Lumbar Spinal Stenosis
What Is Lumbar Spinal Stenosis?
Narrowing of the Spinal Canal Causing Nerve Compression in the Lower Back. Lumbar spinal stenosis is a condition where the spinal canal in the lower back becomes narrowed, putting pressure on the spinal cord and nerves. This narrowing often results from degenerative changes associated with aging, such as disc bulging, ligament thickening, or bone spur formation. The condition may cause pain, numbness, or weakness in the lower back and legs.
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Causes and Risk Factors
- Age-related degeneration of discs and joints
- Herniated discs that protrude into the spinal canal
- Thickened ligaments (especially ligamentum flavum)
- Bone spurs from arthritis
- Congenital spinal canal narrowing
- History of spinal surgery or trauma
Symptoms
- Lower back pain that may radiate to the buttocks or legs
- Numbness or tingling in the legs or feet
- Leg weakness or fatigue, especially with walking
- Pain relief when sitting or leaning forward (e.g., pushing a shopping cart)
- Difficulty walking long distances due to leg discomfort (neurogenic claudication)
Diagnosis
- Medical history and physical examination
- Neurological evaluation (reflexes, strength, sensation)
- Imaging studies:
- MRI is the gold standard for visualizing spinal canal narrowing and nerve compression
- CT scan with or without myelogram for detailed bone assessment
- X-rays to evaluate spinal alignment and joint degeneration
Treatment
Non-Surgical Treatment
- First-line management for most patients with mild to moderate symptoms
- Includes:
- Activity modification and posture training
- Anti-inflammatory medications (NSAIDs)
- Physical therapy to improve core strength and flexibility
- Epidural steroid injections to reduce nerve inflammation and pain
Surgical Treatment
- Considered for patients with persistent pain, weakness, or significant disability
- Common procedures include:
- Laminectomy: Removal of the lamina (back part of the vertebra) to create more space for nerves
- Laminotomy: Partial removal of the lamina to decompress specific nerve roots
- Spinal fusion: Sometimes performed with laminectomy if there is spinal instability
- Minimally invasive decompression: Available for select patients with less severe stenosis
Recovery Timeline
Non-surgical patients often improve over weeks to months with therapy and injections
After laminectomy or minimally invasive surgery, recovery takes 4–8 weeks
Full recovery from laminectomy with fusion may take 3–6 months, including physical therapy
Most patients experience significant symptom relief and improved mobility
Expert Treatment at Kerlan Jobe Institute
At Kerlan Jobe Institute, our spine specialists use the latest diagnostic tools and evidence-based treatments to manage lumbar spinal stenosis. Whether through conservative management or advanced minimally invasive surgery, we’re committed to restoring mobility and quality of life for every patient.
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Surgery is just the beginning. How do you heal, move, and feel when all is said and done?
From NHL and NBA players to weekend warriors, our goal is the same: getting you back to doing what you love.
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“Dr. Kvitne operated on my shoulder 3 years ago and I had a perfect recovery and no problems since and I do not see a scar. He is kind with a great bedside manor and a highly skilled surgeon.”
Dr. Kharrazi truly got me back on my feet—literally.
One year ago, I tore several ligaments in my knee, and now I’m able to do the things I enjoy again.
His expertise, knowledge, and confidence are what made me choose him as my surgeon, and I will always be grateful to him and his entire team. Rudy, his assistant; Norma, who was always so prompt with all of my emails; and Blanca, who helped with forms—each of them made a difference. I can’t thank them enough for being there with me every step of the way.
I can’t say enough good things about Dr. Kvitne
“My experience with Dr Kvitne was amazing he is a outstanding Doctor what a talented man he is my knee was in such bad shape he did not have much to work with but he got in there and fixed me up there was so much that had to be repaired Dr Kvitne with his knowledge and experience repaired my knee so nicely done I have had knee surgery before but never like this I can’t say enough good things about Dr Kvitne awesome human being as well as a awesome excellent Doctor!!”
Dr. Kharrazi gave me my mobility back
After 2 knee surgeries with other Orthopedics I must say that Dr. Kharrazi is a miracle worker. I have my mobility back and my pain level is so greatly improved. Thanks Dr. K!
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Kerlan-Jobe provides comprehensive orthopaedic care for patients seeking expert treatment for sports injuries, joint pain, and mobility limitations. We offers specialized experience and a patient-first approach designed to support lasting results.
Contact the office to schedule a consultation and learn more about your treatment options.