
How to Diagnose and Treat Spinal Stenosis

Spinal stenosis is a condition that occurs when the spaces within your spine narrow, putting pressure on your spinal cord and nerves. The narrowing often develops gradually and is most common in the lower back (lumbar stenosis) and neck (cervical stenosis).
The condition mimics that of others. That’s why at BioHealth Pain Management, Rostam Khoshsar, MD, and Adrian Darryll Sulindro, MD, emphasize the importance of providing an accurate diagnosis so you can get proper treatment. The goal is to relieve your pain and protect your spinal health long-term.
Diagnosing spinal stenosis
A diagnosis begins with a thorough medical history and physical exam. Dr. Khoshsar or Dr. Sulindro asks about your symptoms, such as back pain, neck pain, numbness, tingling, weakness, or difficulty walking. They also assess your reflexes, muscle strength, and range of motion.
They may need imaging tests to confirm spinal stenosis and rule out other causes. Common tools include:
- X-rays (to check for bone changes like spurs that may be narrowing the spinal canal)
- MRI scans (to provide detailed images of nerves, discs, and soft tissue)
- CT scans (sometimes used when MRI isn’t an option, often combined with a contrast dye)
These tests allow your doctor to pinpoint the exact location and severity of narrowing, which guides their treatment planning.
Nonsurgical treatment options for spinal stenosis
Treatment depends on the severity of your symptoms and how much those symptoms interfere with your daily life. Many patients improve with conservative, nonsurgical options, and we always try these before our team considers surgery. Options may include:
Medications
Over-the-counter pain relievers, anti-inflammatory drugs, or prescription medications can help reduce discomfort.
Physical therapy
Exercises improve flexibility, strength, and posture, which can relieve nerve pressure and improve mobility.
Nerve block injections
These injections target specific nerves to block pain signals from reaching your brain, providing relief and allowing you to participate more comfortably in therapy and daily activities.
Steroid injections
Corticosteroids injected near the affected nerves reduce inflammation and can provide temporary relief.
Lifestyle adjustments
Maintaining a healthy weight, staying active, and using proper body mechanics can lessen stress on your spine.
Surgical treatment options
If your symptoms don’t improve, or if nerve compression causes severe weakness, loss of bladder/bowel control, or mobility issues, our BioHealth Pain Management medical team may recommend surgery.
Common procedures include:
- Laminectomy: removes part of the vertebra (lamina) to create more space for nerves
- Laminotomy or foraminotomy: relieves pressure by enlarging small openings where nerves exit your spine
- Spinal fusion: sometimes combined with decompression to stabilize your spine
You can rely on our team’s expertise to recommend the right surgical approach. The goal is to help you experience significant pain relief, improved mobility, and a better quality of life, so you can return to the activities you enjoy most.
How to find relief and prevent progression
If you have persistent back pain, neck pain, numbness, or difficulty walking, don’t delay making an appointment with our medical professionals. We can provide an early diagnosis and treatment that can help prevent worsening symptoms.
While surgery is sometimes necessary, many people find lasting relief with nonsurgical options.
Click here to request an appointment with our qualified healthcare providers at the location closest to you.
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