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The treatment options for ligamentum flavum hypertrophy depend on the severity of thickening. Mild thickening without significant symptoms can be treated conservatively with pain medications and physical therapy.
Back Pain: Enlarged ligamentum flavum can contribute to chronic lower back pain, especially in the lumbar (lower) spine. Nerve Compression: As the ligament thickens, it can compress nearby spinal nerves, causing symptoms such as radiating pain, numbness, tingling, or weakness in the legs.
Needle procedure for thickened ligaments. Sometimes, the ligament at the back of the lower spine, also called the lumbar spine, gets too thick. Needlelike tools inserted through the skin can remove some of the ligament. This can create more space in the spinal canal to reduce pressure on nerve roots.
Non-Surgical Treatment Options. Many individuals experiencing symptoms of flaval ligament thickening can find relief through various non-surgical treatments aimed at managing symptoms and improving spinal health:
The ligamentum flavum is 2- to 3-mm thick and is composed of elastin and collagen fibers in a 2:1 ratio; the elastin fibers provide elasticity, and the collagen fibers provide tensile strength and stability.
Preventing & Treating Thickening of Spinal Ligaments. To maintain stability, the spine needs support from some tissues that are tough and firm. In a nutshell, this is what spinal ligaments called ligamentum flavum do. These tough fibers connect spinal bones (vertebrae) together.
Inflammatory changes may be an inciting factor for LF thickening. Thickening of the LF is most commonly attributed to “buckling” of the LF into the spinal canal secondary to loss of intervertebral disk height 1 – 3; however, it is uncertain whether thickening can be present in the absence of DSN.
The thickness of the LF correlated significantly with PC (26:0)+H+ in HLF. We identified the enriched specific PCs, Cers, OAHFAs, and TGs in HLF. Similar content being viewed by others.
The hypertrophic ligamentum flavum can directly compress the spinal canal, squeeze the cauda equina, and simultaneously lead to a reduction in the anteroposterior diameter of the intervertebral foramen, which compresses the nerve roots and causes numbness and other symptoms of lower extremities.
Treatment. Lateral recess stenosis (LRS) is the narrowing of the space within the spinal canal that is located toward the sides. Called the lateral recess, or Lee's entrance, this passageway for nerves is close to the spinal nerve root.