Non-Surgical Treatment For Spinal Stenosis In Phoenix, AZ – Mountain View

Back pain is common, but when symptoms persist and begin to limit mobility, the cause may go beyond muscle strain or posture-related discomfort. Spinal stenosis is a condition that typically affects individuals over age 50. It involves a narrowing of spaces within the spine that may place pressure on nearby nerves, often causing discomfort that radiates into the arms or legs.

Unlike short-term back pain from strain or posture issues, spinal stenosis can lead to progressively worsening symptoms, especially with extended physical activity.

A comprehensive approach is often recommended to manage spinal stenosis. Treatment plans may include physical therapy, interventional pain management, and procedures using Regenexx injectates, which are designed to help reduce symptoms and improve function.

What Is Spinal Stenosis?

Spinal stenosis occurs when the spaces within the spine become narrower than usual. This narrowing may place pressure on the nerves that pass through the spinal canal. Each vertebra, the individual bones that form the spine, contains a central opening called the spinal canal.

The spinal canal helps protect the spinal cord and the branching nerves that travel to other areas of the body. Under normal circumstances, there is typically enough space within the canal to allow the spinal cord and nerves to function without compression.

When this space becomes restricted, nerve function may be affected. The narrowing is commonly associated with changes in the surrounding structures of the spine. Because of this, spinal stenosis can present as a complex condition that may require careful evaluation and a tailored management plan.

Stages of Spinal Stenosis

Spinal stenosis is often progressive and may vary in severity. It is typically classified into stages based on how much the spinal canal has narrowed and the degree to which surrounding nerves may be impacted. These stages help physicians in the licensed Regenexx network assess the condition and develop an appropriate treatment strategy.

Grade 1: Mild

At this stage, the narrowing of the spinal canal is minimal. Most individuals do not experience significant limitations in daily function. Occasional stiffness or mild discomfort may occur, but symptoms are generally manageable. Nerve function is typically preserved.

Grade 2: Moderate

This stage is associated with a more noticeable reduction in spinal canal space. Nerve function may begin to show signs of impact. Symptoms such as back pain, numbness, tingling, or muscle weakness may develop. Activities like prolonged standing or walking could become uncomfortable.

Grade 3: Severe

Severe spinal stenosis involves substantial narrowing, which may lead to chronic pain, significant weakness, and decreased mobility. Individuals may experience difficulty with coordination or balance, and daily activities can become increasingly limited.

Common Causes and Risk Factors of Spinal Canal Narrowing

Spinal canal narrowing, a key feature of spinal stenosis, may result from structural changes in the spine. Below are common causes and risk factors associated with this condition:

Genetics

Some individuals are born with a narrow spinal canal, which may increase the likelihood of spinal stenosis over time. A family history of spinal abnormalities such as scoliosis or other congenital changes may also play a role.

Lifestyle-Related Factors

Repetitive motion, heavy lifting, or prolonged sitting or standing can place strain on the spine. Over time, poor posture or limited physical activity may contribute to spinal degeneration and canal narrowing.

Thick Ligaments

Ligaments that support the spine, such as the ligamentum flavum, may thicken with age or stress. This thickening can reduce space in the spinal canal and may place pressure on nearby nerves.

Spinal Injuries

Falls, accidents, or sports-related injuries may damage vertebrae, leading to spinal instability or misalignment. These changes may cause immediate or long-term narrowing of the spinal canal.

Tumors

Growths that form in or near the spinal canal can reduce available space. While less common, spinal tumors may compress nerves and contribute to stenosis-related symptoms.

Arthritis

Conditions like osteoarthritis and rheumatoid arthritis may lead to structural changes that reduce spinal canal space. Bone spurs or inflammation may contribute to nerve compression.

Other Spine Conditions

Additional spine conditions may impact spinal stability or alignment, increasing the likelihood of narrowing:

• Scoliosis: A sideways curvature that may misalign vertebrae and create uneven pressure.
• Bulging Disc: A disc that extends beyond its usual boundary may compress nearby nerves.
• Herniated Disc: A disc tear may allow material to press against the spinal cord or nerves.
• Spondylolysis: A vertebral stress fracture that may weaken support and contribute to narrowing.

Recognizable Signs and Symptoms to Monitor

Spinal stenosis often develops gradually, with symptoms that may intensify over time. Early identification may support timely care and symptom management. The severity and location of narrowing often determine which symptoms appear.

Radiating Pain and Numbness

Compression of spinal nerves may cause pain in the lower back that radiates to the legs or feet. Tingling, weakness, or numbness may also occur, particularly during standing or walking, and may improve with rest or sitting.

Standing Intolerance

Back or leg discomfort triggered by standing or walking may indicate canal narrowing. These symptoms often improve when leaning forward or sitting, which may relieve nerve pressure temporarily.

Muscle Cramps

Cramping in the legs or back may occur due to changes in nerve function. These spasms may result from disrupted nerve signaling within the narrowed canal and can happen during activity or rest.

• Low Back Pain: Low back pain can result from muscle strain, disc changes, or spinal degeneration. It may be accompanied by stiffness, aching, or nerve-related symptoms that often worsen with extended sitting, standing, or specific movements. Read More About Low Back Pain.
• Back Pain When Getting Up From a Chair: Discomfort when rising from a seated position may be related to muscle stiffness, joint changes, or spinal conditions. This type of pain often affects the lower back, may improve with movement, and can return after sitting for extended periods. Read More About Back Pain When Getting Up From a Chair.

When to Seek Medical Attention

Some signs of spinal stenosis may indicate significant nerve involvement and require prompt medical evaluation:

• Worsening Symptoms: Increasing pain, numbness, or weakness that interferes with walking or standing.
• Bladder or Bowel Changes: Difficulty with control may suggest serious nerve involvement and could require urgent care.