As we age, the cushiony disks between our vertebrae become thinner, putting strain on the joints of our back. This strain can cause inflammation and thickened ligaments that reduce how much space our nerves have to run through our spine.
This process is called spinal stenosis, or narrowing of the spine, a condition that affects millions of Americans. People with spinal stenosis may have symptoms like:
- Weakness in the legs
- Numb or tingling legs
- Bowel or bladder control problems
- Pain in the saddle area of the pelvis
- Back pain
You might find symptoms get better if you stop to rest, sit down, or even lean forward. One easy way to identify possible spinal stenosis is to notice if you lean on your cart at the grocery store. Even if you don’t realize it, when you lean forward, you open up space in the spine and your pain goes away.
Treatment for Spinal Stenosis
Though spinal stenosis symptoms can be concerning, it will never lead to paralysis or other serious complications. And even though the condition can get worse over time, most people won’t need surgery to find relief from symptoms.
Medicines like anti-inflammatories, topical medicines, and nerve pain medicines to help with the leg symptoms. Some spine injections can also offer temporary pain relief.
As a physiatrist, I also use physical therapy to help people strengthen their backs and legs. This can help improve your endurance and reduce pain. We can use exercises that allow hip flexion like recumbent bikes, stationary bikes, or pools. You can also use a rollator or walker to lean forward and relieve pain as you exercise.
However, if spinal stenosis pain begins to affect your quality of life, you may consider surgery. For instance, if your pain is severe you have trouble taking care of yourself, you may need more invasive treatment. This level of pain can lead to depression, problems with heart health, and disability.
If you experience symptoms of spinal stenosis, speak to your doctor. An early diagnosis can help you feel better and slow the progression of the disease.
