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Lumbar stenosis with severe osteoporosis
My mom is 58 yrs old. Recently she is suffering from spinal canal stenosis of L 4-L5 due to grade 1 retrolisthesis of L4 over L5. Her L3-L4 L5-S1 discs are dessicated and she has annular tear at L3-L4. L4-L5 L5-S1 diffuse posterior bulge. Spinal canal 9.8mm at L 4-L5.She already had back surgery in 2001 as she was not able to walk.I don't know yet what was done during the surgery but she was able to walk and do her daily activities after that surgery. But for the last 8 months she is suffering from back pain again.
1)Tingling and numbing sensation in her feet while asleep.
2)Couldn't sit or walk for long time.
3) bladder functions intact.
She has severe osteoprosis also. My questions to you are:
1) Is she a candidate for surgery again. If yes what kind?
2) Can she do Lumbar Stenosis exercises using the Resistance Chair or same back pain exercises.
3) Right now she is just taking gabapentin 300mg bid and naproxen 500 mg bid to help her pain.Do you think of any addition ?
4) What is you opinion about epidural injection. How many and how often??

Thank you so much.I will appreciate your response.

Thanks




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