SPINAL STENOSIS

If you suffer from spinal stenosis, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

 

What is Spinal Stenosis?

Spinal stenosis occurs when the space within the spine becomes too narrow, placing pressure on the spinal cord and nerves. This condition most often affects the lower back and neck. Common causes include aging and degenerative changes, such as thickened ligaments or bone spurs. Symptoms, which may include pain, numbness, weakness, or tingling, often worsen with activity and improve with rest. Treatment options range from physical therapy and pain management to surgery, depending on the severity of symptoms and their impact on daily activities.

 

What are the symptoms of Spinal Stenosis?

Many people with spinal stenosis have no symptoms. When symptoms do appear, they usually develop gradually and worsen over time, depending on the affected area of the spine. Common signs include pain, numbness, or tingling that may radiate down the arms or legs. In severe cases, weakness or difficulty walking can occur, particularly if the spinal cord is compressed.

Symptoms may worsen when standing or walking for long periods and often improve with rest or a change in position. Bending backward can increase discomfort by further narrowing the spinal canal. If you experience these symptoms, consult a healthcare professional promptly. Early diagnosis and management can help relieve discomfort and prevent complications.

 

Spinal Stenosis in the lower back

Pain or cramping in one or both legs during prolonged standing or walking is a common symptom of spinal stenosis in the lower back. This discomfort results from pressure on nerves due to spinal canal narrowing. Symptoms often improve when bending forward or sitting, as these positions relieve nerve compression. If symptoms persist or worsen, seek medical evaluation for appropriate diagnosis and treatment.

 

Spinal Stenosis in the neck

Numbness, tingling, or weakness in the hands, arms, legs, or feet, as well as difficulty walking or maintaining balance, are common symptoms of spinal stenosis in the neck. Neck pain may also occur. In some cases, bowel or bladder problems can develop. These symptoms may worsen if untreated, so prompt medical evaluation is important for effective management.

 

What causes Spinal Stenosis?

The vertebrae make up the spine and stack on top of each other from the skull to the tailbone. These bones protect the spinal cord, which runs through an opening called the spinal canal.

Most cases of spinal stenosis result from a reduction in the open space within the spine.

  • Bone spurs: Paget’s disease or arthritis-related wear and tear can cause extra bone growth on the spine, which may press into the spinal canal.
  • Herniated discs: Bulging disc material can press into the spinal canal, narrowing the space around the spinal cord and nerves. This is a common cause of spinal stenosis.
  • Thick ligaments: Ligaments supporting the spine may become stiff and thick over time, pushing into the spinal canal.
  • Tumors: Tumors that develop inside the spinal cord can press on surrounding nerves. Although rare, this is a possible cause.
  • Spinal injuries: Trauma from car accidents, falls, or other incidents can cause spinal bones to break or shift out of place.
  • Surgery: Swelling of tissue after back surgery can also place pressure on the spinal cord or nerves.

 

What are the treatments for Spinal Stenosis?

 

Medication

Healthcare providers often prescribe nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, to reduce pain and inflammation from spinal stenosis. Tricyclic antidepressants taken at night can help manage chronic pain, while anti-seizure medications may relieve nerve-related pain. Opioids are sometimes used for severe pain but are typically reserved for short-term use due to the risk of addiction and side effects. Providers carefully weigh the risks and benefits before prescribing opioids.

 

Steroid shots

Anti-inflammatory medications, such as steroids or corticosteroids, help reduce inflammation and relieve pain caused by nerve root irritation.

Corticosteroid injections do not provide permanent relief but can significantly reduce inflammation and pain. Effects may last from one week to one year. In some cases, pain reduction allows patients to participate in physical therapy, which can strengthen muscles and potentially reduce the need for further treatment.

 

Physical Therapy

Physical therapists diagnose and treat conditions or injuries that limit daily activities. Patients are typically referred by their primary physician. Physical therapists help restore movement and range of motion affected by injury or disease.

 

If you would like to speak with an Orthopedic Foot and Ankle Specialist, give us a call at 817-697-4038 or contact us online. Telemedicine appointments are also available.