Spinal stenosis is a condition where the spaces in the spine narrow, putting pressure on the spinal cord and nerves. This can cause significant pain, numbness, weakness and other symptoms that greatly impact a person’s quality of life. If you or a loved one are dealing with spinal stenosis, know that there are ways to help manage the pain and make daily life more comfortable.
The goals of any spinal stenosis treatment are to relieve pressure on the spinal cord and nerves, reduce painful symptoms, improve mobility, and maintain quality of life as much as possible. Depending on the severity of the stenosis, this may involve a combination of non-surgical therapies, medications, injections, and sometimes surgery.
Non-Surgical Spinal Stenosis Treatment Options
Epidural steroid injection: This procedure involves injecting a corticosteroid medication into the epidural space around the spinal cord to reduce inflammation and relieve pressure on the nerves.
Minimally invasive decompression surgery: This minimally invasive technique uses small incisions and specialized instruments to remove portions of bone or tissue that are compressing the spinal cord or nerves without the need for a full open surgery.
For mild to moderate cases of spinal stenosis, non-surgical treatments are typically tried first before considering more invasive options. Simple remedies like over-the-counter anti-inflammatory medication, hot/cold therapy, activity modification, and gentle exercises can provide symptom relief.
Physical therapy is often recommended as part of spinal stenosis treatment. A pain management doctor or therapist can design an exercise program focused on strengthening the core muscles that support the spine and improving flexibility. They may also use techniques like manual therapy and electrical stimulation to reduce pain.
Other non-surgical spinal stenosis treatment methods include steroid injections to alleviate inflammation around the nerves, and alternative therapies like acupuncture, massage, chiropractic care or yoga. Making lifestyle changes like losing excess weight, improving posture, and quitting smoking can also help manage spinal stenosis.
When Surgery May Be Necessary
For those with severe, debilitating spinal stenosis that doesn’t improve with conservative treatments, surgery may be recommended to create more space for the spinal cord and nerves. The most common procedure is called a laminectomy, which involves removing part of the vertebra called the lamina.
Other surgical options for spinal stenosis treatment include laminotomy (removing just a small portion of bone) and spinal fusion, where vertebrae are permanently joined together after the stenosis is decompressed. Minimally invasive techniques can be used for some of these procedures when possible.
Pain Management and Coping Strategies
Whether surgical or non-surgical spinal stenosis treatment is chosen, effective pain management is important for maintaining quality of life. Along with medications and injections, some complementary therapies like acupuncture, massage, and mindfulness meditation can help reduce pain perception.
Perhaps the most important strategy in spinal stenosis treatment and care is being an active, informed participant. Learn as much as you can about your condition, available treatment options, and what lifestyle adjustments can help. Follow your healthcare provider’s recommendations, ask questions, and don’t hesitate to seek a second opinion.
Living with spinal stenosis can be challenging, but taking a proactive approach to managing your symptoms, getting the appropriate treatment, and adapting your environment as needed can go a long way toward improving your quality of life. Many patients have been able to achieve relief and regain function with the appropriate care plan.
