Occurring in either the lower back (lumbar spine) or the neck (cervical spine), foraminal stenosis may produce variable amounts of pain and dysfunction. Conservative treatments like exercise, activity modification, pain medication and epidural steroid injections are often indicated with mild symptoms of this type of spinal stenosis. With more severe symptoms and pain that does not respond to non-surgical treatments, a surgical opinion may be warranted for the foraminal stenosis.
Spinal stenosis refers to a "choking" or compression of the spinal nerve roots or the spinal cord. There are two types of stenosis: lumbar stenosis and cervical stenosis.
Cervical stenosis with myelopathy is a degenerative condition that pinches the spinal cord. Symptoms of cervical spinal stenosis vary and most often occur in elderly patients.
Depending on the specific symptoms of spinal stenosis, non-surgical spinal stenosis treatments like exercise, NSAIDS and activity modification can often alleviate pain.
Lumbar decompression relieves pain due to neural impingement (pinched nerves) by removing bone from over the nerve root/disc material and providing more healing space.
Lumbar stenosis occurs when spinal nerve roots in the lower back are compressed. Lumbar spinal stenosis symptoms often including sciatica and/or leg pain while walking.
Surgery for spinal stenosis often involves a decompression back surgery, with most types of spinal stenosis surgery sharing several important considerations.