso

Iniseti Steroid

• E tusa ai ma a suesuega, neurogenic claudication o le mafuaaga autu lea o le le atoatoa ma le leiloa o le tutoatasi i tagata matutua.
• Neurogenic claudication fa'amatala le tiga ma le vaivai i papa ma vae i taimi o gaioiga fa'aletino e mafua mai i neura, ae le o va'a.
• E mafai ona tupu lenei mea mai le fula ma le fula i tafatafa o se neura ua oomi.
• O le tui steroid e mafai ona fa'aitiitia ai le mumu mo ni nai masina.

Togafitiga

Afai e le aoga le suiga o gaioiga, NSAIDs, faʻamalosi, ma togafitiga faʻaletino pe maua ai se mapusaga talafeagai, e mafai e se fomaʻi poʻo se fomaʻi ona fautuaina se taotoga.

• Fusi fa'atasi i totonu o le tino maua ai le decompression le tuusao.
• Endoscopic decompression ose faiga fou.
• Fusion e fa'aagaga pe a iai le le mautu fa'atasi ma le tulaga.

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Fa'afitauli I tua Chiropractor

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mau faasino

American College of Rheumatology (nd) "Spinal Stenosis" www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Spinal-Stenosis

Arthritis Foundation (nd) "Corticosteroids" www.arthritis.org/drug-guide/corticosteroids/corticosteroids

Fuafuaga Fuafuaga, Atinaʻeina ma Togafitiga (2014) "Steroid mo tui faʻamaʻi i le faʻamaʻi faʻamaʻi: o se iloiloga faʻapitoa ma faʻataʻitaʻiga" doi.org/10.2147/DDDT.S78070

Lee, Seung Yeop, ma isi. "Lumbar Stenosis: O se faʻafouga lata mai e ala i Iloiloga o Tusitusiga." Asian spine journal vol. 9,5 (2015): 818-28. doi:10.4184/asj.2015.9.5.818

Liu, Kuan, et al. "Steroid mo tui epidural i le faʻamaʻi faʻamaʻi: o se iloiloga faʻapitoa ma meta-suʻesuʻega." Fuafuaga o fualaau faasaina, atinae, ma togafitiga vol. 9 707-16. Ian 30, 2015, doi:10.2147/DDDT.S78070

Medline Plus (nd) "Achondroplasia" medlineplus.gov/genetics/condition/achondroplasia/

Microspine (nd) “Endoscopic Decompression” www.microspinemd.com/microspine-surgery/endoscopic-decompression/

Inisitituti a le Atunu'u o le Soifua Maloloina (nd) "Spinal Stenosis" www.niams.nih.gov/health-topics/spinal-stenosis

Northwest Medical Center (2022) “Lateral Recess/Foraminal Stenosis” nw-mc.com/lateral-recessforaminal-stenosis/

Ta'otoga Fai'ai ma Tula'au NSPC (nd) Lateral Recess Stenosis nspc.com/lateral-recess-stenosis/

Raja A, Hoang S, Patel P, et al. Fa'ama'i ole ivi. [Fa'afou 2022 Iulai 17]. I totonu: StatPearls [Initaneti]. Treasure Island (FL): StatPearls Publishing; 2022 Ian-. Avanoa mai: www.ncbi.nlm.nih.gov/books/NBK441989/