One of the more common procedures is lumbar laminectomy spinal stenosis. This procedure involves removing the bones, ligaments, etc. that are compressing the nerves and it may be done with or without spinal fusion—a procedure to fuse the vertebrae together in an effort to improve stability of the spine. This decompression procedure can be done via an open procedure or a less invasive procedure that relies upon microscopes for “seeing” the area on which a surgeon is working. For an estimated 80% of patients this surgery results in a good to excellent lumbar spinal stenosis prognosis.
Electromyography, which should be accompanied by a nerve conduction velocity study (NCV), has the unique ability to detect nerve-root-level axon damage (damage to the tiny nerve fibers that makeup the nerve root) and will really finalize the diagnosis of disc-herniation-related radicular pain if found to be positive. This test also has the ability to differentiate between disc herniation-related sciatica and other causes of sciatica (., diabetes and herpes zoster), as well as differentiate between acute and chronic radicular pain.
When nerve roots in the cervical (neck) region of the spine become compressed due to a damaged disc or spinal stenosis, it can cause severe swelling, inflammation and pain that radiates through the neck and into the shoulders and arms. The cervical transforaminal epidural steroid injection, typically performed as an outpatient procedure, targets the exact affected nerve in the cervical vertebrae. The medication inside the injection itself is a combination of anesthetics and steroids, designed to bathe the nerve root, reduce inflammation and alleviate pain – Oftentimes right away.