Lumbar Spinal Stenosis Overview and Treatment

Most cases of lumbar spinal stenosis are caused by degeneration of the spine. Just like our joints gradually weaken as we get older, so do the discs between our vertebrae. That’s why LSS most commonly affects adults over the age of 40. As the discs weaken, the space between the vertebrae can collapse, causing the spine to settle and narrowing around the spinal cord and/or the spinal nerves. When put under such pressure, these nerves and the joints are negatively affected and the following symptoms may occur:

  • Back pain

  • Burning pain in the legs or buttocks

  • Numbness and/or tingling in the legs or buttocks

  • Reduced pain when sitting or leaning forward

  • Weakness in the legs

  • Foot feels like its slapping the ground while walking

  • Bowel or bladder dysfunction

  • Loss of coordination

It’s also important to note that while this disorder is most common in older adults, it may also appear as a congenital abnormalities from birth. Tumors that press on the nerves or a traumatic injury that moves bones out of alignment and causes compression can also lead to spinal stenosis.

Diagnosing Lumbar Spinal Stenosis

If you’ve been referred to a surgeon with a diagnosis of LSS, Dr. LaRocca will start by collecting your medical history and discussing your symptoms. He’ll also conduct a physical exam to help determine the source of your symptoms and assess any neurological deficits and motion limitations. Further diagnostic testing may be required to see the severity and location of the stenosis, such as X-rays, CT scans, and MRI. 

It’s possible for more than one area of spinal stenosis to present in several vertebrae. However, only certain areas may be causing your pain and nerve dysfunction. After a thorough examination, Dr. LaRocca will have a better idea of which areas to treat.

Treating Lumbar Spinal Stenosis

When a patient is diagnosed with LSS, doctors recommend non-surgical treatment options first. This may involve medication, physical therapy, exercise and/or injections. Unfortunately, these methods can fail to provide the relief you need. In that case, your doctor may recommend surgery.

Surgery can offer long-term relief and restore movement. The most common procedure to treat LSS is called a laminectomy. During a laminectomy, the affected spinal segments pressing on the nerves will be removed through an incision in the back. If necessary, a spinal fusion will also be performed. This is when vertebrae are fused together to promote stability and eliminate pressure on the nerves.

Along with expert surgical procedures, each patient will receive personalized, compassionate care and the education on spine health they need to make informed decisions and feel confident in their treatment plan. Overall, outcomes for surgical treatment are very good to excellent.

Learn More About Resolving Back Pain with Dr. LaRocca

If you're ready to resolve your lumbar spinal stenosis or have been referred for a surgical consultation, Dr. LaRocca and the team at New Jersey Neck & Back Institute are here to provide a comprehensive approach to relieve your pain and enhance your quality of life. You can schedule an appointment by calling 609-896-0020 or visiting our website at www.njnbi.com. We have four convenient locations:

3131 Princeton Pike, Bldg 6, Ste 106, Lawrenceville, NJ 08648

1985 Highway 34, Ste 6A, Wall Township, NJ 07719

1004 Birchfield Drive, Mount Laurel, NJ 08054

2090 NJ-27, STE 102, North Brunswick Township, NJ 08902