Spinal stenosis is a medical condition characterized by the narrowing of the spaces within the spine, which puts pressure on the nerves traveling through the spinal canal. This narrowing can occur in various regions of the spine, including the cervical (neck) and lumbar (lower back) regions. As the spaces within the spine become restricted, it can lead to compression of the spinal cord and nerves, resulting in pain, numbness, weakness, and other symptoms.
The most common cause of spinal stenosis is aging. As people age, the structures within the spine, such as the bones, ligaments, and discs, undergo degenerative changes; better known as arthritis. This can lead to the formation of bone spurs, thickening of ligaments, and bulging or herniation of intervertebral discs, all of which can contribute to narrowing of the spinal canal. Other factors that can contribute to spinal stenosis include genetics, injuries to the spine, and certain medical conditions such as arthritis and scoliosis.
Symptoms of spinal stenosis can vary depending on the location and severity of the narrowing. In the lumbar spine, symptoms may include lower back pain, buttock pain, numbness or tingling in the legs, weakness in the legs, and difficulty walking or standing for long periods. In more extreme and severe cases, spinal stenosis can lead to bowel or bladder dysfunction and difficulty controlling leg movements, a condition known as cauda equina syndrome.
Diagnosing spinal stenosis typically involves a combination of medical history, physical examination, and imaging tests such as X-rays, MRI (magnetic resonance imaging), or CT (computed tomography) scans. These tests can help us visualize the narrowing of the spinal canal and determine the extent of compression on the spinal cord and nerves.
Treatment for spinal stenosis aims to relieve symptoms, improve mobility, and prevent further progression of the condition. In our office we can offer mobilization or manipulation, adjunctive therapy to help with inflammation and possibly non-surgical spinal decompression with the DRX9000. After an evaluation if you need a more aggressive type of treatment, we can help you find a surgeon. With proper management, many people with spinal stenosis can effectively manage their symptoms and maintain a good quality of life.
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To reach Dr. Guadagnino at his Ramsey, NJ office: email DrMGuad@gmail.com and follow him on Instagram @Dr._Guadagnino & YouTube @Dr.MichaelGuadagnino
Dr. Michael Guadagnino 