Don’t Live with Back Pain, Learn about Spinal Stenosis
Spinal stenosis is the narrowing in one or more areas of the spine due to injury or deterioration of the discs, joints or bones within the spinal canal. There are two main types of this condition:
Lumbar Spinal Stenosis – This condition affects the lower back and lumbar area. Its symptoms will often be felt in the lower back, buttocks, and legs
Cervical Spinal Stenosis – This condition affects the neck and cervical spine.  Its symptoms will often be felt in the neck, shoulders, and arms
If you think you have spinal stenosis, contact our offices in Dallas, TX to learn more.
What causes Spinal Stenosis?
Most cases of spinal stenosis develop later in life as a result of degenerative changes that occur in the spine. Osteoarthritis is the leading cause of spinal stenosis. A herniated disc, ligament changes or spinal tumors can also cause spinal stenosis. These conditions initiate the deterioration of the cartilage in the area and lead to the bones rubbing against each other and forming bone spurs. The bone spurs make the spinal canal smaller, and press on the spinal cords or nerve roots and cause symptoms similar to that of a herniated disc, except that the pressure is applied to the entire spinal cord. This leads to pain that can spread down the neck and back all the way down the arms and legs.
What are the symptoms?
Patients with spinal stenosis may experience cramping, pain, and numbness in the legs, back, neck, shoulders or arms. A loss of sensation, loss of balance and bladder malfunctioning may also occur. It can also cause a loss of control and strength in the arms and legs.
How is it diagnosed?
Spinal stenosis is often difficult to diagnose. The symptoms can come and go and may resemble the symptoms of other conditions. A diagnosis of spinal stenosis is usually achieved only after ruling out other conditions. At our offices in Dallas, TX, our neurosurgeons will perform imaging exams such as a spinal X-ray, MRI, CT scan and bone scan as well as ask questions about your symptoms and overall health to correctly diagnose your condition.
What are my treatment options?
Your treatment options for spinal stenosis will very depending on the severity of your situation and pain you feel. Your neurosurgeon will discuss your options in full detail during your consultation at our offices in Dallas, TX. With most cases of spinal stenosis, your can be effectively treated through conservative, non-invasive methods, including:
- Physical Therapy
- Non-Steroidal Anti-Inflammatory Drugs
- Back Brace
- Rest
For more severe cases, surgery may be the only effective treatment in relieving pressure on the spinal cord and join the damaged bone back to its normal state. Surgical procedures include
- Decompressive Laminectomy
- Laminotomy
- Fusion
What is Foraminal Stenosis?
A subtype of spinal stenosis is foraminal stenosis. This condition is caused by a narrowing of the foramen, the opening within each of the spinal bones that allow nerve roots to pass through. As a result of aging or other musculoskeletal conditions such as arthritis, the foramen may gradually develop bone spurs that can press on the nerves, causing pain and other symptoms.
Patients with this condition may experience numbness, weakness, and tingling sensations throughout the arms and legs, depending on which area of the spine is affected.
Effective treatment of foraminal stenosis can usually be achieved through nonsurgical techniques including anti-inflammatory medications, corticosteroid shots, physical therapy exercises or wearing a brace. Those patients whose conditions do not respond may require a surgical procedure called foraminotomy.
Why Choose Texas Neurosurgery
At Texas Neurosurgery, LLP, our approach to treating lumbar spinal stenosis is centered around you. We understand that every patient presents individual challenges, and we tailor each treatment plan to meet your specific needs. Whether your care involves conservative therapies like physical therapy or requires advanced surgical intervention such as minimally invasive microdiscectomy or spinal fusion, we work with you and your primary care physician to ensure the most effective path forward. Our team is committed to providing you and your family with a full understanding of your condition, discussing all available options, and guiding you every step of the way.
Texas Neurosurgery is led by two highly respected, board-certified neurosurgeons: Dr. Christopher Michael and Dr. Shaad Bidiwala. With decades of combined experience, they bring advanced expertise in minimally invasive spine surgery, complex spine reconstruction, and innovative neurosurgical techniques. Both doctors serve on the medical staff at leading Dallas-area hospitals, including Baylor University Medical Center, Baylor Scott & White Health, and Methodist Hospital for Surgery in Addison. Supported by a dedicated staff of physician assistants and clinic managers, Texas Neurosurgery offers not only cutting-edge surgical care but also compassionate, patient-centered service.
Frequently Asked Questions
Is lumbar spinal stenosis a permanent condition?
How effective are epidural injections for lumbar spinal stenosis?
While they are not a permanent solution, epidural steroid injections can help reduce symptoms, improve mobility, and delay or avoid surgery in some cases. The effectiveness varies from patient to patient.
How can I manage symptoms at home?
At-home management may include low-impact exercises, physical therapy, stretching, maintaining a healthy weight, using assistive devices if necessary, and applying heat or cold therapy to relieve pain. Over-the-counter pain relievers may also help, but always consult with your physician for a personalized plan.
When should I seek medical help?
You should consult a doctor if you experience persistent lower back pain, numbness, weakness, difficulty walking, or loss of bladder or bowel control. Early evaluation can help prevent further nerve damage and determine the most appropriate treatment options.
What are the best exercises for lumbar spinal stenosis?
Gentle, low-impact exercises such as walking, swimming, stationary cycling, stretching, and core-strengthening routines can help manage symptoms. Exercises that promote flexion (bending forward slightly) often relieve pressure on the nerves. Always work with a physical therapist or physician to ensure exercises are safe.
Can lumbar spinal stenosis get worse over time?
Yes, without treatment or lifestyle adjustments, lumbar spinal stenosis can progress, leading to worsening pain, weakness, or mobility issues. However, many patients can stabilize their condition and control symptoms through early intervention and proper care.
How can I sleep better with lumbar spinal stenosis?
Sleeping on your side with slightly bent knees and a pillow between your legs can reduce pressure on your lower back. Some find relief sleeping in a reclined position or using a wedge pillow to elevate their upper body and knees. Finding a supportive mattress and maintaining good sleep posture is also helpful.
Schedule a Consult with Our Skilled Doctors!
To learn more about Lumbar Spinal Stenosis and the various treatment options offered at Texas Neurosurgery, LLP, please be sure to book a one-on-one consultation with one of our talented doctors. Call 214-823-2052 or click here to send us an email contact form. Our practice serves Dallas and the surrounding areas of Texas.
