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Spinal stenosis is a condition where the small spaces inside your backbone (your spine) become narrow. This narrowing can squeeze or put pressure on the nerves that travel through your spine. It most often happens in the lower back (lumbar stenosis) or the neck (cervical stenosis).
read more about spinal stenosis ...The most common cause of spinal stenosis is "wear and tear" from aging. As you get older, the cushioning (discs) between your bones can wear down. Your body may also grow extra bits of bone, called bone spurs, to try and support the spine. These changes can make the spinal canal smaller and pinch the nerves.
The symptoms depend on where the narrowing is. If it is in your lower back, you might have pain, numbness, or cramping in your legs. This often gets worse when you walk and feels better when you sit or lean forward. If it is in your neck, you might have pain, numbness, or weakness in your arms, hands, or legs, and you may have trouble with your balance.
A doctor will ask about your symptoms and do a physical exam. To confirm the diagnosis, your doctor will order imaging tests. An X-ray can show bone spurs, but an MRI or a CT scan is much better. These tests can show the nerves and the soft tissues, and they let the doctor see exactly where the spine is narrow.
There is no cure, but treatment can help with the pain. For most people, treatment includes physical therapy to build strength and flexibility. Pain medicines, like ibuprofen, can help. In some cases, a doctor may suggest an injection to reduce the swelling. Surgery is usually an option only if the pain is severe and other treatments have not worked.
Will spinal stenosis get worse?
For most people, spinal stenosis gets worse, but it usually happens very slowly over many years. Many people can manage their symptoms for a long time without surgery.
Will I need to have surgery?
Most people with spinal stenosis do not need surgery. It is usually for people who have severe pain that does not get better, or for people who have a lot of weakness or trouble walking.
Can exercise make it worse?
The wrong kind of exercise can, but the right kind is very helpful. A physical therapist can show you safe exercises to strengthen your muscles and help you feel better.
You should see a doctor if you have pain, numbness, or weakness in your legs or arms that does not go away. It is important to get checked if the pain in your legs makes it hard to walk. If you suddenly lose control of your bladder or bowels, you must go to an emergency room right away.