Spinal Stenosis

 
 

What Is Spinal Stenosis?
Spinal stenosis is a condition characterized by the narrowing of spaces within the spinal column, which puts pressure on the spinal cord and/or nerve roots. This narrowing can result from factors such as aging, injury, or the development of bone spurs.

Spinal stenosis can occur anywhere along the spine, but it is most commonly found in the lower back (lumbar spinal stenosis) and the neck (cervical spinal stenosis). When the spinal cord or nerve roots are compressed, various symptoms can arise, such as pain, numbness, and weakness in the affected areas.

How Is Spinal Stenosis Diagnosed?
Diagnosing spinal stenosis typically starts with a thorough medical history review and physical examination. During the physical exam, healthcare professionals check for signs of nerve compression, such as weakness or numbness in the arms or legs. Diagnostic imaging tests are then used to confirm the diagnosis, which may include:

  • X-rays: Show changes in the bones, such as bone spurs or narrowing of the spinal canal.

  • MRI: Provides detailed images of the soft tissues, including the spinal cord, nerve roots, and discs.

  • CT Scan: Offers detailed cross-sectional images of the spine.

  • Myelography: Involves injecting contrast dye into the spinal fluid to highlight areas of compression on a CT scan or X-ray.

Once spinal stenosis is diagnosed, Dr. Karan Johar, a Dual Board Certified Pain Management Physician with a Specialization in Spine, will work with you to develop a personalized treatment plan. Depending on the severity of symptoms, treatment options may include physical therapy, medication, lifestyle modifications, or surgery.

Symptoms of Spinal Stenosis
The symptoms of spinal stenosis vary depending on the location and severity of the spinal narrowing. Common symptoms include:

  • Pain: Can occur in the neck, back, arms, or legs and may worsen with movement.

  • Numbness or tingling: Affected areas may experience a pins-and-needles sensation.

  • Weakness: Muscle weakness can occur due to nerve compression, affecting daily activities.

  • Loss of balance: A decrease in coordination and balance can increase the risk of falls.

  • Bowel or bladder dysfunction: In severe cases, compression of nerves can lead to loss of control over bowel or bladder function.

Not all cases of spinal stenosis present symptoms, but it's essential to seek medical attention if you experience any of these signs.

What Happens If Spinal Stenosis Is Left Untreated?
If left untreated, spinal stenosis can lead to serious complications, including:

  • Chronic pain: Ongoing pain and discomfort can significantly impact quality of life.

  • Nerve damage: Nerve compression can result in permanent weakness, numbness, or neurological symptoms.

  • Loss of mobility: Severe stenosis can limit movement and contribute to a decline in overall health.

  • Bowel or bladder control issues: In rare cases, untreated stenosis can lead to incontinence.

  • Paralysis: In extreme cases, spinal cord compression can lead to paralysis.

Seeking timely medical care can prevent these complications and allow for effective treatment.

Endoscopic Spine Surgery for Spinal Stenosis at Park Avenue Medicine & Surgery
Dr. Karan Johar is an expert in endoscopic spine surgery, a minimally invasive technique used to treat spinal stenosis. Unlike traditional open spine surgery, which requires large incisions, endoscopic surgery involves a small incision of less than half an inch. Dr. Johar inserts an endoscope, a small tube equipped with a camera and micro-instruments, allowing him to access the spine with minimal disruption to muscles and ligaments.

How Long Does It Take To Recover from Spinal Stenosis Treatment?
Recovery times vary, but minimally invasive endoscopic surgery, such as that performed by Dr. Johar, generally results in faster recovery compared to traditional surgery. Since the procedure involves less tissue disruption, patients experience less post-operative pain and return to normal activities sooner.

Frequently Asked Questions About Spinal Stenosis
If you have questions about spinal stenosis and treatment options, Park Avenue Medicine & Surgery is here to provide detailed answers and guidance through every step of your care.

Ready to Take the First Step Toward a Pain-Free Life?
At Park Avenue Medicine & Surgery, we understand how chronic back or neck pain can affect your daily life. Dr. Karan Johar offers a range of advanced treatments, including endoscopic spine surgery and disc regeneration, to help alleviate pain and improve mobility. Whether you suffer from spinal stenosis, herniated discs, or other spine conditions, Dr. Johar will provide personalized care to meet your unique needs.

If you're ready to take control of your pain and improve your quality of life, contact us today. Our knowledgeable staff is ready to answer your questions and schedule a consultation with Dr. Johar. Don’t let back or neck pain hold you back—let Park Avenue Medicine & Surgery help you return to the activities you love.