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Spinal Stenosis

Spinal stenosis is a common condition that occurs when the spaces within the spine narrow, putting pressure on the spinal cord and the nerves that travel through the spine. This compression can cause pain, numbness, weakness, and difficulty with movement. Spinal stenosis most often affects the lower back (lumbar spine) and the neck (cervical spine). It is typically caused by age-related changes in the spine, but other underlying conditions can also contribute to the narrowing of the spinal canal. Understanding the causes, symptoms, and treatment options for spinal stenosis can help patients manage their condition and improve their overall quality of life.

What Causes Spinal Stenosis?

Spinal stenosis can develop for a variety of reasons, including:

  • Arthritis: Osteoarthritis can lead to the growth of bone spurs and thickened ligaments, which reduce the space available for the spinal cord and nerves.
  • Degenerative Disc Disease: As the discs between the vertebrae lose height and hydration, they can bulge or collapse, reducing the space in the spinal canal.
  • Herniated Disc: When a disc ruptures, the inner material can press against the spinal cord or nerves, contributing to stenosis.
  • Thickened Ligaments: Over time, the ligaments that hold the vertebrae together can become thickened and stiff, narrowing the spinal canal.
  • Spinal Injuries: Trauma from a fall, car accident, or sports injury can cause swelling and structural damage, leading to narrowing of the spinal canal.
  • Congenital Stenosis: Some individuals are born with a naturally narrow spinal canal, which can lead to early onset of symptoms.

Symptoms of Spinal Stenosis

Symptoms of spinal stenosis can vary depending on the location and severity of the narrowing. Common symptoms include:

  • Pain in the Lower Back or Neck: Persistent or intermittent pain, which may worsen with movement or prolonged standing.
  • Radiating Pain: Pain that travels down the arms or legs, often described as a burning or electric sensation.
  • Numbness and Tingling: A “pins and needles” sensation in the extremities, especially when walking or standing.
  • Muscle Weakness: Weakness in the legs or arms, which can lead to balance issues or difficulty with coordination.
  • Cramping: Muscle cramping or spasms, particularly in the legs, which may improve when sitting or bending forward.
  • Difficulty Walking: Symptoms such as leg weakness, numbness, and pain may worsen after walking short distances, causing the need to sit down for relief.
  • Loss of Bladder or Bowel Control: In severe cases, spinal stenosis can cause issues with bladder or bowel function, requiring immediate medical attention.

Diagnosing Spinal Stenosis

At Ascent Pain, diagnosing spinal stenosis begins with a thorough medical history and physical examination. Your pain specialist will assess your posture, muscle strength, and reflexes. Imaging tests such as X-rays, MRI scans, or CT scans can provide detailed images of the spine and reveal the extent of the narrowing and any pressure on the spinal cord or nerves. In some cases, a myelogram (an imaging test using contrast dye) may be used to better visualize the spinal cord and nerve roots.

Treatment Options for Spinal Stenosis

The goal of treating spinal stenosis is to relieve pressure on the spinal cord and nerves, reduce pain, and improve mobility. At Ascent Pain, we offer a variety of non-surgical and minimally invasive treatments designed to target the source of the problem, including:

  • Epidural Steroid Injections: Anti-inflammatory medication is injected directly into the affected area to reduce inflammation and relieve pain.
  • Facet Joint Injections: These injections deliver medication into the small joints of the spine to reduce inflammation and improve mobility.
  • Nerve Blocks: A targeted injection that can block pain signals and provide temporary relief from symptoms.
  • Spinal Cord Stimulation: Electrical impulses are used to interfere with pain signals before they reach the brain.
  • Minimally Invasive Surgery: In cases where conservative treatments are not effective, surgical options such as laminectomy or foraminotomy may be recommended to relieve pressure on the spinal cord and nerves.

Get Relief from Spinal Stenosis Today

If you are struggling with pain or limited mobility due to spinal stenosis, Ascent Pain can help. Our experienced pain specialists will create a customized treatment plan to target the source of your discomfort and restore your quality of life. Don’t let spinal stenosis control your mobility—schedule a consultation today.

Call Ascent Pain at (504) 249-7576 or fill out our online form to request an appointment and take the first step toward lasting relief.