Spinal stenosis is a condition that occurs when the spinal canal narrows, putting pressure on the spinal cord and nerves. This can happen due to the natural aging process, injury, or underlying medical conditions. When the spinal canal becomes constricted, it can cause a variety of uncomfortable symptoms that can significantly impact your quality of life. Understanding the causes of spinal stenosis is the first step in recognizing and addressing this condition.
The most common cause of spinal stenosis is age-related degeneration, where the wear and tear on the spine over time leads to the thickening of ligaments, bone spurs, and the gradual collapse of intervertebral discs.
Other contributing factors include congenital spinal defects, such as being born with a naturally narrow spinal canal, as well as spinal injuries or conditions like herniated discs and osteoarthritis. Less commonly, tumors and certain metabolic conditions can also contribute to the development of spinal stenosis. Recognizing these underlying causes helps in tailoring a treatment plan that can alleviate symptoms and improve the quality of life for those affected by this condition.
The symptoms of spinal stenosis can vary depending on the location and severity of the condition. Some of the most common symptoms include:
Pain: You may experience a dull, aching pain in your back, neck, or legs, especially with activity or when standing for extended periods.
Numbness and Tingling: Nerve compression can cause a sensation of numbness, tingling, or weakness in your legs, feet, or arms.
Difficulty Walking: Spinal stenosis can make it challenging to walk or stand for long periods due to pain and muscle weakness.
Loss of Bladder or Bowel Control: In severe cases, spinal stenosis can affect the nerves responsible for bladder and bowel function.
It's important to pay attention to any changes in your physical abilities or sensations, as these may be early signs of spinal stenosis that require medical attention.
The treatment approach for spinal stenosis depends on the severity of your symptoms and the underlying cause of the condition. Two effective treatment options may include Vertiflex™, Posterior Lateral Arthrodesis, epidural injection, and the MILD® procedure.
The Vertiflex™ procedure involves the implantation of a small spacer device between the spinous processes of the affected vertebrae. This spacer gently opens up the spinal canal, creating more space for the nerves and relieving the pressure that causes pain, numbness, and difficulty walking. The procedure is typically performed under local anesthesia and requires only a small incision, making it a less invasive option with a shorter recovery time compared to traditional spinal surgery.
Posterior Lateral Arthrodesis is a surgical procedure that involves fusing two or more vertebrae together to stabilize the spine. This technique is often used when spinal stenosis has caused instability or when there is a risk of further vertebral shifting. During the procedure, bone grafts are placed between the vertebrae to promote fusion, and hardware such as screws and rods may be used to hold the spine in place while the bones heal and grow together.
Epidural injections are a non-surgical treatment option for spinal stenosis that involves injecting a corticosteroid and anesthetic directly into the epidural space surrounding the spinal nerves. This helps to reduce inflammation, relieve pain, and improve mobility.
The MILD® (Minimally Invasive Lumbar Decompression) procedure is another minimally invasive option for treating lumbar spinal stenosis. This procedure focuses on removing small portions of bone and excess ligament tissue that contribute to the narrowing of the spinal canal. Using specialized instruments and imaging guidance, the surgeon can precisely target and remove these structures through a tiny incision, thereby enlarging the spinal canal and reducing nerve compression. MILD® is often performed on an outpatient basis, allowing patients to return home the same day. It offers a quick recovery, minimal scarring, and significant relief from the symptoms of spinal stenosis, making it an effective alternative to more extensive surgical interventions.
Spinal stenosis can be a debilitating condition, but understanding the causes, symptoms, and treatment options can help you take the first step towards regaining your quality of life. By working closely with your healthcare team, you can explore the most appropriate treatment plan to effectively manage your spinal stenosis and reduce your discomfort.
If you are experiencing symptoms of spinal stenosis, schedule a consultation with Midwest Sports and Interventional Spine to learn more about treatment options that may be right for you. Visit our office in Lake Geneva or Kenosha, Wisconsin, or call (262) 299-6199 to book an appointment today.