Above: This picture illustrates the nerve compression associated with Spinal Stenosis.
Spinal stenosis is a condition that occurs when the channels in the spine that contain the spinal cord and nerve roots become narrowed or restricted. The word ‘stenosis’ is the medical term for narrowing. Spinal stenosis can squeeze nerves and the spinal cord and can lead to pain in the lower back and legs or in the neck, arms and hands, depending on where the narrowing is located.
Spinal stenosis is unfortunately quite common, and is usually caused by osteoarthritis of the spinal column. People suffering from spinal stenosis may have trouble walking for any length of time and may need to sit down frequently or lean over to relieve the pain. Or they may have tingling, pain or numbness that runs down their arm and into the hand. In some cases, there may be no symptoms at all since narrowed channels in the vertebrae do not always compress the spinal cord or nerves.
Although spinal stenosis can be found in any part of the spine, the lumbar and cervical areas are the most commonly affected
Lumbar Spinal Stenosis
Lumbar spinal stenosis can cause pain or cramping in your legs when you stand for long periods of time or when you walk. The discomfort usually eases if you bend forward or sit down, but comes back when you stand upright. In medical terms, this pain is referred to as pseudoclaudication, false claudication or neurogenic intermittent claudication.
A herniated disk can compress nerves in your spine leading to pain that starts in your hip or buttocks and extends down the back of your leg. The pain is worse when you’re sitting and generally affects only one hip and leg. Other symptoms may include numbness, weakness or tingling in the leg or foot. In severe cases of lumbar spinal stenosis, nerves to the bladder or bowel may be compressed, which can lead to partial or complete incontinence. Anyone who experiences problems controlling their bladder or bowels should seek immediate medical attention.
Cervical Spinal Stenosis
Cervical Spinal Stenosis can cause pain in the neck and shoulders. The pain may be occasional or chronic and can range from mild to severe. It may radiate down your arm or hand, and can cause headaches, numbness or muscle weakness. It can also affect the nerves that control your balance which can lead to clumsiness or a tendency to fall.
If you have been diagnosed with spinal stenosis and told that you either need surgery or have to learn to live with the pain, we want you to know that you do have other options. Many non-surgical techniques are painless and effective at treating spinal stenosis, and we’d love to discuss treatment options with you for your specific case.