- Neurosurgical Associates of Central Jersey
- April 25, 2025
- 3:06 pm
- 0 comments
More than 200,000 adults in the United States experience symptoms of spinal stenosis each year. As the population continues to age, the number of cases is expected to grow. In fact, studies show that up to 47% of adults over age 60 have anatomical signs of spinal canal narrowing, even if they do not have symptoms.
For some, the condition causes mild discomfort. For others, it leads to persistent pain, limited mobility and difficulty walking. Knowing what to look for and how to manage it can make a significant difference in your quality of life.
What Is Spinal Stenosis?
Spinal stenosis is a condition where the space inside your spine becomes too narrow. This space, known as the spinal canal, houses your spinal cord and nearby nerves. When it tightens, it can compress those nerves and cause a variety of symptoms.
Some people develop spinal stenosis in the neck, but the lower back is more commonly affected. Spinal stenosis refers to this narrowing process and the resulting nerve compression that affects function and sensation in your back, legs or arms.
What Causes Spinal Stenosis?
If you are wondering what causes spinal stenosis, the answer often depends on age-related changes. As joints and discs in your spine wear down, structures may begin to shift or thicken. The most common causes of spinal stenosis include:
- Osteoarthritis, which leads to the growth of bone spurs
- Herniated or bulging discs, which press into the spinal canal
- Thickened ligaments, which reduce available nerve space
- Spinal injuries, fractures or previous surgeries
- Less commonly, tumors or congenital deformities
In most cases, these changes occur slowly and may not cause symptoms right away. Over time, they may reduce nerve space enough to trigger pain, tingling or muscle weakness.
Spinal Stenosis Symptoms
People experience spinal stenosis symptoms differently depending on where the narrowing occurs. In the lumbar spine, symptoms may include:
- Low back pain that radiates into the buttocks or legs
- A heavy or cramping feeling in the legs during walking
- Numbness or tingling in your lower limbs
- Relief when sitting or bending forward
- Trouble standing upright or walking for long periods
If the narrowing occurs in your neck, symptoms may include arm weakness, balance issues or difficulty using your hands. In severe cases, nerve compression can affect bladder or bowel control. Spinal stenosis symptoms may begin mildly and then progress, or they may remain stable for years.
How Is Spinal Stenosis Treated?
Treatment depends on how much spinal stenosis impacts your daily life. Many people start with non-surgical approaches such as:
- Physical therapy to strengthen muscles and improve mobility
- Anti-inflammatory medications to manage pain
- Epidural steroid injections to reduce inflammation
- Bracing or assistive devices to ease movement
When symptoms persist or interfere with walking, surgery may be recommended. Neurosurgeons often perform decompression procedures such as laminectomy to relieve pressure on the nerves.
In more complex cases, spinal fusion may be considered. At that point, a highly trained team helps determine the right course of action based on your symptoms, imaging and goals for recovery.
Living With Spinal Stenosis
Living with spinal stenosis does not mean giving up your independence. Many people improve with conservative treatment and go on to maintain an active lifestyle. Staying physically active, maintaining a healthy weight and using good posture can help reduce symptoms. Some patients benefit from physical therapy exercises that encourage flexion and relieve pressure. Others find value in heat, massage or activity modifications.
Surgical intervention, when indicated, is usually successful. However, follow-up care plays a key role. Working with a team that understands the condition from diagnosis through rehabilitation can help you stay informed and supported throughout the journey.
Talk to Our Team About Spinal Stenosis Relief
At Neurosurgical Associates of Central Jersey, we specialize in treating spinal stenosis using both conservative and surgical approaches. You will always meet with one of our experienced neurosurgeons, never a physician assistant, so that your concerns are addressed directly by experts.
If you are experiencing pain, weakness or difficulty walking, we encourage you to call our office at (732) 302-1720. We are committed to helping you find the most effective path to recovery and regain your mobility with confidence.
