Spinal stenosis is a condition in which the spaces within the spine become narrower, placing pressure on the spinal cord or nearby nerves. It most commonly affects the neck and lower back and often develops gradually as part of the natural aging process.

Spinal stenosis is often caused by age-related changes in the spine, including arthritis, thickened ligaments, bone spurs, herniated discs, or degeneration of the spinal joints. These changes can reduce the space available for the nerves and lead to pain or neurological symptoms.

Symptoms vary depending on which part of the spine is affected but commonly include: 

Back or neck pain 

Pain that radiates into the arms or legs 

Numbness or tingling 

Muscle weakness 

Difficulty walking or standing for extended periods 

Symptoms that improve when sitting or leaning forward 

Some people have spinal stenosis without noticeable symptoms.

Depending on the severity of the condition, chiropractic care may help improve mobility, reduce joint stiffness, and address musculoskeletal factors contributing to discomfort. Your chiropractor will determine whether conservative care is appropriate based on your symptoms, imaging, and overall health. In some cases, referral to another healthcare provider may be recommended.

Diagnosis typically includes a review of your medical history, physical examination, and, when appropriate, diagnostic imaging such as X-rays or advanced imaging studies. These tests help determine the location and severity of spinal narrowing and guide treatment recommendations.

Many people benefit from staying physically active, maintaining flexibility, strengthening the muscles that support the spine, practicing good posture, and avoiding prolonged positions that worsen symptoms. Your chiropractor may also recommend exercises and lifestyle modifications tailored to your condition.

No. Many people with mild to moderate spinal stenosis are able to manage their symptoms with conservative treatments, including physical activity, therapeutic exercise, chiropractic care when appropriate, and other non-surgical approaches. Surgery is generally considered only when symptoms are severe or progressive, or when conservative care is no longer effective. 

Seek emergency medical attention if you experience sudden loss of bladder or bowel control, severe weakness in your arms or legs, numbness in the groin area, or rapidly worsening neurological symptoms. These may indicate a serious condition requiring urgent evaluation.