Spinal Stenosis Explained

What Is Spinal Stenosis?

Spinal stenosis occurs when the spaces within the spine narrow, placing pressure on the spinal cord and nerves. The pressure on the nerves can result in different symptoms like pain, tingling sensations, numbness, and weakness that may affect different areas of the body.

When spinal stenosis occurs in the lower back, it's referred to at lumbar stenosis. The pain occurs in portion of the lower back where the spinal canal narrows and can cause significant pain. Cervical stenosis, also known as cervical stenosis, happens in the neck and can lead to similar symptoms that affect daily activities.

While some people may have spinal stenosis without symptoms, others experience chronic pain and mobility challenges. Understanding the causes and treatment options is key to managing this condition effectively.

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What Causes Spinal Stenosis?

There are several reasons why spinal stenosis develops, but the most common causes include:

1. Age-Related Degeneration

Over time, wear and tear on the spine can lead to arthritis, bone spurs, and disc degeneration, all of which contribute to spinal narrowing.

2. Herniated Discs

When the soft cushions between your vertebrae rupture, they can push against spinal nerves, causing pain and inflammation.

3. Thickened Ligaments

The ligaments in the spine can thicken and harden with age, reducing space in the spinal canal.

4. Spinal Injuries

Car accidents, falls, or sports injuries can damage the spine, leading to swelling or structural changes that narrow the spinal canal.

5. Congenital Spinal Stenosis

Some individuals are born with a naturally narrow spinal canal, making them more susceptible to symptoms as they age.

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Recognizing the Symptoms of Spinal Stenosis

Symptoms of spinal stenosis can vary based on its location and severity. Below are the most common signs to look out for:

Lumbar Spinal Stenosis (Lower Back)

• Lower back pain
• Numbness or tingling in the legs or feet
• Leg weakness or heaviness, especially when walking
• Pain relief when sitting or bending forward

Cervical Spinal Stenosis (Neck)

• Neck pain and stiffness
• Tingling or numbness in arms or hands
• Difficulty with balance and coordination
• In severe cases, loss of bladder or bowel control

If you're experiencing any of these symptoms, it’s important to seek medical attention. Spinal stenosis can worsen over time without proper treatment.

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How Is Spinal Stenosis Diagnosed?

A combination of diagnostic tools to assess spinal stenosis, including:

• Physical Exam: Evaluating the range of motion, reflexes, and muscle strength
• X-rays: Identifying bone spurs or narrowing in the spine
• MRI Scans: Providing detailed images of the spinal cord, discs, and nerves
• CT Myelogram: Using contrast dye to highlight spinal compression

A proper diagnosis helps Dr. Anderson a treatment plan just for you.

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Non-Surgical Treatments for Spinal Stenosis

Many patients can manage spinal stenosis without surgery. Here are some of the most effective non-invasive options:

1. Physical Therapy

Strengthening core muscles and improving flexibility can reduce pressure on the spine and enhance mobility.

2. Medications

• NSAIDs (like ibuprofen) help reduce inflammation and pain.
• Muscle relaxants can relieve tension and spasms.
• Nerve pain medications like gabapentin can ease nerve-related discomfort.

3. Epidural Steroid Injections

Steroid injections into the spine can reduce inflammation and provide temporary pain relief.

4. Chiropractic Care & Acupuncture

Patients looking for non-invasive treatments may find chiropractic adjustments and/or acupuncture to be beneficial. Some patients report these treatments help with spinal alignment and nerve function.

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When Is Surgery Necessary?

For severe cases of spinal stenosis that do not respond to conservative treatments, surgery may be advised.

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Common Surgical Procedures for Spinal Stenosis

• Laminectomy: Removes part of the vertebrae to relieve nerve pressure.
• Laminotomy: A minimally invasive procedure that creates more space for
• Spinal Fusion: Stabilizes the spine by fusing two vertebrae together.

At Brazos Valley Pain Specialists, we focus on minimally invasive techniques whenever possible to promote faster recovery and less post-surgical pain.

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Lifestyle Changes to Help Manage Spinal Stenosis

Beyond medical treatments, adopting certain lifestyle changes can help reduce symptoms and improve your overall spinal health.

1. Maintain a Healthy Weight

Excess weight puts additional stress on the spine, worsening symptoms. A balanced diet and exercise can make a significant difference.

2. Stay Active with Low-Impact Exercises

Activities such as swimming, walking, and yoga help keep the spine flexible without overloading it.

3. Improve Posture & Ergonomics

Using supportive chairs, adjusting desk heights, and sleeping on a spine-friendly mattress can alleviate daily discomfort.

4. Use Assistive Devices if Needed

A cane or walker can provide additional stability and help reduce pain when walking long distances.

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Can Spinal Stenosis Be Prevented?

While spinal stenosis is often related to aging, you can take steps to reduce your risk, including:

✅ Staying physically active

✅ Practicing good posture

✅ Avoiding heavy lifting and high-impact activities

✅ Managing arthritis and other spinal conditions early

By prioritizing spinal health, you can help prevent or slow the progression of spinal stenosis.

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Living with Spinal Stenosis – What You Need to Know

Spinal stenosis doesn't have to take control of your life. With the right treatment plan and lifestyle adjustments, you can continue to enjoy daily activities with less pain and greater mobility.

At Brazos Valley Pain Specialists, Dr. Jared Anderson provides advanced, compassionate care for patients throughout Brenham and the Brazos Valley region. Whether you need non-surgical pain relief or are considering advanced treatment options, we are here to help.

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Get Expert Care for Spinal Stenosis in Brazos Valley

If you're struggling with back or neck pain, don't wait until symptoms worsen. Dr. Jared Anderson and his team at Brazos Valley Pain Specialists are ready to provide you with expert, personalized pain relief solutions.

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👉 Call today to schedule an appointment and take the first step toward a pain-free life!

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Frequently Asked Questions (FAQ)

1. Can spinal stenosis heal on its own?

No, spinal stenosis is a progressive condition. While symptoms may improve with non-surgical treatments like physical therapy and pain management, the narrowing of the spinal canal does not reverse on its own.

2. What happens if spinal stenosis is left untreated?

Without treatment, spinal stenosis can worsen, leading to increased pain, loss of mobility, and in severe cases, nerve damage that can cause permanent weakness or loss of bowel and bladder control.

3. Is walking good for spinal stenosis?

Yes, walking is a low-impact exercise that can help maintain mobility and reduce stiffness. However, some patients may need to modify their walking routine if they experience pain or discomfort.

4. Can spinal stenosis be prevented?

While you can’t completely prevent spinal stenosis, you can reduce your risk by maintaining a healthy weight, practicing good posture, avoiding heavy lifting, and staying active with spine-friendly exercises.

5. When should I see a doctor for spinal stenosis?

You should see a doctor if you experience persistent back or neck pain, numbness or tingling in your arms or legs, difficulty walking, or worsening symptoms that interfere with daily activities.