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Spinal Stenosis

Spinal stenosis refers to the narrowing of spaces within the spine, leading to pressure on the spinal cord and nerves. This condition typically occurs in the neck (cervical spine) or lower back (lumbar spine). The narrowing can result from various factors, such as the overgrowth of bone or tissue, herniated discs, or thickened ligaments. This compression on the spinal cord or nerve roots can cause symptoms like pain, numbness, weakness, or tingling sensations that radiate from the affected area down the arms or legs.

Causes of Spinal Stenosis:

  1. Aging: Wear and tear on the spine can lead to the development of bone spurs and thickened ligaments, reducing spinal canal space.
  2. Herniated Discs: Discs that bulge or herniate can protrude into the spinal canal, contributing to stenosis.
  3. Bone Overgrowth: Conditions like osteoarthritis can prompt the growth of bone spurs, narrowing the spinal canal.
  4. Genetic Factors: Some individuals might inherit a predisposition to a narrower spinal canal.

Symptoms of Spinal Stenosis:

  1. Pain or Discomfort: Often in the lower back or neck, it may also radiate down the arms or legs.
  2. Numbness or Tingling: Sensations of pins and needles, tingling, or weakness in limbs.
  3. Difficulty Walking: Some individuals may experience weakness or difficulty in walking or maintaining balance.
  4. Bladder or Bowel Dysfunction: In rare cases, severe spinal stenosis can lead to issues with bladder or bowel control.

Diagnosis and Treatment:

  • Physical Examination: Assessing symptoms and evaluating the spine’s range of motion.
  • Imaging Tests: X-rays, MRI, or CT scans can provide detailed views of the spine, identifying areas of narrowing.
  • Treatment Options: Treatment depends on the severity of symptoms and may include pain management through medications, physical therapy, corticosteroid injections to reduce inflammation, or surgery in severe cases to create more space in the spinal canal.

Lifestyle Modifications:

  • Exercise: Physical therapy and targeted exercises can improve flexibility and strengthen back muscles.
  • Posture Improvement: Maintaining good posture and avoiding activities that strain the spine can alleviate symptoms.
  • Supportive Measures: Using supportive braces or devices may help some individuals manage discomfort.


Spinal stenosis can cause discomfort and impact mobility, but various treatment options, lifestyle adjustments, and in some cases, surgical interventions can help manage symptoms effectively. Seeking medical advice and following personalized treatment plans are essential for addressing spinal stenosis and maintaining spinal health.

Scarborough in Toronto

Andrew Chan, R.H.N., DOMP, B.Sc., DO (Euro)

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