Stenosis is a condition characterized by the narrowing of the spinal canal and Intervertebral Foramen. These structures encase the spinal cord and nerve roots, and when they become narrowed can put pressure on these structures. The narrowing of these spaces is closely associated with arthritis/degeneration and postural changes. This condition typically shows signs of back and leg pain more prominent with standing and walking, with relief upon sitting or leaning forward.
Because the condition is associated with degeneration, we follow an approach similar to the treatment of arthritis. Treatment focuses on emphasizing joint movement and increasing the ability of the muscles to support and stabilize the affected joints. The body as a whole is assessed to uncover any other movement abnormalities that may be affecting the degenerated area. Treatment is dependent on stages of degeneration but generally includes chiropractic adjustments, Myofascial Release Techniques (MRT), low intensity laser therapy, spinal stability exercises, and functional rehabilitation. Specific home exercises are used to facilitate a posture and spinal position which expands the size of the spinal canal and intervertebral foramen, which maximizes the available space for the nerves.