Spinal Stenosis

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Spinal stenosisis a narrowing of your spinal canal. Spinal stenosisis when the space that houses your spinal cord and nerve roots become narrower – so narrow that your spinal cord and nerve roots get squeezed. Doctors often call this compression.

Compressed spinal cord and nerves doesn’t sound pleasant, and really, spinal stenosis isn’t. It leads to pain in your lower back, legs, neck, arms, or hands. It all depends on where in your back your spinal cord and/or nerves are getting compressed.

Spinal stenosis treatment in New York

Spinal stenosis can happen anywhere in your spine, but it’s most likely to happen in your low back (lumbar spine) or in your neck (cervical spine).

Spinal stenosis is quite common because changes in the spine are a natural part of getting older. Of course, that doesn’t mean that only older people will get spinal stenosis, or that everyone will get spinal stenosis as they age, but it is more common in older people.

Here’s an amazing thing about spinal stenosis: it may not even cause you pain. The channels in your spine may narrow, but they might not press on your spinal cord or nerve roots. People with spinal stenosis have trouble walking, they often have to stop. Other symptoms include leg or arm numbness, or muscle weakness.There could be many other ways that you can feel spinal stenosis.

See more about how C.A.R.E.N works here:

Spinal Stenosis

The term “stenosis” refers to a narrowing of any of the channels in the human body, and as its name implies, spinal stenosis is a narrowing of the spinal canal, usually associated with aging. Although stenosis can affect any segment of the spine, it is most commonly seen in the lumbar (low back) and cervical (neck) regions. Stenosis is rare in the thoracic spine.

Spinal Stenosis Anatoms

The structures of the spine include bones, nerves and ligaments. The spinal canal is formed by a ring of bones called vertebrae, designed tough connective tissues that stabilize the spine and hold the vertebrae in place.

The cervical spine is made up of seven vertebrae, and houses eight nerves that branch off to narrow, placing pressure on the neural bodies. The result is pain in the affected nerves, and weakness, numbness, pain and tingling in the associate muscles.

Diagnosis of Spinal Stenosis

A clinical exam includes patient health and family his toms, including location, onset, frequency, intensity, and which movements make the pain better or worse.

A neurological exam may be conducted to confirm diagnosis.

Treatment for Spinal Stenosis

Traditional treatment for spinal stenosis may include:

  • pain and anti-inflammatory medications
  • epidural cortisone injections
  • activity modification
  • physical therapy
  • exercise
  • surgery to open up the spinal canal

Treatment at NYDNR

The spine pain specialists at NYDNRehab take an individualized and holistic approach tore function, so our patients can enjoy the best possible quality of life.

Treatment for spinal stenosis at NYDNR may include:

  • Physical therapy tore muscle balance
  • Postural training to reduce pain
  • Gait assessment and retraining
  • Manual therapies
  • Spinal decompression therapy
  • ESWT (extracorporeal shock wave therapy) to remove scar tissue and promote healing

Drugs, surgery and reduced activity are not your only options for treating spinal stenosis. Contact NYDNR today, and let our team of back pain specialists help you achieve better spinal health.



In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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