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CAUSES OF CHRONIC BACK PAIN: LUMBAR STENOSIS
Another cause of chronic back pain is lumbar stenosis, a narrowing of the spinal canal that contains nerve roots coming from the spinal cord. It causes pressure on the nerves and, in many cases, pain is felt in both legs when the patient walks or engages in other mobile activity.
For people with lumbar stenosis, the pain often stops when their walking stops. Over time, the distance they can walk before they feel pain becomes shorter and shorter. This problem commonly happens in people with arthritis in the lower back, especially those with osteoarthritis.
We recently saw a 67-year-old woman who had felt pain in the lower back over the past year. She felt pain when she walked, and it traveled down the back of both legs. She found that when she walked a few blocks the pain started, but it stopped quickly when she rested. She was bothered by the fact that during the past year she had become able to walk only shorter and shorter distances. She had been very active and the problem was limiting her travel and volunteer work.
Magnetic resonance imaging (MRI) showed that she had] lumbar stenosis. After surgery to remove the bone and other tissue causing pressure on the nerves, her pain was relieved and she is now walking without limitations.
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