What Are the Treatments for Stenosis?

Stenosis occurs when the spinal cord narrows, pinching adjacent nerves. Causes of the narrowing include disc problems, arthritis and the aging process. An estimated 400,000 Americans have spinal stenosis, most of whom are over the age of 60.

Symptoms

• Spinal stenosis may cause a chronic dull or sharp ache in the buttocks or lower back, which becomes more pronounced during walking or other physical activities. Other symptoms include pain radiating in the legs or thighs, numbness in the lower extremities and difficulty moving the lower extremities. Typically, the pain lessens when you sit down.

Diagnosing Stenosis

• As spinal stenosis can be confused with other illnesses, proper diagnosis is essential. Doctors will take a thorough medical history to rule out other back problems. A physical exam follows, usually involving a CAT scan, MRI or bone scan to determine the extent of the narrowing of the spinal cord and of the inhibition of motion.

Non-Surgical Treatment

• Pain killers may be prescribed. As NSAIDs (non-steroidal over the counter anti-inflammatory medications) generally are ineffective with spinal stenosis, analgesics or epidural steroid injections may be recommended. The drugs won't cure the condition, but will alleviate the pain while patients engage in activities to heal the stenosis. They are advised to rest, wear support devices (such as back braces) and undergo physical therapy.

Surgical Treatment

• Surgery is usually recommended only as a last resort. Several types may be performed, including fusing the vertebrae to stabilize the spine.

Alternative Treatment

• Many patients turn to alternative treatments either in conjunction with physical therapy and pain killers or to avoid surgery after other treatment methods fail. Alternatives include chiropractic manipulation, Swedish massage and acupuncture. Chiropractic treatment involves the re-alignment of the spine. Acupuncture uses the pressure points to relieve pain, while Swedish massage uses deep tissue therapy.