Spinal Stenosis

Dr. O'Gara with Patient

Severe back pain and leg pain caused by spinal stenosis can prevent you from living the way you want to: It can impact your work, social life, and family. 

At Wake Forest Baptist Health’s Spine Center, we specialize in relieving your pain so you can actively participate in your life. Led by Chair of Neurosurgery and spinal surgeon Dr. Charles Branch, an innovator in minimally invasive approaches to spinal stenosis, we offer a full range of treatments, all at a location convenient to you. 

About Spinal Stenosis 

Spinal stenosis refers to narrowing of the spinal canal that can cause severe pain. Stenosis may occur in the cervical, thoracic, and lumbar spine. It is most common in the lumbar and cervical areas. 

Lumbar stenosis usually results in back and leg pain when standing, but improves when sitting. Cervical stenosis may result in arm and leg weakness or unsteadiness. 

Stenosis is like a tourniquet applied when you give blood—after a few minutes with the tourniquet applied, the arm gets swollen and your fingers get numb. When the tourniquet is released, you feel better. In the same way, lumbar stenosis squeezes your spinal nerves, especially when you stand.

Spinal Stenosis Causes and Diagnosis

Stenosis may be caused by:

  • Thick joint ligaments (ligamentum flavum)
  • Degenerated discs that have bulged into the spinal canal and become calcified
  • Facet joint that has become arthritic and pinches the nerves or spinal cord in conjunction with the above 

We diagnose spinal stenosis with a magnetic resonance (MR) scan or computed tomography (CT) myelogram scan. X-rays will help determine if an instability needs to be addressed as well.

Types of Spinal Stenosis 

Lumbar stenosis, the most common type, compresses nerves and usually can be treated successfully though medication, physical therapy, or surgery. 

Stenosis can be accompanied by scoliosis or spondylolisthesis, which results in greater pain when you stand. This requires more extensive treatment to decompress the nerves and to stabilize the spine. 

If the stenosis occurs in the cervical or thoracic spine, resulting in the spinal cord compression, this is called myelopathy and may end up being a permanent problem. 

Spinal Stenosis Treatments

At Wake Forest Baptist Health’s Spine Center, we offer a full array of treatments for spinal stenosis. We develop a treatment plan specific to your symptoms and recommend an approach that offers the highest probability of success with the least risk. 

Spinal Stenosis Treatment options include:

  • Physical therapy: We usually try this first, especially if the stenosis is in the lumbar spine. This restores flexibility and mobility, and may relieve the symptoms without surgery.
  • Stretching, ultrasound, and thermal treatments or massaging: May be recommended if you experience painful muscle spasms.
  • Steroid injections in spine: For when the stenosis is mild but there is some inflammation of the nerves and other therapies haven’t helped. 

Spinal Stenosis Surgery 

If physical therapies or injections don't work, a minimally invasive surgical decompression may be effective. We remove a thickened ligament or overgrown facet or hinge joint, or removal of a bulging disc or spur, opening up the spinal canal and relieving the stenosis. 

This is a great treatment option when just one or two joints or segments of the spine are involved and may be used in the cervical, thoracic and lumbar spinal stenosis. 

A minimally invasive approach limits the damage or injury to the muscles and tissues around the spine and allows for a quicker recovery. Patients are discharged the same day or next day, and are expected to rapidly progress to a more active lifestyle and return to conditioning programs within a few weeks. 

If the stenosis is extensive over multiple levels, then a more extensive surgical decompression is required and a minimally invasive approach may not be the best option. 

A patient who undergoes a surgical decompression for severe symptomatic spinal stenosis should expect a significant reduction in pain and an improvement in their lifestyle. 

At the Wake Forest Baptist Health Spine Center, initial evaluation, physical and interventional therapies and surgical evaluations are available in one facility. Our spine specialists will make every effort to match the least invasive treatment for the patient's symptoms and diagnosis. 

With state-of-the-art imaging, easily accessible clinics, and the most advanced minimally invasive techniques and surgeons, patients receive personalized treatment of their spinal stenosis with the highest probability of success.

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Quick Reference

The Spine Center

New Patients 888-716-WAKE
Returning Patients
336-713-2121

The Spine Center is located at Medical Plaza - Clemmons: 

2341 Lewisville-Clemmons Rd.
Clemmons, NC 27012

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