Neck or back pain is one of the most common reasons for a visit to the doctor. The good news is that most of us will recover without the need for surgery—and conservative care such as physical therapy usually gets better results than surgery. Spinal stenosis affects your vertebrae (the bones of your neck), narrowing the openings within those bones where the spinal cord and nerves pass through. Our experienced physical therapists at Progressive Physical Therapy have advanced training to reduce pain and restore motion and function for an active lifestyle.
What is spinal stenosis of the neck?
Spinal stenosis is a narrowing within the vertebrae of the spinal column that results in too much pressure on the spinal cord (central stenosis) or nerves (lateral stenosis). Spinal stenosis may occur in the neck or in the low back.
If you have spinal stenosis in the neck, you may have weakness, numbess, and pain in the arms and often in the legs, depending on which nerves are affected. You might not have any pain in the neck itself.
The most common causes of spinal stenosis are related to the aging process in the spine:
- Osteoarthritis is a deterioration of the cartilage between joints. In response to this damage, the body often forms additional bone (called “bone spurs”) to try to support the area. These bone spurs might cause pressure on the nerves as they exit the spinal canal.
- Normal aging and wear and tear can result in a flattening of the disks that provide space between each set of vertebrae. This narrowed space allows less room for the nerve to exit from the spinal cord, and sometimes pieces of disk material cause pressure on the nerves.
Spinal injuries, diseases of the bone (such as Paget disease), spinal tumors, and thickening of certain spinal ligaments also may lead to spinal stenosis.
In most cases, symptoms of spinal stenosis can be effectively managed with physical therapy and other conservative treatments. Only the most severe cases of spinal stenosis need surgery or more aggressive treatments.
How can a physical therapist help?
The overall purpose of the physical therapists at Progressive Physical Therapy is to help you continue to participate in your daily activities and life roles. The therapist will design a treatment program based on both the findings of the evaluation and your personal goals. The treatment program likely will be a combination of exercises.
Relieve Pain and Increase Movement
Your therapist will design:
- Special exercises to take pressure off the nerves to relieve pain
- Stretching and flexibility exercises to improve mobility in the joints and muscles of your spine and your extremities—improving motion in a joint is often the key to pain relief
- Strengthening exercises—strong trunk muscles provide support for your spinal joints, and strong arm and leg muscles help take some of the workload off your spinal joints
- Aerobic exercise to increase tolerance for activities such as walking that might have been affected by the spinal stenosis
This might sound like a lot of exercise, but don’t worry: research shows that the more exercise you can handle, the quicker you’ll get rid of your pain and other symptoms.
Your physical therapist also might decide to use a combination of treatments:
- Manual therapy to improve the mobility of stiff joints that may be contributing to your symptoms
- A special harness-type device attached to a treadmill that helps to reduce pressure on the spinal nerves during walking
- Posture education to help you learn to relieve pressure on the nerves by making simple changes in how you stand, walk, and sit
- Special pain treatments, such as ice or electrical stimulation, for pain that is severe and not relieved by exercise or manual therapy