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Spinal stenosis is a common condition found in adults 50 and older in which your spinal canal will start to narrow. Your spine is made of a series of vertebrae which protects your spinal cord. For many people, stenosis is caused by arthritis, due to the spinal canal tendency to narrow when dealing with these arthritic problems.
As the spinal canal narrows, the tightening can pinch the spinal cord and verse around it, causing pain, tingling, or numbness in your legs, arms, or torso.
As the discs in your back degenerate and loses water content due to arthritis, the discs will begin to dry out and weaken. This causes the collapse of disc spaces and the loss of disc space height. Further, as these discs settle, weight is both transferred to the facet joints and the tunnels that the nerves exit through becoming smaller.
To make up for the lost cartilage, the body can respond by growing new bone in your facet joints to help support the vertebrae. Down the line, bone spurs may develop and narrow the space for nerves to pass through. The pain people feel between the bone spurs, and this narrow space is spinal stenosis.
Dr. Freeman, Evan Jay, PA, Arlina, PA and all the staff are truly amazing!!
Five years ago I moved to NJ from NY; I was extremely unhealthy, thankfully Dr. Freeman helped wean me off of very strong pain medication at the same time controlling my pain level. I am EXTREMELY thankful to him and Evan for their patience and help.
While spinal stenosis produces the usual pain associated with back pain, numbness and stiffness, additional symptoms may include:
Medical History and Physical Examination
A doctor will examine your back after discussing your symptoms and medical history. This includes looking at your back and applying pressure on different areas to see if it hurts. Your doctor may have you bend forward, backward, and side-to-side to look for limitations or pain.
Imaging Tests
Other tests that will help confirm a spinal stenosis diagnosis include:
Nonsurgical Treatment
Nonsurgical treatment options focus on restoring function and relieving pain. Although nonsurgical methods do not improve the narrowing of the spinal canal, many people report that these treatments help relieve symptoms. A few nonsurgical solutions Redefine Healthcare suggests are:
Surgical Treatment
Surgery for lumbar spinal stenosis is reserved for patients who have a lot of pain and weakness. Patients may complain of difficulty walking for extended periods. This is often the reason that patients consider surgery. The two main types of procedures for spinal stenosis are:
Laminectomy – Also called a “decompression,” a laminectomy can be performed as open surgery. The process can also be done using a minimally invasive method, where several smaller incisions are made. Your doctor will discuss the right option for you.
Spinal fusion – If arthritis has progressed to spinal instability, a combination of decompression and stabilization or spinal fusion may be recommended.
Dr Freeman hit the spot! My neck hasn’t felt this good in years.
Mark
At Redefine Healthcare, our specialists are board-certified, highly educated, and rigorously trained in various fields, including pain management, neurosurgery, orthopedic spine surgery, chiropractic care, physical therapy, occupational therapy, psychiatry, and podiatry. Many of our doctors have earned the prestigious Castle Connolly Top Doctors recognition from their peers. We prioritize listening to your concerns, identifying the root cause of your pain, and determining the most effective treatment plan to provide quick relief and prevent future conditions. With advanced non-surgical pain rehabilitation, our New Jersey centers in Union, Edison, and Paterson offer top-tier care for severe and chronic pain.
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