Treatment FAQ

what is treatment for cervical spinal stenosis

by Dorian Stamm Published 3 years ago Updated 2 years ago
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In advanced or severe cases of cervical spinal stenosis, the only treatment to resolve the symptoms is a decompressive surgery such as a laminectomy, which will alleviate pressure off the nerves and spinal cord.

When symptoms of cervical stenosis with myelopathy become moderate or severe, the only course of effective treatment is surgery to decompress the spinal cord. If symptoms are minor or barely noticeable however, the condition can sometimes be managed successfully with nonsurgical treatments.

Full Answer

What is the best remedy for spinal stenosis?

Operations Used to Treat Stenosis. Anterior Cervical Discectomy and Fusion A small incision in the front of the neck is used to access the upper spine. The ruptured or herniated disc is removed and replaced with a small bone plug, which eventually grows …

How to cure spinal stenosis naturally?

If your symptoms continue despite conservative treatments, or they get worse, we may recommend surgical intervention to create space within your spinal canal. Surgical options for cervical stenosis may include: Laser spine surgery; Laminoplasty; Decompression and spinal fusion; Artificial disc replacement surgery; Many people experience improvement in their …

What is the best exercise for cervical stenosis?

Jul 09, 2019 · An electromyogram and blood tests also may be needed to confirm that symptoms are a result of spinal stenosis. Spinal stenosis treatments that don’t involve surgery include self-care measures, medication, physical therapy and steroid injections. These treatments often can relieve symptoms of mild spinal stenosis.

How do you treat cervical stenosis without surgery?

Apr 14, 2022 · Treatment of Cervical Spinal Stenosis. Mild stenosis can be treated with nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, posture improvement, and physical therapy. But more serious cases will require spinal surgery to relieve the compression. Surgery may involve removing discs or bone spurs that may be compressing the spinal cord, or …

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What can be done for cervical spinal stenosis?

physical therapy to relieve inflammation and strain while restoring range of motion in your neck. steroid injections near your spine to reduce inflammation and swelling that may be compressing nerves. chiropractic treatment to realign your spine so nerve irritation is relieved.

Can cervical spinal stenosis be cured?

There's no cure, but there are a variety of nonsurgical treatments and exercises to keep the pain at bay. Most people with spinal stenosis live normal lives.Oct 18, 2020

How do doctors treat cervical stenosis?

Treatment for cervical stenosis usually begins with a plan that combines physical therapy, posture adjustments and pain-relieving medications. Patients who do not respond to these treatments may require surgery to widen the spinal canal.

How Serious Is spinal stenosis in the neck?

Cervical stenosis is one of the most serious results of this degeneration. Also called cervical spinal stenosis, or simply spinal stenosis, the condition is most common in adults ages 30-50 and affects about twice as many men as women.

When do you need surgery for cervical stenosis?

Spinal stenosis surgery helps to reopen your spinal canal, the channel in your backbone that houses your spinal cord and other nerves. A doctor does the surgery when the space in the canal narrows because of arthritis, bone spurs, or other problems. When that happens, the nerves can be pinched or squeezed.Oct 18, 2020

Should I have surgery for cervical spinal stenosis?

When symptoms of cervical stenosis with myelopathy become moderate or severe, the only course of effective treatment is surgery to decompress the spinal cord. If symptoms are minor or barely noticeable however, the condition can sometimes be managed successfully with nonsurgical treatments.

What happens if cervical stenosis is left untreated?

It occurs from spinal stenosis that causes pressure on the spinal cord. If untreated, this can lead to significant and permanent nerve damage including paralysis and death. Symptoms may affect your gait and balance, dexterity, grip strength and bowel or bladder function.

How can I prevent cervical stenosis from getting worse?

Having good posture and practicing proper body mechanics are some of the best ways to prevent stenosis from progressing and to ensure the health of your back. Good posture and body mechanics should be practiced all the time—whether you're sitting, standing, lifting a heavy object, or even sleeping.Apr 12, 2018

What causes cervical stenosis to flare up?

