Dr. Abhinav Singhal is a highly skilled Orthopedic Surgeon in Ghaziabad with over 10 years of experience, specializing in joint arthroscopy, joint replacement, and complex trauma care.
Lumbar spondylosis refers to degenerative changes in the lower spine (lumbar region), including:
Disc degeneration
Facet joint arthritis
Bone spur (osteophyte) formation
It’s essentially “wear and tear” arthritis of the lower back, often due to aging.
Lower back pain (dull, aching)
Stiffness, especially in the morning or after rest
Pain worsens with prolonged sitting or standing
Sciatica: Pain radiating to the legs (if nerve is compressed)
Numbness, tingling, or weakness in legs (in advanced cases)
Reduced flexibility or difficulty bending
Symptoms improve with rest or position change
Clinical exam: Assess pain pattern, range of motion, nerve function
X-rays: Show disc space narrowing, bone spurs, facet joint changes
MRI: Reveals nerve compression, disc degeneration, spinal canal narrowing
CT scan: For detailed bony architecture (less common)
Nerve conduction tests (if significant leg symptoms)
✅ Effective in most patients
Activity modification (avoid prolonged sitting/lifting)
Physical therapy: Stretching, strengthening core/back
Pain relief:
NSAIDs (e.g., ibuprofen, naproxen)
Muscle relaxants
Neuropathic agents (gabapentin, pregabalin for nerve pain)
Heat/ice therapy
Weight loss (if applicable)
Postural correction
Epidural steroid injections (for nerve root inflammation)
Facet joint injections
Radiofrequency ablation (burns nerve endings supplying painful joints)
Only for severe or disabling symptoms, especially if:
Nerve compression causing leg weakness or bladder issues
Failed conservative treatment (>6–12 weeks)
Microdiscectomy: Removal of herniated disc material
Laminectomy: Decompress spinal canal
Spinal fusion: Stabilize the spine if instability is present
Chronic back pain
Progressive nerve damage (numbness, weakness)
Spinal stenosis
Reduced quality of life and mobility
Cauda equina syndrome (rare but serious)
F&Q'sNo, but symptoms can be well managed and progression slowed with the right treatment.
Yes! Low-impact exercises like walking, swimming, yoga are excellent. Avoid heavy lifting or impact sports.
Spondylosis = degenerative wear
Spondylolisthesis = one vertebra slips over another
If pain persists >6 weeks, or there’s leg pain, weakness, or numbness, your doctor may recommend MRI.
ACL reconstruction surgery involves replacing the torn ligament with a graft, usually taken from the patient’s own hamstring tendon or a cadaver donor. The goal of the surgery is to restore knee stability and function, allowing individuals to return to their pre-injury activity level.
Only 5–10% of patients with lumbar spondylosis require surgery.