Lumbar Spinal Stenosis

Spinal stenosis in the lumbar region occurs when the space through which nerves exiting the spinal cord pass narrows due to thickening of the bone and connective tissue, leading to compression of the nerves.

Typical symptoms include lower back and leg pain that worsens with walking, numbness and tingling, and a frequent need to rest (relief from sitting). In advanced cases, weakness and balance problems may occur.

What are the stages of treatment?

Surgical Treatment

In patients with significantly reduced walking distance, neurological involvement, or those who do not benefit from medication or physical therapy, spinal canal widening is performed using microsurgery. If necessary, spinal stabilization is added with screws. The aim is to safely relieve nerve compression.

Non-Surgical Treatment

Pain relievers, medications to reduce nerve tissue edema, targeted physical therapy, posture and gait training, and weight control are essential. In appropriately selected patients, epidural or facet joint injections may provide relief.

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Cervical Spinal Stenosis

(Myelopathy)

Narrowing of the spinal canal in the cervical region puts pressure on the spinal cord and nerve roots. Symptoms may include neck and shoulder pain, numbness and loss of dexterity in the hands (difficulty buttoning, impaired handwriting), imbalance, and difficulty walking.

The goal of treatment is to reduce spinal cord and nerve compression.

What are the stages of treatment?

Surgical Treatment

Surgery is recommended if spinal cord compression and neurological findings are significant. An anterior approach can be used to remove the disc/calcification and perform fusion, or a posterior approach can be used to widen the spinal canal. With the appropriate technique, nerve tissue is relieved and progressive damage is prevented.

Non-Surgical Treatment

In early and mild cases, pain control, neck exercises, lifestyle modifications, and physical therapy may be planned. Close monitoring is important to ensure that surgery is initiated without delay if neurological symptoms develop.

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Thoracic Spinal Stenosis

Narrowing of the spinal canal in the thoracic (back) region can occur due to disc herniation, thickened connective tissue, or bony spurs.

Symptoms may include girdle-like pain in the back, numbness around the trunk, and imbalance. In advanced cases, walking may be impaired.

What are the stages of treatment?

Surgical Treatment

In patients with significant spinal cord compression who do not respond to conservative treatment, spinal canal widening is performed using microsurgery. Spinal stabilization is added if necessary. The aim is to safely free the nerve tissue.

Non-Surgical Treatment

Pain management, targeted physical therapy, and posture correction are the first steps. Weight management and muscle strengthening programs help reduce symptoms.

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