Spinal Stenosis in Corona, California
Studies suggest that 80% of people will experience low back pain at some point in their lives. Annually, 50% of the working population reports back pain, with 15-20% of Americans seeking treatment for it each year. Additionally, 2% of the U.S. population suffers from either temporary or chronic disability due to low back pain. Workplace injuries related to back pain result in $100 billion in lost wages, productivity, and medical expenses.
What Is Spinal Stenosis?
Spinal stenosis is a medical condition characterized by the narrowing of the spinal canals, which can lead to compression of the spinal cord and nerves. This narrowing can occur in the central canal, where the spinal cord resides, or in the transverse foramina, the pathways through which spinal nerves exit the spine.
The condition often results in symptoms such as pain, numbness, and weakness, particularly in the legs and lower back. Treatment options vary depending on the severity of the stenosis and may include physical therapy, medication, or surgical intervention to relieve pressure on the affected nerves.
Conditions
This condition is usually age-related (known as secondary stenosis), and occurs as a result of several changes in the spine over time:
Bone spurs
Extra bone growth that can contribute to narrowing.
Disc degeneration
The intervertebral discs lose height.
Ligament stiffening
The ligaments become less flexible and more rigid.
Other causes of spinal stenosis include spondylolisthesis (when one vertebra slips over another), trauma, or post-surgical complications.
Causes
When spinal stenosis occurs, it can result in mechanical compression of the spinal cord or nerves, leading to pain and restricted blood flow. Specifically, lumbar spinal stenosis (in the lower back) can cause:
Low back pain
Pain radiating into the buttocks and thighs
Tingling, numbness, or weakness in the legs
Symptoms tend to worsen with activities such as standing, walking, and backward bending/extension of the spine. However, sitting, forward bending, or taking weight off the body can often provide relief.
A classic sign of lumbar spinal stenosis is decreased walking tolerance, meaning that patients may have difficulty walking for long periods without experiencing discomfort or pain.
Conservative care (rehabilitation) can be an effective treatment for spinal stenosis. This approach focuses on non-surgical methods to manage symptoms and improve function.
Treatment
Stretching
To improve flexibility and reduce tension in affected muscles and joints.
Strengthening exercises
To support the spine and improve stability, especially for the muscles in the core and lower back.
Joint mobilization/manipulation
Performed by a physical therapist to improve movement and reduce stiffness in the spine.
Aerobic exercise
To improve overall fitness and circulation, which can reduce pain and improve mobility.
Activity modification
Teaching you to avoid positions or movements that worsen symptoms, while incorporating healthier habits.
Additionally, walking with an “unweighting system” (such as a harness or support system that reduces load on the spine) and aquatic exercise (exercising in water to reduce stress on the joints) can be particularly beneficial for those with spinal stenosis.
It’s essential to work closely with both your physician and physical therapist to develop a personalized plan that addresses your specific needs and condition.
They will guide you through the rehabilitation process, ensuring that you stay on track and avoid activities that could aggravate your symptoms.
Download Your FREE Low Back Pain Guide
If you are struggling with low back pain and aren’t sure where to start, our free pain report is the perfect first step. This resource explains common causes of back pain, outlines simple strategies to ease discomfort, and shows how physical therapy can help restore movement and prevent future issues.