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Arachnoiditis is inflammation of the delicate, web-like membranes that cover the
spinal cord. It may result from infection, such as meningitis, or from trauma
such as a fall, surgery, lumbar puncture, or myelography (a test to diagnose disorders
of the spinal canal and cord). If the inflammation becomes chronic, it means that
the nerve roots (peripheral nerves exiting the spinal cord) are damaged.
As a result, people will experience chronic debilitating pain in the low back
and legs. Symptoms include weakness, numbness, tingling, stinging, and burning
in the legs. Non-surgical treatment focused on pain management is generally
recommended. Surgery to remove adhesions is generally not recommended because
scar tissue may continue to develop, and the spinal canal may be exposed to
additional trauma. Neurostimulation or intrathecal drug delivery may be considered
in instances where conservative pain management treatments, such as exercise or other manual techniques, have failed.

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| Published: March 17, 2005 |
Updated: January 21, 2008 |
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