Spinal Stenosis

Symptoms of Spinal Stenosis

The symptoms of spinal stenosis often develop gradually over time. The specific symptoms you experience will depend on the location and severity of the stenosis:

• Lumbar Spinal Stenosis (Lower Back):
• Leg Pain (Neurogenic Claudication): This is a hallmark symptom, characterized by pain, cramping, weakness, or numbness in the legs and buttocks, especially when walking or standing for extended periods. The pain typically eases with sitting or bending forward.
• Back Pain: You may experience dull or aching pain in the lower back.
• Numbness or Tingling: Sensations of pins and needles in the legs or feet.
• Weakness: Weakness in the legs or feet.
• Cervical Spinal Stenosis (Neck):
• Neck Pain: Pain in the neck that may radiate into the shoulders, arms, or hands.
• Numbness or Tingling: Sensations in the arms, hands, fingers, or sometimes legs.
• Weakness: Weakness in the arms, hands, or legs.
• Problems with Balance and Coordination: In severe cases.
• Bowel or Bladder Dysfunction: This is rare but can occur with severe spinal cord compression.

Causes and Risk Factors of Spinal Stenosis

Spinal stenosis is often a result of age-related degenerative changes in the spine. Other contributing factors include:

• Osteoarthritis: The wear and tear of cartilage in the spine can lead to the formation of bone spurs (osteophytes) that narrow the spinal canal.
• Herniated Discs: A herniated disc can also contribute to the narrowing of the spinal canal.
• Thickened Ligaments: Ligaments in the spine can thicken over time, encroaching on the space within the spinal canal.
• Spinal Injuries: Trauma to the spine can lead to spinal stenosis.
• Congenital Spinal Stenosis: Some individuals are born with a naturally narrow spinal canal.
• Spinal Tumors: In rare cases, tumors can grow within the spinal canal, causing stenosis.

Diagnosis of Spinal Stenosis

Diagnosing spinal stenosis at Ortho 1 Medical Group involves a comprehensive evaluation:

• Physical Examination: Your doctor will assess your symptoms, reflexes, muscle strength, and ability to walk.
• Medical History: We will discuss your symptoms, their progression, and any relevant medical history.
• Imaging Tests:
• Magnetic Resonance Imaging (MRI): An MRI is often the best way to visualize the spinal canal, nerves, and soft tissues, clearly showing the extent of spinal stenosis.
• Computed Tomography (CT) Scan: A CT scan can provide detailed images of the bony structures and may be used in conjunction with a myelogram to visualize the spinal canal.
• X-rays: While X-rays don't show soft tissues, they can reveal bone spurs and spinal instability.
• Electromyography (EMG) and Nerve Conduction Studies (NCS): These tests can help determine if the nerves are being compressed and the severity of the compression.

Non-Surgical Treatment Options for Spinal Stenosis

Many individuals with spinal stenosis can find relief through non-surgical treatments, including:

• Pain Medication: Over-the-counter and prescription pain relievers can help manage pain and inflammation.
• Physical Therapy: Exercises can help strengthen back and abdominal muscles, improve balance, and maintain flexibility.
• Epidural Steroid Injections: These injections can reduce inflammation and pain around the spinal nerves.
• Activity Modification: Avoiding activities that worsen your symptoms can provide relief.
• Assistive Devices: Walkers or canes can provide support and help alleviate leg pain associated with lumbar stenosis.

Surgical Treatment Options for Spinal Stenosis

Surgery may be considered if non-surgical treatments fail to provide adequate relief and your symptoms significantly impact your quality of life. Surgical options for spinal stenosis include:

• Laminectomy: This is a common procedure that involves removing the bony arch (lamina) of a vertebra to create more space for the spinal nerves.
• Foraminotomy: This procedure widens the openings (foramina) where nerve roots exit the spinal canal, relieving pressure on the nerves.
• Spinal Fusion: In some cases, if there is spinal instability along with spinal stenosis, a spinal fusion may be performed to stabilize the spine. (Link to the dedicated Spine Fusion page)

Recovery and Rehabilitation After Spinal Stenosis Treatment

Recovery after spinal stenosis treatment depends on the approach taken. Non-surgical recovery involves gradually increasing activity levels and continuing with physical therapy. Surgical recovery typically involves a period of rest followed by physical therapy to regain strength, flexibility, and function. Our team at Ortho 1 Medical Group will provide you with comprehensive post-operative care and guidance.

Why Choose Ortho 1 Medical Group for Spinal Stenosis Care?

At Ortho 1 Medical Group, we offer:

• Experienced Spine Specialists: Our team has extensive experience in diagnosing and treating spinal stenosis.
• Advanced Diagnostic Technology: We utilize state-of-the-art imaging to accurately assess your condition.
• Personalized Treatment Plans: We tailor our treatment strategies to your specific needs and symptoms.
• Comprehensive Care: From conservative management to advanced surgical techniques, we provide a full spectrum of care.
• Patient-Focused Approach: We are committed to providing compassionate and effective care to help you find relief from spinal stenosis.

If you are experiencing symptoms of spinal stenosis, especially if an MRI has confirmed the diagnosis, contact Ortho 1 Medical Group today for a consultation.