The Facts on Spinal Stenosis

he spinal column has open spaces that create passageways for the spinal cord and the spinal nerves. However, a serious condition occurs when the spinal column narrows thus putting pressure on the spinal column and nerves. This painful compression of the nerves is known as Spinal stenosis.

The pressure that occurs can cause pain, weakness and numbness, and is most common in the cervical and lumbar regions of the spine since the spinal column can narrow at any point from the head to the tailbone, including the center of the spine. This is where nerves branch out from the spinal cord, and in spaces between the vertebrae.

The cause of Spinal stenosis is commonly caused by excess growth of the bone around the spinal nerves which is the result of osteoarthritis. It can also result from a dislocation or a fracture of the vertebral bone, or by soft tissue intruding into the spine’s open spaces. Other culprits are herniated discs, tumors, and thickened spinal ligaments which press against the spinal nerves.

FACT: Some conditions and illnesses tend to affect mostly men or women, but

By Nancy Erickson, D.O.

TSpinal stenosis does not discriminate. Both men and women may be affected by the condition. The primary cause is arthritis and aging, and equal numbers of men and women experience spinal stenosis.

FACT: Patients over 50 years of age are the typical candidates for the condition. Very few patients under the age of 30 are diagnosed with spinal stenosis. If so, the cause is usually trauma to the spine from an external force, such as an auto accident.

FACT: Spinal stenosis may be inherited. While spinal stenosis is mostly caused through the aging process, the condition can be passed down from one generation to the next. Associated conditions include scoliosis and achondroplasia.

FACT: The location of spinal stenosis is related to where symptoms present in the body. Patients will feel numbness, pain, and tingling depending on where the spine narrows. If the lower part of the spine is effected, symptoms will present in the legs; if the spine narrows higher up, there will be symptoms in the arms.

FACT: Surgery is not necessary to treat Spinal stenosis.

Symptoms vary depending on the location and severity. Pain can radiate down the back, arms, and legs, indicating that there is a problem. The development of spinal stenosis can affect a person’s involuntary and voluntary functions, such as breathing, walking, and even bladder and bowel control. Spinal stenosis in the lower back usually causes sciatica.

Treatment options may include antiinflammatory pain relievers, such as ibuprofen and aspirin, muscle relaxants, or other pain relief medications. Physical therapy may also be recommended as stretching and adjusting posture may alleviate some pain and help patients get relief from the discomfort associated with spinal stenosis. Simple flexing and stretching of the spinal column can also help elongate and enlarge the narrow segments and provide relief. Surgery may be required for patients who experience chronic discomfort and pain, especially if the bladder and bowels are compromised or if these other methods are not effective.

▸ Nancy Erickson, D.O. has received extensive training in Pain Management. She has been practicing Pain Management in Pembroke Pines for over 15 years. Interventional Pain Physicians of South Florida is located at 601 N. Flamingo Road, Suite 411, Pembroke Pines, FL 33028. To schedule an appointment, call (954) 433-8711.