What Causes Cervical Spinal Stenosis? A common cause of cervical spinal stenosis is degeneration, or wear and tear affecting the anatomical structures in your neck due to aging. That's why most people who have cervical spinal stenosis are adults in their 50s and 60s who may have had neck pain for several years.Jul 26, 2019

Why is my cervical spine narrowing?

In most cases, the narrowing of your cervical spine is caused by arthritis, herniated discs, or thickening of the ligaments that hold your vertebrae in place. According to the Mayo Clinic, most people diagnosed with spinal stenosis are over age 50.

What is spinal canal?

Your spinal canal goes from your lower back to your neck. If there’s not enough room in your spinal canal for your spinal cord to pass, then you have what’s referred to as spinal stenosis, or, a narrowing of the spinal canal. There are two main types of spinal stenosis: cervical stenosis, which deals with the neck region, and lumbar stenosis, ...

Does cervical stenosis worsen over time?

Unfortunately, for many people, these symptoms don’t improve over time. In fact, they usually worsen.

What is the difference between cervical stenosis and lumbar stenosis?

There are two main types of spinal stenosis: cervical stenosis, which deals with the neck region, and lumbar stenosis, which deals with the lower back. Cervical stenosis refers to a lack of space in the spinal canal located in your cervical spine, or neck.

What is the best treatment for cervical stenosis?

Initially, we may recommend physical therapy, massage therapy, antispasmodic medications, and antidepressants.

What are the symptoms of a swollen arm?

Tingling, burning, or numbness that travels to your hands or feet. Muscle weakness in your arms or legs. Problems walking or maintaining balance. These symptoms usually develop gradually and worsen over time.

Why is the spinal cord important?

The spinal cord is a vital structure because all the movement-related messages your brain sends to your body, as well as all the sensory messages your body generates below your neck, travel through the cervical spinal cord.

What is spinal stenosis?

That decision should be based on several factors, though, including the severity of your symptoms and whether the condition is affecting your spinal cord function. Spinal stenosis happens when the main channel for the spinal cord — called the central spinal canal — or the openings for individual nerve roots in your spine become narrowed, ...

Can spinal stenosis be diagnosed with MRI?

When spinal stenosis is suspected, a detailed medical history and physical exam are necessary to find the cause of the symptoms. Imaging with MRI typically is performed to confirm the diagnosis and localize the stenosis.

What is the best way to diagnose stenosis?

Imaging with MRI typically is performed to confirm the diagnosis and localize the stenosis. X-rays and CT scans usually are part of the evaluation, too, especially when there is significant neck pain, a spinal deformity or history of trauma.

What are the treatments for spinal stenosis?

Spinal stenosis treatments that don’t involve surgery include self-care measures, medication, physical therapy and steroid injections. These treatments often can relieve symptoms of mild spinal stenosis.

What is the goal of spinal fusion?

When surgery is necessary, the goal is to create more space for the nerve tissue. During spinal decompression, a surgeon removes the bone, ligament or disc that’s putting pressure on the spinal cord or nerve roots. Spinal fusion is performed if the spine is deformed or unstable, or if the spine’s alignment and stability are compromised by ...

What causes cervical stenosis?

Other causes of cervical stenosis include: 1 rheumatoid arthritis (RA), an immune system disease that causes damaging inflammation in your joints 2 tumors in or near your spine 3 Paget’s disease, which causes your bones to become deformed or enlarged 4 traumatic injuries that damage the spine

What causes a swollen cervical spine?

Other causes of cervical stenosis include: rheumatoid arthritis (RA), an immune system disease that causes damaging inflammation in your joints. tumors in or near your spine. Paget’s disease, which causes your bones to become deformed or enlarged. traumatic injuries that damage the spine.

Can cervical stenosis cause neck pain?

Get relief for your neck pain. Cervical stenosis is a relatively common cause of neck pain, but it’s not the only cause. The first step in getting relief for painful symptoms is to have your neck pain evaluated so you can make sure your treatment is optimized for your needs.

