03/03/2026
Spinal stenosis is one of the most common conditions I treat - let's break it down! π
What is it? Narrowing of the spinal canal (where your spinal cord and nerves live). Think of it like traffic trying to go through a tunnel that's getting smaller.
What causes stenosis?
β’ Degenerative wear and tear (most common - happens with aging)
β’ Thickened ligamentum flavum
β’ Bulging discs
β’ Bone spurs (osteophytes)
β’ Facet joint hypertrophy
Lumbar stenosis symptoms:
β’ Leg pain/numbness with standing or walking
β’ Pain IMPROVES when sitting or bending forward
β’ "Shopping cart sign" (leaning on cart feels better)
β’ Both legs affected
β’ Trouble walking distances
Cervical stenosis symptoms:
β’ Can be more serious! (spinal cord compression)
β’ Arm pain, numbness, weakness
β’ Hand clumsiness (dropping things, trouble buttoning)
β’ Balance problems
β’ Leg weakness or gait changes
Treatment options:
Conservative:
β’ Physical therapy (core strengthening!)
β’ Anti-inflammatory medications
β’ Epidural steroid injections (can be very helpful!)
β’ Activity modification
β’ Weight loss if applicable
Surgical (when conservative isn't enough):
β’ Laminectomy: Remove part of bone/ligament to decompress
β’ Foraminotomy: Open up nerve exit holes
β’ Sometimes fusion needed if instability present
β’ Minimally invasive approach when possible!
Important: Stenosis is PROGRESSIVE. It won't go away on its own, but progression is usually slow! Not everyone needs surgery.
Can't walk more than a block without leg pain? Let's evaluate your stenosis!
π 386-222-2792