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If you feel the need for constant rest while walking, pay attention if you have edema and numbness in your legs! Turkey Medicals member and JCI hospital Operator Doctor described the symptoms and treatment of narrow channel disease.

Complains of pain in the legs, numbness, circulatory disturbance, edema. These complaints are usually experienced on both legs. From day to day, the walking distance is getting shorter, and the person constantly needs rest while walking. All these complaints indicate a Narrow-Channel disease.

Specialist in Neurosurgery who provides information on the subject Surgeon Doctor “The disease of narrowing the diameter of the spinal canal in the lumbar region and causing various complaints by being under the pressure of nerve fibers passing through the canal is called a narrow canal. A narrow canal can sometimes be congenital, and it usually manifests itself with calcifications with aging, but it is also a common disorder in young people. Those seen at a young age are usually congenital, or sometimes lumbar curvatures, that is, they can also occur with scoliosis. It can be on more than one level, as well as on a single level,” he said.


Drawing attention to the symptoms that occur in the narrow channel, Op. Dr. “The symptoms that occur in the narrow canal are usually confused with a herniated disc, but the most important symptom of the narrow canal is that all the symptoms occur as a complaint that gradually increases in both legs. These complaints are low back pain, pain in both legs, numbness and electrification of both legs, swelling and edema of the legs. Another most important symptom is that the walking distance is shortened from day to day. In other words, a person who walks a kilometer distance without any rest barely starts to finish this distance with 2, 3 or even 4 breaks in time. If a vascular problem has not been detected in the legs of patients during research, a narrow channel will be visible on tomography, MRI, or X-rays from films taken to the waist. Sometimes, along with calcification, a hernia can also occur,” he said.


Noting that there is no chance to correct advanced narrow channel problems with medication, physical therapy, or manual therapy, Doctor said, ”Surgery usually comes up in treatments. As a surgical technique, if a young patient is at a very short distance, closed methods, micro-surgery or endoscopic methods are used if possible. But sometimes platinum surgeries, which are known to the public, are performed because there is a risk of slipping in the waist when there is more than one distance in the elderly and when decalcification is too much. Otherwise, the patient’s complaints related to the narrowing of the canal may pass, but this time the problems related to the waist shift will occur. Therefore, treatments are planned according to the patient in a narrow channel. A treatment plan is made according to which technique will be performed on the patient and which one will be relieved with it. A patient with advanced age and bone resorption needs to adjust the stabilization well. After surgery, the patient’s complaints before surgery can be resolved very quickly. The patient’s complaints stop when the circulation of that area, blood circulation, cerebrospinal fluid circulation comes back to normal. His gait improves, his numbness and pain disappear. The patient’s comfort of life is increasing, “ he said.


Referring to the rules that patients should pay attention to in the postoperative process, said, ”It is worth mentioning the factors that we can and cannot change in the narrow channel first of all. Factors that we cannot change are factors such as age, gender, menopause in women. Factors that we can change are weight problems, exercise, smoking, how to use the waist during the day, household chores and wrong bending and getting up. It may be in the patient’s hands to deconstruct the criteria that are among the factors that we can change to positive. After the surgeries, it is important for the patients to exercise, be careful not to gain weight, and do the bending and getting up correctly,” he said.


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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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