What is the procedure to remove a damaged disc?

A discectomy removes a damaged disc or the damaged part of a disc to relieve pressure on the nerves in the neck. Spinal fusion surgery uses special techniques to connect one or more vertebrae, immobilizing that part of the neck to prevent painful friction between bones.

What can X-rays show?

X-rays. An X-ray of your back can reveal bony changes, such as bone spurs that may be narrowing the space within the spinal canal. Each X-ray involves a small exposure to radiation. Magnetic resonance imaging (MRI). An MRI uses a powerful magnet and radio waves to produce cross-sectional images of your spine. ...

How to diagnose spinal stenosis?

To diagnose spinal stenosis, your doctor may ask you about signs and symptoms, discuss your medical history, and conduct a physical examination. He or she may order several imaging tests to help pinpoint the cause of your signs and symptoms.

Where is laminoplasty performed?

While shown here on the neck, it can also be performed in the lumbar spine. Laminoplasty is performed only on the vertebrae in the neck (cervical spine). It opens up the space within the spinal canal by creating a hinge on the lamina. Metal hardware bridges the gap in the opened section of the spine.

Can spinal stenosis cause muscle weakness?

It's common for people who have spinal stenosis to become less active, in an effort to reduce pain. But that can lead to muscle weakness, which can result in more pain. A physical therapist can teach you exercises that may help:

What is the purpose of MRI?

An MRI uses a powerful magnet and radio waves to produce cross-sectional images of your spine. The test can detect damage to your disks and ligaments, as well as the presence of tumors. Most important, it can show where the nerves in the spinal cord are being pressured. CT or CT myelogram.

How to reduce back pain?

If you're overweight or obese, your doctor may recommend that you lose weight. Losing excess weight can reduce pain by taking some stress off the back, particularly the lumbar portion of the spine.

Can corticosteroid injections help with stenosis?

Your nerve roots may become irritated and swollen at the spots where they are being pinched. While injecting a steroid medication (corticosteroid) into the space around impingement won't fix the stenosis, it can help reduce the inflammation and relieve some of the pain.

How to treat cervical stenosis?

Treatment for Cervical Stenosis with Myelopathy 1 Activity modification. Sometimes certain activities or holding the neck in certain positions can exacerbate symptoms. Modifying a sleep position or pillow, sitting with better posture, or avoiding strenuous activities may reduce pain and/or other symptoms.#N#See Pillows for Neck Pain 2 Physical therapy. A certified medical professional can design a physical therapy program that targets the neck. By improving the neck’s strength and flexibility, posture may be improved and muscles may be less likely to have painful spasms.#N#See Neck Exercises for Neck Pain

Can cervical stenosis with myelopathy be treated?

When symptoms of cervical stenosis with myelopathy become obvious and persistent, nonsurgical treatments are ineffective and surgery is likely to be recommended as the only way to prevent it from getting worse. The goal of surgery for cervical stenosis with myelopathy is to relieve compression of the spinal cord to prevent further damage.

Why is the lamina removed?

Approaching the cervical spine from the back, the bony arch at the back of the vertebra, called the lamina, is usually either removed (laminectomy) or restructured (laminoplasty) in order to release pressure on the spinal cord.

What is anterior cervical decompression?

This procedure involves approaching the cervical spine from the front and removing any discs, bone spurs, or other structures that might be impinging the spinal cord. It typically includes fusing one or more levels of the cervical spine to maintain stability.

How to help neck pain?

Modifying a sleep position or pillow, sitting with better posture, or avoiding strenuous activities may reduce pain and/or other symptoms. See Pillows for Neck Pain. Physical therapy.

How to treat neck spasms?

Physical therapy. A certified medical professional can design a physical therapy program that targets the neck. By improving the neck’s strength and flexibility, posture may be improved and muscles may be less likely to have painful spasms. See Neck Exercises for Neck Pain. It is important to remember that even relatively minor cases ...

