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The most common cause of back and lower back pain is lumbar spinal stenosis.

Lumbar Spinal Stenosis

Back pain and lower back pain often cause irritation and take a toll on the body. Some sufferers may not even be able to work or go about their daily routine. The most common cause of back and lower back pain is lumbar spinal stenosis.

Lumbar spinal stenosis is a narrowing of the spinal canal which houses nerves of the spinal cord. The narrowing may just be in one area of the spinal cord or more areas. It could be caused by the thickening of the bone, the thickening of the tendon, dislocation of the spinal disc, spondylolisthesis, or a combination of any of these factors.

Narrowing of spinal canal Most Common Causes

1.Defect of the spinal canal since birth

2.Degeneration of the spinal canal according to age

3.Illness or other factors such as illnesses related to the bones (osteoporosis, spondylosis)

Symptoms

Lumbar spinal stenosis causes back pain which can spread down to one leg or both legs at the same time. Patients may also feel a weakening of the leg muscle or pain in the legs and thighs which requires them to take frequent stops while walking. These are caused by pressure on the nerves or blood not flowing to the nerves. Walking will be impacted thus affecting patients’ daily living.

Moreover, patients may feel pain and numbness around the buttocks or the pelvis area and it may spread to the legs while walking or standing for a long period of time. It may also disrupt urination and bowel movement (such as not being able to hold urine, not being able to urinate, and/or constipation) and may even lead to impotency in men.

Most symptoms occur while bending over or sitting down. There are usually no symptoms and less pain when sleeping on the back or bending forward but bending backwards will cause symptoms to intensify.

When to See a Doctor

You should see a doctor if you have leg pain (some may not experience pain in the leg); intense back pain which affects walking and daily living and causes you to have to stop a lot while walking or be able to walk shorter distances; muscle atrophy in the legs; or abnormal urination or bowel movements. You should also see a doctor if you are experiencing leg pain along with fever, weight loss, loss of appetite, or pain while lying down or during nighttime. These may indicate an infection or spinal cancer.

Who’s Susceptible

1. Those aged 50 or above

2. Obese people

3. Those with diabetes

4. Women who reach menopause

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Benefits of PSLD Surgery

Small incision wound of just 0.5 centimeters in diameter
Less blood loss
Speedy recovery; patient would be able to get up after surgery
High level of safety
Low risk of infection
Requires just an overnight stay in hospital
Lower cost
Lessens damage to good tissue around wound
Immediate resumption of daily routine post-surgery

The endoscopic decompression is “a surgical instrument which is smaller than a pen.” It is a small pipe with a diameter of 5.0 millimeters and lens at one end. The edge of the lens is a little slanted for a better view of internal organs. Inside the pipe are fiber optic cables to aid in viewing as well as a small pipe to deliver water.

Procedure to Treat Lumbar Spinal Stenosis through PSLD

Once the patient is under anesthesia, the doctor will insert the endoscopic decompression into the 5.0 millimeter incision to the area of the nerves which are affected. There is no need to cut out muscles in working condition. The endoscopic decompression will help the doctor see the nerves clearly and cut out parts of any herniated discs, joints, or tendons which are putting pressure on the nerves. The procedure takes about 30-45 minutes and patients will be able to get up and walk about right after surgery.

Preventing Lumbar Spinal Stenosis

If you think you are at risk of developing lumbar spinal stenosis, here are steps you can take to try to prevent it from happening to you:

Lose weight to lessen the pressure on your spine
Treat and control your other chronic illnesses
Avoid bending over and sitting in the same posture for a long period of time
Adjust the way you use your back
Undergo physical therapy even when at home
Exercise daily but avoid excessive exercise

If you are experiencing back pain or have a spine-related condition and have not yet received treatment, we invite you to consult with our specialists for a comprehensive evaluation. Early assessment helps guide you toward a long-term recovery.
At our hospital, we offer a full range of modern treatment techniques and advanced medical equipment to support your healing journey.

Posterior Cervical Endoscopic Discectomy (PSCD)

Neck pain radiating down the arm is typically caused by nerve compression in the cervical spine. Increasingly, younger individuals are being diagnosed with cervical disc herniation due to daily lifestyle habits such as prolonged computer use, looking down at mobile phones for extended periods, poor posture, and injury from accidents.

Posterior Spinal Lumbar Discectomy (PSLD)

Lower back pain radiating down the leg often stems from nerve compression in the lumbar spine. This condition is common among working adults and the elderly, as well as those with habits that accelerate spinal degeneration—such as prolonged sitting or standing in the same position, improper lifting techniques, spinal injuries from accidents, and high-impact physical activities.

LASER

A herniated disc occurs when an intervertebral disc slips out of its normal position and may press on nearby nerves. This condition commonly affects the lumbar spine, particularly at levels L4-L5 and L5-S1. It typically results from age-related disc degeneration, prolonged sitting, improper lifting techniques, or spinal trauma from accidents.

Full Endo TLIF

Spondylolisthesis is a condition in which one vertebra slips forward out of its normal alignment. This commonly occurs in the lower spine, especially at the L5-S1 level. It is frequently found in older adults due to degenerative disc disease, where the weakening of spinal discs leads to instability and vertebral displacement.

Endoscopic ACDF

Endoscopic ACDF is a surgical procedure used to treat severe cervical disc degeneration or disc herniation in the neck. When the disc becomes too damaged to absorb shock or herniates and compresses the spinal nerves, it can cause radiating pain down the arms and hands, significantly affecting daily life.

Cement Injection

Vertebral fractures or collapses are serious spinal conditions that typically occur due to bone degeneration, accidents, or severe trauma. These injuries can lead to significant pain and impair mobility. They are mostly seen in patients aged 50 and above, especially those with underlying osteoporosis.

Nerve Root Block Injection (SNRB)

Patients suffering from back pain caused by inflammation of the nerve root or foramen—often due to herniated discs or spinal joint inflammation—may experience radiating pain along the nerve pathway, even if the condition is still in its early stages. In such cases, a Selective Nerve Root Block (SNRB) can help reduce inflammation and alleviate pain effectively.