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Spinal Stenosis

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Published: Sept. 29, 2010
Updated: Nov. 17, 2010

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Spinal stenosis occurs when there is a narrowing around the spinal cord or nerve roots. This narrowing can cause pinching of the spinal cord and nerves, resulting in pain, weakness, numbness, or tingling.

What causes it?

The most common causes of spinal stenosis are age-related, such as degenerative disc disease or osteoarthritis. Other causes include spinal cord tumors or fractures of the spinal column.

What does it feel like?

The pain with spinal stenosis depends on where the pinched nerve is located. If it is located in the cervical area, pain, tingling, or numbness can occur in the neck or arm. If the pinched nerve is in the lumbar spine, you may feel pain or cramping in your legs.

How do I know if I have it?

The most common way to diagnose spinal stenosis is a magnetic resonance imaging (MRI) scan. If you are unable to have an MRI scan, a myelogram or CT scan can be ordered instead.

How is this treated?

Non-steroidal anti-inflammatory medications (NSAIDs) may be recommended by your physician. Additional prescription-strength medications can also be used to treat the damaged nerves. These medications can be used in combination with physical therapy or a trial of epidural steroid injections to the affected area.

If all of the previous treatments are unsuccessful, surgery may be an option. The team of specialist at the Duke Spine Center will work with you to improve your symptoms and get you back on your feet.

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About This Page

Updated: Nov. 17, 2010
Published: Sept. 29, 2010
URL: http://www.dukehealth.org/services/spine/treatments/care_guides/condition-care-guides/spinal_stenosis