What Is Spinal Stenosis?
Spinal stenosis is a condition in which the spaces within the spine become narrowed, placing pressure on the spinal cord or nearby nerves. The condition most commonly affects the lower back (lumbar spine) and neck (cervical spine).
Spinal stenosis often develops gradually as part of the aging process due to arthritis, disc degeneration, bone spurs, or thickened ligaments. As the spinal canal narrows, patients may experience pain, numbness, weakness, or difficulty walking comfortably.
At Delaware Orthopaedic Specialists, our fellowship-trained spine specialists provide advanced diagnosis and treatment options designed to relieve nerve pressure, improve mobility, and restore quality of life.
Symptoms of Spinal Stenosis
- Lower back or neck pain
- Numbness or tingling in the arms or legs
- Muscle weakness
- Pain that worsens with standing or walking
- Difficulty walking long distances
- Balance problems or instability
- Relief when bending forward or sitting
Causes & Risk Factors
Spinal stenosis commonly develops from age-related changes affecting the spine.
- Osteoarthritis and bone spurs
- Degenerative disc disease
- Thickened spinal ligaments
- Herniated discs
- Previous spinal injuries or surgery
- Congenital spinal narrowing
- Aging-related spinal degeneration
Diagnosis
At Delaware Orthopaedic Specialists, diagnosis begins with a detailed evaluation of the spine, nerves, and surrounding structures.
- Physical examination and neurological assessment
- Evaluation of strength, sensation, and balance
- Review of symptoms and walking tolerance
- X-rays to evaluate spinal alignment and arthritis
- MRI or CT imaging to identify nerve compression and narrowing
Accurate diagnosis helps determine the location and severity of spinal narrowing and guides the most effective treatment plan.
Treatment Options for Spinal Stenosis
Non-Surgical Treatment
Many patients improve with conservative treatment designed to reduce inflammation and improve spinal support. Non-surgical treatment options may include:
- Activity modification
- Anti-inflammatory medications
- Physical therapy and stretching exercises
- Core strengthening programs
- Epidural steroid injections
- Heat and ice therapy
- Pain management strategies
Surgical Treatment
Surgery may be recommended for severe nerve compression, progressive weakness, or difficulty walking that does not improve with conservative treatment. Surgical procedures may help remove pressure from the spinal cord or nerves and improve mobility. Our orthopedic spine specialists use advanced minimally invasive techniques whenever appropriate.
Recovery & Rehabilitation
Recovery timelines vary depending on symptom severity and the treatment approach used.
- Many patients improve within weeks to months with conservative care
- Physical therapy is important for improving strength and mobility
- Surgical recovery timelines vary depending on the procedure performed
- Long-term spine health often focuses on posture, flexibility, and conditioning
Our team works closely with patients throughout rehabilitation to help restore comfort, movement, and long-term spine function.
Why Choose Delaware Orthopaedic Specialists?
Local Care, Close to Home
We proudly serve patients throughout Delaware and nearby communities, including Wilmington, Newark, Middletown, Stanton, North Wilmington, and Chadds Ford. Our spine specialists provide advanced orthopedic care close to home.
At Delaware Orthopaedic Specialists, our fellowship-trained physicians provide comprehensive diagnosis and treatment for spinal conditions and nerve-related pain.
- Experienced spine and orthopedic specialists
- Advanced imaging and neurological evaluation
- Comprehensive non-surgical and surgical treatment options
- Minimally invasive spine treatment techniques
- Convenient locations throughout Delaware and nearby Pennsylvania
Schedule an Appointment
Schedule an appointment with Delaware Orthopaedic Specialists today to receive expert diagnosis and treatment for spinal stenosis.
Frequently Asked Questions
What causes spinal stenosis?
Spinal stenosis commonly develops from arthritis, disc degeneration, bone spurs, or thickened ligaments that narrow the spinal canal.
What are the symptoms of spinal stenosis?
Symptoms may include back or neck pain, numbness, weakness, tingling, balance problems, and difficulty walking.
Can spinal stenosis be treated without surgery?
Yes. Many patients improve with physical therapy, medications, injections, and other conservative treatments.
When is surgery recommended for spinal stenosis?
Surgery may be recommended for severe nerve compression, worsening weakness, or difficulty walking that does not improve with conservative treatment.
When should I see a specialist?
If back or neck pain, numbness, weakness, or walking difficulty interferes with daily activities or worsens over time, it is important to seek orthopedic evaluation.