Spinal stenosis is a condition that occurs when the spaces within the spine become narrowed, which puts pressure on the spinal cord and/or nerves. This pressure can cause pain, weakness, or numbness in the arms, legs, and back.
Spinal stenosis can be caused by a variety of factors, including degenerative changes in the spine due to aging, herniated discs, bone spurs, and thickened ligaments. Some people are born with a smaller spinal canal, which can increase their risk for spinal stenosis.
The most common symptoms of spinal stenosis include pain, numbness, or weakness in the legs, feet, arms, or hands. Some people may also experience cramping or tingling in the affected areas. These symptoms may be worse when standing or walking, and may improve when sitting or bending forward.
Our goal is to help patients manage their symptoms and improve their function. Treatment for spinal stenosis typically involves a combination of exercise, manual therapy, and education.
Exercise is a key component of spinal stenosis treatment, as it can help to strengthen the muscles that support the spine, improve flexibility, and reduce pain. Low-impact exercises such as walking, cycling, and swimming are often recommended. I also like to teach my patients specific exercises that target the muscles of the back and core, as these can be particularly helpful in reducing symptoms.
Manual therapy is another important component of spinal stenosis treatment. This may include techniques such as massage, mobilization, or manipulation, which can help to reduce pain, improve range of motion, and restore proper alignment in the spine.
Education is also important for managing spinal stenosis. I often work with my patients to identify specific activities or positions that exacerbate their symptoms, and teach them strategies to modify these activities to reduce their pain. I also provide my patients with information about posture, ergonomics, and body mechanics, as these can all play a role in the development and management of spinal stenosis.
In some cases, surgery may be necessary to treat spinal stenosis. However, many people are able to manage their symptoms and improve their function through conservative treatments such as exercise and manual therapy. If you are experiencing symptoms of spinal stenosis, I encourage you to speak with a healthcare provider or a physiotherapist who can help you develop an effective treatment plan.