Spinal Stenosis

Overview

Spinal stenosis is a narrowing of the spaces within the spine, which puts pressure on the spinal cord and nerves. It is most common in the lower back (lumbar stenosis) and neck (cervical stenosis), and is usually caused by age-related wear and tear (osteoarthritis). Symptoms develop gradually and typically include pain that worsens with walking and improves with sitting or leaning forward.

Symptoms

Common Symptoms

• Back or neck pain
• Pain, cramping, or heaviness in the legs when walking (neurogenic claudication)
• Relief when leaning forward or sitting
• Numbness or tingling in the legs or arms
• Weakness in the legs or arms
• Difficulty balancing
• In severe cases: bladder or bowel dysfunction

Diagnosis

Diagnosis typically involves clinical evaluation, medical history, blood tests, and appropriate imaging studies. A healthcare provider will assess symptoms, order relevant laboratory work, and may refer to a specialist for confirmation.

Treatments

Treatment depends on the underlying cause and severity. Options may include medication, lifestyle modifications (diet, exercise, stress management), and ongoing monitoring. Always work with a qualified healthcare provider to develop an appropriate treatment plan.