Spinal stenosis or narrowing of the spinal canal

can be asymptomatic or symptomatic.  In either case, the canal through which the spinal cord and nerve roots run becomes narrow.  This may result from bulging/herniated discs, a shift two adjacent vertebrae (spondylolisthesis), bone spurs, enlarging of the facet joints, or buckling/enlarging of the spinal canal ligament. 

Stenosis

creates abnormal pressure on the spinal cord and nerves causing a myriad of symptoms including pain, leg cramping, numbness, tingling and weakness.   When the spinal cord is being compressed symptoms may include imbalance, or difficulty with fine movements of your hands.  As the condition progresses, muscular weakness, loss of reflexes, and a condition known as foot drop can develop.  In severe cases, abnormalities with bowel or bladder function can occur.  These symptoms from spinal cord compression are referred to as myelopathy and can be irreversible.

Common treatments

for spinal stenosis include physical therapy, anti-inflammatory medication, pain medication, exercise, and chiropractic adjustments.  Epidural steroid injections are often used to help decrease inflammation of the nerves to reduce pain.  Physical therapy can be used to increase core strength to stabilize the spine so there is less micro-motion through the spine, less irritation of the nerve and therefore less pain.  When these treatments fail, minimally invasive or advanced surgical procedures can be performed.  Our surgeons are available for consultation on  the many options available to patient with spinal stenosis.