Spinal stenosis is a common spine condition that occurs when the spaces within the spinal canal become narrowed, placing pressure on the spinal cord or nearby nerves. This narrowing can lead to symptoms such as chronic back or neck pain, numbness, tingling, or weakness.
Many people living with spinal stenosis experience discomfort that gradually worsens over time. Without proper evaluation and treatment, the condition can significantly affect mobility and overall quality of life.
At Apex Interventional Pain Specialists, our specialists provide advanced diagnostic evaluations and non-surgical treatment options for spinal stenosis, helping patients manage pain and return to their daily activities.
What Is Spinal Stenosis?
Spinal stenosis refers to the narrowing of the spinal canal, which is the space that houses the spinal cord and nerves. When this space becomes too tight, nerves may become compressed, leading to pain and neurological symptoms.
The condition most commonly occurs in two areas of the spine:
Lumbar Spinal Stenosis
This type affects the lower back and is the most common form of spinal stenosis. It can cause:
- Lower back pain
- Leg pain when walking or standing
- Weakness or numbness in the legs
- Difficulty standing for long periods
Cervical Spinal Stenosis
This occurs in the neck region of the spine and may lead to:
- Neck pain
- Tingling in the arms or hands
- Arm weakness
- Balance problems
Spinal stenosis often develops slowly and may worsen if the underlying cause is not addressed.
Common Causes of Spinal Stenosis
Several conditions can lead to narrowing of the spinal canal. Some of the most common causes include:
- Degenerative Changes
Age-related wear and tear is the most common cause of spinal stenosis. As the spine ages, spinal discs may lose height and joints may enlarge, reducing space for nerves.
- Herniated or Bulging Discs
A damaged or dehydrated disc may protrude into the spinal canal and place pressure on nearby nerves.
- Arthritis of the Spine
Spinal arthritis can cause inflammation and bone spurs that contribute to narrowing of the spinal canal.
- Thickened Ligaments
Ligaments within the spine can thicken over time, reducing available space for the spinal cord.
These conditions are common among adults over the age of 50, although spinal stenosis can develop earlier in some individuals.
Symptoms of Spinal Stenosis
Symptoms can vary depending on the location and severity of nerve compression.
Common spinal stenosis symptoms include:
- Chronic lower back pain
- Neck pain and stiffness
- Numbness or tingling in the arms or legs
- Weakness in the extremities
- Pain that worsens when standing or walking
- Relief when leaning forward or sitting
Some patients also experience a condition known as neurogenic claudication, where leg pain increases during walking and improves with rest.
If these symptoms persist or interfere with daily activities, evaluation by a pain management specialist may help determine the most effective treatment plan.
How Spinal Stenosis Is Diagnosed
Accurate diagnosis is important when determining the best treatment for spinal stenosis.
During a consultation, a physician may use several methods to evaluate the spine:
Medical History Review
Patients are asked about the location, duration, and severity of pain as well as any previous injuries or treatments.
Physical Examination
A physical exam helps evaluate range of motion, strength, and nerve function.
Imaging Studies
Diagnostic imaging may include:
- MRI scans
- CT scans
- X-rays
These tools allow physicians to identify spinal narrowing, disc problems, and nerve compression.
Expert Care at Apex Interventional Pain Specialists
Managing spinal stenosis requires specialized training and a patient-focused approach to care. At Apex Interventional Pain Specialists, our physicians are dedicated to helping patients find effective solutions for chronic spine conditions.
Our team includes Dr. Ammar Mahmoud who has trained at Cleveland Clinic, Dr. Mansoor Aman who has trained at Harvard Medical School, and Dr. Vishal Patel who has trained at University of Maryland.
With extensive experience in interventional pain management and spine care, our physicians focus on identifying the underlying cause of spinal stenosis and developing personalized treatment plans designed to reduce pain and restore mobility.
Our goal is to provide patients with advanced treatments that improve comfort, support long-term spine health, and help individuals return to their normal daily activities.
What to Expect at Your Consultation
At Apex Interventional Pain Specialists, your first visit is focused on understanding your symptoms and determining the most appropriate course of treatment.
Detailed Evaluation
Your physician will review your medical history, current symptoms, and previous treatments.
Physical Assessment
A physical examination will evaluate movement, flexibility, and nerve function.
Diagnostic Imaging Review
If imaging studies such as MRI or CT scans are available, your physician will review them to better understand the condition of your spine.
Customized Treatment Plan
Once a diagnosis is confirmed, your physician will recommend treatment options designed to relieve pain and improve mobility.
Treatment Options for Long-Term Relief
Many patients with spinal stenosis benefit from non-surgical treatments that reduce nerve pressure and inflammation.
At Apex Interventional Pain Specialists, treatment options may include:
Physical Therapy
Targeted exercises help strengthen muscles that support the spine and improve flexibility.
Epidural Steroid Injections
These injections reduce inflammation around compressed nerves and may help relieve back or leg pain.
Medial Branch Blocks
These procedures help diagnose and treat pain coming from spinal joints.
Radiofrequency Neurotomy
A minimally invasive treatment that interrupts pain signals from affected nerves and can provide long-term relief.
MILD Procedure
A minimally invasive treatment that removes excess ligament to restore space in the spinal canal and provide lasting relief.
These treatments are designed to reduce pain, improve mobility, and help patients avoid more invasive procedures whenever possible.
Finding Relief From Spinal Stenosis
Living with spinal stenosis can be challenging, but effective treatments are available. Early evaluation by a pain management doctor or spine specialist can help identify the cause of symptoms and prevent the condition from worsening.
At Apex Interventional Pain Specialists, we proudly serve patients in Bangor,Maine, offering advanced care for chronic back pain, neck pain, and spinal conditions.
If spinal stenosis is affecting your comfort or mobility, our experienced team is here to help you explore treatment options and find lasting relief.
To schedule a consultation, contact Apex Interventional Pain Specialists at 207-830-2739