Stenosis

Stenosis is the narrowing of the spaces in the spine — both in the centre and sides — leading to compression of the spinal cord and nerves.

Stenosis

Symptoms

Spinal stenosis occurs when narrowing of the spinal canal or foramina places sustained pressure on the spinal cord or nerve roots. It most commonly develops in the lumbar spine (lower back) and cervical spine (neck) — either from disc displacement, bone spur formation, or a combination of both.
Hallmark symptom — Neurogenic claudication — leg pain, heaviness, or weakness that comes on after walking a short distance and is relieved by sitting down or bending forward (which opens the spinal canal). This pattern is the defining clinical feature of lumbar stenosis and distinguishes it from vascular (blood flow) causes of leg pain. Other symptoms you may experience:

Mild to severe pain radiating from the lower back through the buttocks, thigh, calf, and foot (lumbar)

Pain from the neck or upper back into the hands and fingers — one or both sides (cervical)

Tingling, numbness, burning, or weakness in the legs, feet, hands, or fingers

Increasing pain with lifting and bending — worsening with sustained upright posture

Back or neck pain that comes and goes — varying with position and walking distance

Morning stiffness that may ease or worsen with movement

Dizziness or vertigo with position change (cervical stenosis with cord involvement)

Reduced or trouble urinating or passing motion (bladder or bowel control) — a red flag requiring immediate attention

Bilateral leg weakness, loss of bladder or bowel control, or sudden deterioration of walking ability are medical emergencies in spinal stenosis. Seek immediate care — permanent spinal cord or cauda equina damage can result from delayed treatment.

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