There are two types of spinal stenosis: spinal and cervical.
Foraminal Stenosis
This is the most common form of spinal stenosis.
The two general types of spinal stenosis are foraminal stenosis, also called lateral stenosis, which involves compression or inflammation of a spinal nerve; and central canal stenosis, which involves compression or inflammation of the spinal cord.
The main difference between the two conditions is the areas they affect. Both conditions cause pain, weakness, and tingling. Cervical stenosis produces these conditions in your neck, arms, and shoulders. With lumbar stenosis, low back pain can radiate down your buttocks and legs.
In spinal stenosis, people typically experience less pain with leaning forward, and especially with sitting. Studies of the lumbar spine show that leaning forward can increase the space available for the nerves. Pain is usually made worse by standing up straight and walking.
Symptoms of spinal stenosis in the lower back can include: Pain in the lower back. Burning pain or ache that radiates down the buttocks and into the legs, that typically worsens with standing or walking and gets better with leaning forward (flexion).
The latest lumbar spinal stenosis treatment has been referred to with many different names, including non-fusion implant and dynamic stabilization system, among others. These names all refer to devices that are used in place of spinal fusion to provide stability and symptom relief.
Acetaminophen (eg, Tylenol), aspirin, ibuprofen (eg, Motrin, Advil), and naproxen (eg, Aleve) are examples of OTC analgesics that your doctor may recommend for spinal stenosis.
If your stenosis symptoms don't respond to home remedies or conservative treatment, or if the condition is so painful or debilitating that it affects your daily life, then you likely have severe spinal stenosis.
Flare ups may be caused by muscle spasms, which can be caused by bending or twisting suddenly. They may be caused by an additional problem such as a slipped disc. Some patients may just reach a tipping point where their stenosis becomes symptomatic without any identifiable cause or event.
Cervical spinal stenosis may cause mild to moderate burning or shock-like pain in the neck, shoulder, and/or arms. Abnormal sensations, such as tingling, crawling, and/or numbness may be felt in both hands.
Yes! Walking is a good exercise for spinal stenosis. It's low impact, and you control the pace and distance. If you're able to walk without symptoms, incorporate this activity into your routine.
The most common conventional treatments for spinal stenosis at L4 and L5 include: Physical therapy, which may involve strengthening and flexibility exercises, stabilization, joint mobilization, heat or ice therapy, and massage.
Bend forward, backward, and sideways. Your pain may worsen with these movements. Lift your legs straight up while lying down. If the pain is worse when you do this, you may have sciatica, especially if you also feel numbness or tingling in one of your legs.
Spinal stenosis happens when the space inside the backbone is too small. This can put pressure on the spinal cord and nerves that travel through the spine. Spinal stenosis occurs most often in the lower back and the neck.
Spinal stenosis can't be cured but responds to treatment.
"Unfortunately, nothing can stop the progression of spinal stenosis, since it is due to daily wear and tear," said Dr. Hennenhoefer. "The symptoms of spinal stenosis typically respond to conservative treatments, including physical therapy and injections."
A decompression laminectomy is the gold standard of surgery for treating spinal stenosis. This surgery removes the bony spurs and buildup of bone in the spinal canal, giving more room for the spinal cord and nerves.
Many people with spinal stenosis find the most comfort sleeping on their side in “fetal position” — that is, with knees curled up toward the abdomen. Another alternative is to sleep in an adjustable bed or recliner that allows the head and knees to remain elevated.
Disability: In severe cases of spinal stenosis, a patient can end up permanently disabled. This may be through paralysis, or weakness so severe that it is impossible to stand and move as normal. It is not unreasonable to expect severe stenosis to lead to a person being bound to a wheelchair.
Spinal Stenosis
With this condition, it may be preferable to sleep on the sides with the knees curled up (in the fetal position). This helps relieve pressure on the nerve root. Sleeping in a reclining chair or an adjustable bed that allows the head and knees to remain elevated can also relieve pressure on the nerve.
Lying down or bending backwards also can make their symptoms worse. People can have difficulty sleeping in bed and resort to sleeping in their recliner in a partial sitting position. In severe cases people can develop problems with bladder control. Some people also experience back pain but many do not.
Start by standing in front of your sofa and push your bottom towards the edge of the backrest. Once you're in a sitting position, make sure your back is upright rather than hunched over. Lean back on the backrest with relaxed shoulders and don't keep your neck in an uncomfortable position.