Q1: Which is the best doctor for Lumbar Spinal Stenosis in Singapore?
There is no single “best doctor” for lumbar spinal stenosis. The right specialist depends on your symptoms, overall health, and treatment preferences. Some people benefit from medication and physiotherapy, while others may require advanced non-invasive treatments or surgery. Accurate diagnosis through an MRI scan helps determine which option is most appropriate.
Q2: What are the common causes of Lumbar Spinal Stenosis, and when should I be concerned?
Lumbar spinal stenosis occurs when the spinal canal narrows, putting pressure on the spinal cord or nerves. Common causes include:
Age-related degeneration
Bulging or herniated discs
Thickened ligaments
Arthritis of the spine (facet joint or osteoarthritis)
Be concerned if you experience:
Pain, numbness, or weakness in the legs
Difficulty walking long distances (neurogenic claudication)
Numbness in the groin or loss of bladder/bowel control (urgent medical attention needed)
An MRI can confirm the extent of narrowing and guide safe, targeted treatment before nerve damage becomes permanent.
Q3: Should I consult a GP for Lumbar Spinal Stenosis?
A GP can evaluate your symptoms, prescribe medication for pain and inflammation, and refer you for imaging or specialist care. However, painkillers only provide temporary relief and do not correct the underlying spinal compression. Long-term use of medications such as NSAIDs or muscle relaxants can have side effects, so further assessment is advisable if symptoms persist beyond two to four weeks.
Q4: Should I see an Orthopaedic Surgeon for Lumbar Spinal Stenosis?
Orthopaedic surgeons specialize in spinal conditions and can evaluate if surgery is needed to decompress the spinal canal. Surgery may be considered when:
There is persistent nerve pain or weakness
Walking distance is severely limited
Conservative treatments fail to relieve symptoms
Surgical costs in Singapore can range from four to five figures, depending on the complexity and insurance coverage. Patients should discuss potential benefits, recovery times, and risks before proceeding.
Q5: When should I see a Rheumatologist for Lumbar Spinal Stenosis?
You may see a rheumatologist if your symptoms are linked to inflammatory or autoimmune spinal conditions, such as ankylosing spondylitis. Rheumatologists can prescribe specialized medications (like DMARDs or biologics) and monitor for side effects. They are especially important if your back stiffness is worse in the morning or associated with other joint symptoms.
Q6: Are there non-surgical treatment options for Lumbar Spinal Stenosis?
Yes. Dr Terence Tan at The Pain Relief Clinic offers a range of non-invasive therapies for patients with lumbar spinal stenosis. With over 18 years of experience since 2007, he focuses on restoring function and reducing inflammation without surgery.
Consultations start at $50
MRI scans under $1000, typically arranged within one working day
Suitable for patients seeking a second opinion before surgery or prolonged medication use
These methods aim to improve comfort and mobility through targeted, evidence-based care.
Q7: Can physiotherapy help with Lumbar Spinal Stenosis?
Yes. Physiotherapy can strengthen the back and core, improve posture, and reduce nerve compression symptoms. At The Pain Relief Practice, therapies such as shockwave therapy and spinal decompression are used to relieve pressure on the spinal canal and improve walking tolerance. These advanced options often achieve faster results than conventional manual therapy alone.
Q8: Are there home physiotherapy options for Lumbar Spinal Stenosis?
Yes. PhysioLife offers home physiotherapy and HotHeal therapy, allowing patients to receive care safely and comfortably at home. This approach is ideal for seniors or those who find traveling to a clinic difficult. Regular sessions support flexibility, circulation, and gradual symptom relief.
Conclusion
There is no single “best doctor” for lumbar spinal stenosis. The right choice depends on diagnosis, symptom severity, and lifestyle goals. An early MRI scan provides clarity, and non-invasive or regenerative treatments at clinics such as The Pain Relief Clinic can often restore mobility and relieve pain before surgery becomes necessary.
