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Information & Treatment
About the treatment
Symptoms and Pain Localisation
Narrowing of the lumbar canal can lead to chronic back pain, pain radiating down the legs (like sciatica), and feelings of weakness or numbness in the legs. Pain generally increases with walking or prolonged standing, and decreases with sitting.
About the treatment
Causes & Factors
Narrow lumbar canal is mainly caused by age-related wear and tear, leading to degeneration of the discs and vertebrae, and bone proliferation that narrows the vertebral canal.
Other factors include herniated discs, trauma or congenital malformation, as well as osteoarthritis, which can affect the joints of the spine.
About the treatment
Duration and treatment
Most symptoms improve with conservative treatment (rest, anti-inflammatories, physiotherapy).
- If pain persists or worsens, medical consultation is necessary.
- If symptoms do not improve after 6 weeks, radiological examination (MRI or CT scan) may be recommended.
- If conservative treatment fails, decompression surgery may be considered.
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Diagnosis
No X-ray examination for the first 6 weeks unless there are signs of severity. After 6 weeks: MRI or CT scan recommended, followed by specialist consultation to assess narrowness of canal and nerve compression.
Conservative Treatment
Relative rest, avoiding prolonged standing or walking, and moderate activity. Painkillers, anti-inflammatories and infiltrations to relieve radicular pain.
Physical therapy
Can help improve mobility and relieve nerve compression. Focuses on muscle strengthening, stretching and postural correction exercises to reduce symptoms and prevent aggravation.
Indications for Surgery
Surgery considered if conservative treatment fails or in cases of severe nerve compression. The aim is to decompress the nerves by widening the lumbar canal to relieve pain and symptoms.
When to seek emergency treatment
In the event of leg weakness, urinary problems, numbness of the private parts, or ponytail syndrome requiring immediate attention.
Types of Surgery
Surgical options for treating a narrow lumbar canal include endoscopic decompression, minimally invasive surgery, and microsurgical laminectomy.
Post-operative convalescence
80% of patients experience an improvement in pain in the days following surgery. Post-operative pain generally diminishes within 2 to 3 weeks.
Persistent pain
Residual pain may persist if nerve compression has lasted too long. These neuropathic pains are managed by medical treatment, according to the doctor's advice.
Spinal Stabilization Surgery
When decompression of the lumbar canal is not sufficient to stabilise the spine, spinal stabilisation may be considered. This includes the insertion of implants (screws, rods) to reinforce and hold the vertebral structure in place, thus limiting the risk of vertebral slippage.
Purpose of the operation
The main aim is to decompress the nerves by widening the vertebral canal, in order to relieve radiating pain in the legs. Post-operative rehabilitation helps restore mobility and strengthen back muscles.
FAQ
Answers for our patients
If you have any further questions, please do not hesitate to contact us.
How can I make an appointment?
You can book an appointment directly on our website or by telephone on 04 72 43 03 43 (choice 1).
How long does it take to get an appointment?
Appointments take around 1 to 2 months. In an emergency, your GP can contact us directly by email.
How does the first consultation work?
At your first consultation, you will complete an iPad questionnaire in the waiting room so the doctor has your information in advance. The consultation will then determine whether surgical or non-surgical treatment is needed.
What documents should I bring to my visit?
Please bring your carte vitale, your GP's referral letter, and any radiological examinations already carried out.