What is cervical spinal stenosis?

Cervical spinal stenosis is a narrowing of the spinal canal and/or the spinal nerve root passages in your neck. When this narrowing occurs, your spinal cord and/or nerves may become compressed and cause symptoms such as pain, numbness, tingling and weakness in your neck, shoulders, and extremities.

Can cervical stenosis cause neck pain?

That’s why most people who have cervical spinal stenosis are adults in their 50s and 60s who may have had neck pain for several years. Injury or trauma may also cause or contribute to the development of spinal stenosis. Whether degeneration is natural (ie, age-related) or helped along by the long-term effects of previous injury, ...

What is C7 radiculopathy?

On the other hand, C7 radiculopathy is associated with triceps weakness. While spinal stenosis can impact select nerves or groups of nerves in your neck, more advanced cases involve a narrowing of the spinal canal that compresses your spinal cord. Spinal cord compression in your neck is called cervical myelopathy, ...

Do you need surgery for spinal stenosis?

Most people with spinal stenosis do not need surgery. For many patients, nonsurgical treatments—and there are many options—effectively reduce and manage pain and symptoms. Your doctor may recommend one therapy or combine it with different types of treatment. There are various types of drugs and medications, passive and active physical therapies, and spinal injections—some patients find acupuncture is helpful.

What is the best way to diagnose spinal stenosis?

Other imaging studies may be necessary, such as a magnetic resonance imaging (MRI) scan to evaluate your spinal cord, nerves and other soft tissues. Imaging studies help your doctor to confirm spinal stenosis and pinpoint its cause.

What causes nerve compression in the spine?

Degeneration can also affect the spine’s facet joints, often caused by spondylosis, or spinal osteoarthritis. People with osteoarthritis may develop bone spurs, or osteophytes, ...

When is spine surgery considered?

Spine surgery may be considered if nonoperative treatments are ineffective and/or symptoms worsen, which may happen quickly or progressively over time. There are cases when surgery is the first treatment, such as acute disc herniation, fracture or severe neurological deficit develops (cervical myelopathy).

What is spinal stenosis?

Spinal stenosis is a narrowing of the spine that occurs most often in the lower back ( but can also occur in the cervical spine). This narrowing eventually begins to crowd the spinal cord and nerves in the spinal column. When this happens, radiating pain and mobility issues can quickly follow.

How many people have spinal stenosis?

Spinal stenosis is a pain condition that affects an estimated 500,000 people in the U.S. While some cases are mild and have little impact on daily life, other people experience debilitating pain and limited mobility. If you or someone you love is suffering, these are some of the best treatments for spinal stenosis.

Is walking good for health?

Walking is a full-body, low-impact exercise that improves overall health. The benefits of walking — especially in nature, if you can manage it — are countless. Group walks play a role in “undoing” the stressful effects of chronic pain. Walking can ease anxiety and depression, which helps in treating pain conditions.

What is the best treatment for spinal stenosis?

Physical therapy is another way to re-learn how to use your body in support of good health. And it just so happens to be one of the best treatments for spinal stenosis — one study in 2015 found that physical therapy had better outcomes than surgery when treating spinal stenosis.

How to help stenosis?

Stretches. Targeted spinal stenosis exercises can help lengthen the spine and relieve pressure on your nerves. Flexion exercises in particular decreased pain and lowered the risk of disability in people with spinal stenosis. Core stability stretches and exercises also resulted in an increase in walking capacity.

Is yoga good for back pain?

For lower back pain, yoga is hard to beat. Yoga builds long, strong muscles and a tall, graceful spine. When it comes to yoga for spinal stenosis, research is growing. Stretching in yoga improves gait, decreases pain, and increases well-being and the ability to deal with the mental aspects of pain.

What is the procedure called for spinal stenosis?

Vertiflex procedure for spinal stenosis. The Vertiflex procedure for spinal stenosis (also called the Superion® implant) is a new way to increase the space between the vertebrae — space that may collapse as spinal stenosis progresses.

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