Considered when: severe symptoms restrict normal daily activities and become more severe than you can manage. what is cialis Nonsurgical treatment does not relieve pain, and severe nerve compression symptoms of spinal stenosis (such as numbness or weakness) are getting worse. You are less able to control your bladder or bowels than usual. viagra 20 mg 2 tabletas You notice sudden changes in your ability to walk in a steady way, or your movement becomes clumsy. The decision to have surgery is not based on imaging test results alone. Even if the results of imaging tests show increased pressure on the spinal cord and spinal nerve roots, the decision to have surgery also depends on the severity of symptoms and your ability to do normal daily activities. In some cases, spinal fusion will be done at the same time to stabilize the spine. Spinal fusion might make it easier for you to move around (improve function) and relieve your pain. It can also help keep the bones from moving into positions that squeeze the spinal canal and put pressure on the spinal nerve roots. cost of viagra australia How well it works surgery for spinal stenosis usually is elective but may be recommended if symptoms cannot be relieved with nonsurgical treatment. viagra reviews young men In general, experts feel that surgery has good results and relieves pain in the lower extremities for people who have severe symptoms of spinal stenosis and who have few other serious health problems. Research shows that: surgery may work better than nonsurgical treatments to relieve pain and help you move better. cialis canada If nonsurgical treatments have not worked well enough, surgery might be able to help you. 1 by 3 months, people who had surgery notice more improvement in their symptoms and can be more active than people who did not have surgery. info cialis 1 this difference continues for at least 4 years after surgery. 2 the benefits of surgery appear to last for many years. cut viagra pill half After 8 to 10 years: people treated with surgery were as satisfied as those treated without surgery. People who had surgery were generally able to be more active and had less leg pain than those who had nonsurgical treatment. 3 surgery appears to be more effective for leg pain than for back pain, but it may help both. cialis online 4 but symptoms may return after several years. viagra cialis A second surgery may be needed if: spinal stenosis develops in another area of the spine. An earlier surgical procedure was not effective in controlling symptoms. Instability develops, or fusion does not occur. Regrowth of tissue (lamina) presses on the spinal cord or spinal nerve roots. buy cialis Spinal fusion may be done at the same time as decompressive laminectomy. Spinal fusion may help to stabilize sections of the spine that have been treated with decompressive laminectomy. In general, fusion is only done if an area of the spine is unstable, which means the bones of the spine (vertebrae) move too much or do not move in a normal way. This extra movement causes wear and tear on the nerves or other soft tissues, leading to i.

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