How We Can Help
Spinal Stenosis Treatment Information
Treatment for spinal stenosis depends on the severity of your pain. We employ a variety of steps for pain management. We often use conservative measures first before turning to surgery. If symptoms involve motor weakness and loss of bowel control, surgery becomes a priority to preserve nerve functions.
- Physical interventions. To improve your symptoms and help you feel better, your physician may recommend exercises, physical therapy and care from a chiropractor to strengthen your back.
- Medications. If you are experiencing a burning pain, steroidal and non-steroidal medicines can help reduce the inflammation that causes the pain. Medicines are not a first line or mainstay treatment, but they can help reduce symptoms.
- Interventional pain procedures. Pain management may be considered in your care to allow you to take part in physical therapy without pain. A physiatrist can inject a steroid and a local anesthetic into the spinal canal to stop the pain. This can be done in a therapeutic way to affect a larger portion of the spinal canal. A more targeted approach is a nerve block. This spinal injection blocks the function of specific nerves. A nerve block can be used to help diagnose the origination of the pain as well as stop the pain.
- Surgery. Spinal operations are reserved for patients who get no relief from physical therapy and pain management techniques. We perform different types of spinal surgery depending on the state of your spinal stenosis.
- Laminectomy. This surgical procedure is used to relieve pressure on your spinal cord. It can be performed using open surgery or minimally invasive techniques. Your neurosurgeon removes scar tissue or bone that causes a narrowing of the spinal canal.
- Spinal fusion. To give your nerves and spinal cord the room they need, your neurosurgeon may perform surgery to realign and stabilize your spine. Spinal fusion fuses the vertebrae together using spinal implants to stabilize the unstable boney segments. An intra operative CT scanner/ O-arm is used to help your surgeon with minimally invasive screw placement.
- Urgent intervention. If you are experiencing progressive weakness in your legs and sudden loss of bowel and bladder control, surgery may be performed right away. These symptoms can indicate Cauda Equina Syndrome, which is caused by severe nerve compression. Surgery can prevent permanent nerve damage.
Spinal Stenosis Locations & Physicians
Use the search options below to find treatments available in your area.
Find a Specialist
Enter a Zip Code to find a specialist at IU Health.
Spinal Stenosis Support Services
Learn more about spinal stenosis treatments at these websites:
A Sampling of Spinal Stenosis Support Services
National Institute of Arthritis and Musculoskeletal and Skin Diseases
This website provides a question and answer section about spinal stenosis causes, diagnosis and treatments.
American College of Rheumatology
This website offers an extensive resource section about spinal stenosis.
Goodman Campbell Brain and Spine compiles this online encyclopedia of back and neck pain conditions.