David J BenEliyahu, DC FICC DABCSP
Coram Selden Chiropractic Office

Lumbar Spinal Stenosis

Lumbar Spinal stenosis refers to a narrowing of the spinal canal and openings in the lower back part of the spine. When this type of narrowing happens, it can put pressure on the spinal nerves that go down the leg. This type of leg pain is often referred to as sciatica. Some people with spinal stenosis can have no symptoms, and others may experience pain, tingling, numbness and weakness in one or both of their legs. It can occur in both the neck and lower back. Symptoms can worsen with time and are often related to ‘wear and tear’ changes in the spine related to arthritis. The most common symptom of lumbar spinal stenosis is leg pain that is worsened with walking, referred to as intermittent claudication. In addition, people usually feel less pain when they stoop or bend forward, often referred to as a ‘shopping cart sign’. More serious and rare symptoms can include loss of bowel and bladder function, severe pain and numbness in the legs with abnormal reflexes and difficulty in walking.

Common causes of lumbar spinal stenosis can include injury to the spine, congenital narrowing that you were born with, certain bone diseases, past spinal surgery, and arthritis.
Diagnosis of Lumbar Spinal Stenosis is accomplished by a detailed clinical exam and history ,as well as advanced imaging like CT and MRI scans.

Conservative non-surgical and non-invasive care options are usually the first recommended course of treatment. This includes rest, anti-inflammatory medication, proper diet and exercise, chiropractic care and physiotherapy modalities. Chiropractors counsel patients on exercise and diet as well as utilize special tables referred to as Cox tables, that provide spinal disc decompression to reduce the stenosis or compression on the spine. 

If non-invasive options do not provide relief, minimally invasive pain procedures such as epidurals can often help. These help reduce pain and inflammation in the spinal nerves caused by the stenosis. If non-surgical treatment options do not provide relief, sometimes a laminectomy will be considered.

To prevent Lumbar Spinal Stenosis, get regular exercise, maintain good posture, and maintain a healthy weight.

If your symptoms are not going away or are getting worse, you should be evaluated at the Coram Selden Chiropractic Office with a physical and neurologic examination. We would order x-rays and/or MRI imaging, to determine the extent of your injuries, and what the best course of therapy would be.

Treatment we offer includes chiropractic, acupuncture, massage therapy, and medical care
Call to make an appointment: (631)736-4414

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