Do You Have Lower Back Pain or Spinal Pressure?
Spinal stenosis is a narrowing of one or more areas in your spine, which can place pressure on the spinal cord and/or nerves at the place of compression. About 75% of the time, spinal stenosis occurs in the lumbar spine (low back), but it can also affect the neck area. Symtoms vary, depending on the location of the stenosis.
Cause/Risk Factors of Spinal Stenosis
Two risk factors for spinal stenosis are the aging process and genetic disorders. Causes of the condition include:
- Arthritis —both osteoarthritis and rheumatoid arthritis—can cause your spine to degenerate and may cause the production of bone spurs that can narrow your spinal passages.
- Paget’s disease, a condition that creates soft, weak bones that are prone to fractures.
- Spinal trauma, which includes car accidents or falls, can cause dislocations or fractures of one or more vertebrae that can displace bone and damage your spinal canal.
- Spinal tumors, which are abnormal growths that can form inside the spinal cord, within the membranes that cover the spinal cord, or in the space in-between the spinal cord and vertebrae.
Symptoms of Spinal Stenosis
Most people first notice symptoms of spinal stenosis after age 50. Depending on which nerves are affected, spinal stenosis can have a variety of symptoms:
- Leg pain or cramping: Compressed nerves in your lower (lumbar) spine can cause pain or cramping in your legs.
- Loss of bowel or bladder control: In cases of severe spinal stenosis, nerves to your bladder or bowel may be affected.
- Neck or shoulder pain: Compressed nerves in your neck can cause pain in your neck and/or shoulder—though spinal stenosis in your neck often causes no pain.
- Numbness, weakness, tingling: Spinal stenosis in your upper spine can cause. numbness, weakness or tingling in a leg, foot, arm or hand, which may, in turn, cause clumsiness or a lack of coordination.
Diagnosis of Spinal Stenosis
Spinal stenosis is often difficult to diagnose because its symptoms can be caused by other conditions. Quite often, people who develop stenosis have no history of back problems or recent injury.
- An MRI or CT scan is generally used to determine if spinal stenosis is the cause of the symptoms being experienced.
- A myelogram, which is an x-ray taken after a dye is injected into the spine, can also be used to diagnose spinal stenosis.
Treatment of Spinal Stenosis
At PMIR Medical Center, we understand that pain is a complex condition that affects the whole person—body, mind and spirit. We provide a comprehensive and multidisciplinary approach to treatment, customizing the most effective treatment plans for our patients and empowering them to become a collaborative partner in their recovery process.
Treatment options for spinal stenosis depend on the severity of the symptoms. Self-management techniques for spinal stenosis include getting adequate rest, exercising to build strength and endurance, and avoiding activities that cause adverse symptoms.
At PMIR, we offer treatment options for spinal stenosis that includes:
- Epidural steroid injections
- Facet block injections
- Nerve blocks
- Pain medicine management
- Radiofrequency ablation
- Vertebroplasty & Kyphoplasty
We specialize in non-medication-based therapies to help our patients achieve sustained pain relief. However, we do offer pain medication, when necessary, as a supplement to other treatment options.