Spinal Stenosis
Spinal stenosis is a condition where the spinal canal becomes abnormally narrowed, placing pressure on the spinal cord and nerves. It most often develops in people over 50 due to natural age-related changes in the spine, but it can also be linked to arthritis, scoliosis, or prior spine injuries. While spinal stenosis is common, the symptoms can interfere with daily life if left understand.
Take Control of Your Spine Health
Spinal stenosis may be a natural part of aging, but that doesn’t mean you have to live with constant back or neck pain. With the right treatment plan, you can manage your symptoms, stay mobile, and continue doing the activities you enjoy.
Diagnosis of Spinal Stenosis
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To diagnose spinal stenosis, your doctor will:
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Review your medical history and symptoms.
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Perform a physical exam to test strength, reflexes, and mobility.
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Order imaging tests such as an MRI, CT scan, or X-ray to confirm narrowing of the spinal canal and identify the affected areas.
Physical Therapy and Treatment for Spinal Stenosis
While spinal stenosis cannot be reversed, physical therapy can make a big difference in managing pain and maintaining function. Treatment may include:
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Targeted exercises to strengthen the core and support the spine
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Stretching and mobility work to reduce stiffness
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Posture training to relieve pressure on the spinal nerves
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Heat, ice, or massage therapy for symptom relief
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Activity modifications to make walking, sitting, or standing more comfortable
In some cases, your doctor may also recommend medications, injections, or surgery and physical therapy can play a key role in recovery before and after these procedures.
Types of Spinal Stenosis
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Lumbar Spinal Stenosis (Lower Back):
The most common type, often causing pain in the low back, buttocks, or legs. People may also experience numbness, tingling, or weakness in the legs and feet. In some cases, lumbar stenosis may contribute to sciatica, where pain radiates down one leg. -
Cervical Spinal Stenosis (Neck):
Narrowing in the cervical spine is less common but more serious. It can compress the spinal cord, leading to weakness, coordination issues, or in severe cases, paralysis. -
Thoracic Spinal Stenosis (Mid-Back):
Much less common but can cause pain or stiffness in the mid-back area.
Symptoms of Spinal Stenosis
Spinal stenosis can range from mild to severe. Common symptoms include:
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Back or neck pain
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Numbness, tingling, or “pins and needles” in the arms, legs, or feet
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Muscle weakness
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Difficulty walking or balancing
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Pain that worsens when standing or walking but improves when sitting or leaning forward
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In more advanced cases: loss of bladder or bowel control (a medical emergency)