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Narrowing of the spinal canal

Spinal Stenosis

Spinal stenosis is a gradual narrowing of the spinal canal that compresses the nerves running through it. It typically develops slowly and responds well to non-surgical treatment.

Overview

About Spinal Stenosis

Spinal stenosis refers to a narrowing of the spaces within the spinal canal that puts pressure on the spinal cord and nerve roots. It most commonly affects the lumbar (lower back) and cervical (neck) regions.

Stenosis typically develops slowly with age, often from degenerative changes, thickened ligaments, or bone spurs. Many patients notice symptoms improve when bending forward or sitting — a classic clue our specialists look for during evaluation.

Common symptoms

  • Back or neck pain that worsens with standing or walking
  • Leg cramping, heaviness, or weakness with activity
  • Numbness or tingling in the legs, feet, or arms
  • Relief when bending forward, sitting, or leaning on a cart
  • In severe cases, changes in balance or bladder function
Causes & risk factors

What causes spinal stenosis

01

Age-related degenerative changes of the spine

02

Herniated discs and thickened spinal ligaments

03

Bone spurs from osteoarthritis of the facet joints

04

Prior spinal injury or instability

05

Congenital narrow canal or structural disorders

Diagnosis

How we identify it

Accurate diagnosis comes first — so every treatment is aimed at the true source of pain.

  • 01Medical history and physical exam focused on standing and walking tolerance
  • 02MRI or CT imaging to map the area and degree of canal narrowing
  • 03Selective nerve blocks when needed to confirm symptomatic levels
Treatment options

How we treat spinal stenosis

Epidural steroid injections

01

Image-guided injection to reduce inflammation around compressed nerves and improve walking tolerance.

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Physical therapy

02

Flexion-based exercises, core strengthening, and gait training to open the spinal canal and improve function.

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Activity modification and bracing

03

Targeted changes in posture, lifting mechanics, and supportive bracing to reduce symptom flares.

Regenerative options

04

PRP and other regenerative therapies for select patients with degenerative facet or disc contributors.

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When to seek care

When to see a specialist

See a specialist if leg cramping or weakness shortens your walking distance, if symptoms are progressing, or if you experience new numbness, balance issues, or bladder changes.

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All common symptoms

  • Back or neck pain that worsens with standing or walking
  • Leg cramping, heaviness, or weakness with activity
  • Numbness or tingling in the legs, feet, or arms
  • Relief when bending forward, sitting, or leaning on a cart
  • In severe cases, changes in balance or bladder function

Get expert care for spinal stenosis

Request a consultation and our specialists will identify the source of your pain and build a treatment plan around it.

Book Free Consultation