Conditions We Treat
NJNBI offers a wide range of treatment options for common conditions affecting all aspects of the spine including:
Spondylolisthesis occurs when one of the vertebrae of the spine slides out of place, with the most common occurrence in the lower back (lumbar) region.
Cervical spondylosis is the result of degenerative disc disease, where the facet joints within the spine begin to develop arthritis from increased pressure.
Cervical spondylotic myelopathy (aka spinal cord compression) is a condition where narrowing of the spinal canal occurs due to wear and tear over time.
Degenerative disc disease is not a disease but rather a term used to describe the normal changes in the spinal discs over the course of time.
Also known as adult onset scoliosis, degenerative scoliosis is when the curvature of the spine is caused by the degeneration of the facet joints.
A herniated disc, also known as a slipped or ruptured disc, is one of the most common spinal injuries. Learn about the causes and diagnosis here.
While there are a variety of causes for lower back pain, the majority of them result from the natural degeneration of parts of the spine.
Lumbar spinal stenosis is a condition where the spinal canal narrows, compressing the spinal cord and nerves in the lower back.
Neck pain is a common problem categorized as discomfort in the neck area. Read more about the common symptoms and treatment options available.
Radiculopathy is a condition that causes radiating pain into the extremities along the course of a spinal nerve root, commonly in the lower back and neck.
Sciatica is a condition that causes pain that radiates through the sciatic nerve, which runs through the lower back then splits and travels down each leg.
A spinal tumor is an abnormal tissue growth typically associated with cancer. Learn about the 3 types of spinal tumors as well as diagnosis and treatments.
Lumbar spinal stenosis (LSS) is a condition where the spinal canal narrows, compressing the spinal cord and nerves in the lumbar (lower back) region of the spine.
Typically occurring in adults over 60, this condition is the result of the natural degeneration of the spine due to aging. In a small number of cases, patients have congenital (present from birth) spinal stenosis.
What Causes Lumbar Spinal Stenosis?
The most common cause of spinal stenosis is arthritis, the degeneration of the joints of the body. Arthritis results from the discs between the vertebrae drying out and weakening, causing a collapse of the space between the vertebrae known as settling.
As the spine settles, the weight of the body is transferred to the facet joints and the tunnels the nerves travel through become smaller. When the facet joints experience this pressure, they also develop arthritis. Then, as the pressure eats away cartilage, bone-on-bone contact may result in bone spurs which narrow the nerve space.
Symptoms of Lumbar Spinal Stenosis
As the space around the spinal canal narrows and puts pressure on the spinal cord and nerve roots, symptoms that may appear include:
- Back pain
- Burning pain in the legs or buttocks
- Numbness/tingling in the legs or buttocks
- Reduced pain with sitting or leaning forward
- Weakness in the legs or the sensation of the foot slapping the ground while walking
How Is Lumbar Spinal Stenosis Diagnosed?
After taking a medical history and symptoms, Dr. LaRocca will perform a physical examination. During the exam, you may be asked to stand and bend in different positions to determine the source of pain or limitations in motion.
Diagnostic tests may also be recommended to confirm a diagnosis including:
- Computed tomography (CT) scan to create cross-section images of the spine.
- Magnetic resonance imaging (MRI) for taking images of the soft tissues of the body, such as the muscles, nerves and spinal cord.
- Myelogram, a procedure in which dye is injected into the spine to highlight the nerves to determine if the nerves are compressed.
- X-rays show aging in the bone and changes in the spine such as bone spurs. X-rays that are taken while you’re leaning forward or backward can also reveal instability in the joints.
What Treatment Options Are Available For Spinal stenosis?
At New Jersey Neck & Back Institute (NJNBI), Dr. LaRocca and his experienced team offer an array of treatment options to fit individual needs, including: