Patients
Lumbar Spinal Stenosis
 

WHAT IS SPINAL STENOSIS?

Spinal stenosis is a narrowing of the spinal canal. Some patients are born with this narrowing, but most often spinal stenosis is the result of a degenerative condition that develops in people over the age of 50. Spinal stenosis is the gradual result of aging and "wear and tear" on the spine from everyday activities.

Degenerative or age-related changes in our bodies can lead to compression of nerves (pressure on the nerves may cause pain and/or damage).

Healthy
Stenotic





1. Vertebral body
2. Intervertebral disc
3. Nerve root
4. Spinous process
5. Interspinous ligament



1. Interspinous ligament
2. Compressed spinal canal and nerve roots
Healthy
Stenotic





1. Spinal canal
2. Supraspinous ligament
3. Interspinous ligament
4. Intervertebral disc



1. Bulging ligament
2. Bulging disc

AS WE AGE

  • The ligaments of the spine can thicken and calcify (harden from deposits of calcium)
  • Bones and joints may also enlarge
  • Bone spurs, called osteophytes, may form
  • Discs may collapse and bulge (or herniate) 
  • One vertebra may slip over another (called spondylolisthesis)


If you suffer from lumbar spinal stenosis you may feel various symptoms, including:
  • Numbness and “pins and needles” in your legs, calves or buttocks
  • Weakness, or a loss of balance, and
  • A decreased endurance for physical activities
  • These symptoms may or may not be associated with back pain
1. Pinched nerve root
2. "Kissing" spinous processes
Symptoms can increase after walking a certain distance or standing for a time.
Symptoms can improve during sitting, rest and by bending forward.

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