Understanding the cause of spinal stenosis is important for accurate diagnosis and in creating a customized optimal treatment plan. The cause of spinal stenosis is categorized as either primary or acquired.
Primary means the stenosis could be congenital or since birth. Some individuals are born with a spinal canal that is narrower than normal. This is a rare occurrence. Signs or symptoms of primary spinal stenosis do not present until adulthood, usually around mid-life.
Acquired spinal stenosis can develop as a result of:
- Bone overgrowth brought on by wear and tear from osteoarthritis on the spinal bones can form bone spurs that can grow into the spinal canal.
- Paget’s disease is a bone disease that affects adults and can cause bone overgrowth in the spine.
- Herniated discs – The discs can begin to dry out with age and form cracks or tears, letting out the soft inner material and creating pressure on the spinal cord or nerves.
- The ligaments are tough cords that hold the bones of the spine together. They can become stiff and thickened with age and time. The thick ligaments can then bulge into the spinal canal.
- Tumors or abnormal growths can develop inside the spinal cord, in the membranes that cover the spinal cord, or inside the space between the cord and vertebrae.
- Spinal trauma/injuries like automobile accidents, sports, and other trauma can cause dislocations or fractures of the vertebrae. Pieces of bone from a spinal fracture can fall into and damage the spinal canal.
- Back surgery swelling of tissue immediately after can put pressure on the spinal cord or nerves.
Table of Contents
Acquired Spinal Stenosis
The leading cause is wear and tear on the spine due to aging. The most common direct cause is osteoarthritis, where the cartilage that cushions the joints begins degenerating with age. The cartilage is smooth when brand new. The cartilage can become rough and wear through as the body ages. This allows the bones to rub against each other. The rubbing produces small bone growths called bone spurs.
Individuals with these symptoms try to limit movement and limit pain from the bones rubbing together. However, individuals can’t stop moving entirely, and less movement reduces the quality of life. The bone spurs can create other types of pain. Inside the spine, the spurs can narrow the spinal canal, which can compress the spinal cord or nerve roots.
Risk factors for osteoarthritis and disc problems include:
- Aging
- Improper body mechanics
- Poor posture
- Sports
- Weight
- Lifting heavy objects without using proper lifting techniques.
This can damage a disc or move the vertebrae out of proper alignment.
Prevention
Spinal stenosis prevention is about practicing lifestyle habits to improve and maintain spinal health. For those with stenosis, regular exercise combined with proper body mechanics will help reduce the risk of worsening spinal stenosis.
Exercise
Doing exercise properly strengthens and protects the spine from everyday wear and tear and helps maintain body weight. Being at the proper weight puts less pressure on the spine. Gradually build up the workout sessions until comfortable.
General exercise guidelines are to go for 30 minutes a day. This is in combination with aerobic activities like walking or swimming and resistance training like yoga or weight lifting. Stretching out regularly is highly recommended as an effective way to lengthen, loosen, and warm up the spinal muscles. Here are some basic back stretches and exercises for spinal stenosis.
Body Mechanics
Proper posture and proper body mechanics are some of the best ways to prevent stenosis from developing/progressing and ensure the spine’s health. They should be practiced all the time:
- Sitting
- Standing
- Lifting heavy objects
- Sleeping
Proper mechanics and posture keep the spine operating at the top level even when doing regular/normal activities. Even though aging is the primary cause of spinal stenosis, it does not mean not being proactive about spinal and general health. Exercise and proper mechanics give the back and neck a strong defense system against cervical or lumbar stenosis that will serve for years.
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The information herein on "Spinal Stenosis Causes and Prevention" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.
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Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST
(Board Certified: Family Practice Nurse Practitioner—Multistate)*
(Licensed Nurse Practitioner & Chiropractor - Multistate)*
Clinical Director
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Dr. Maria Cardenas, MD
(Board Certified: Internal Medicine)
(Licensed Medical Doctor)
Medical Director, Clinical Director & Collaborative Physician
NPI # 1164426748
MD License #: J2933
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MD: Medical Doctor
DC: Doctor of Chiropractic
APRNP: Advanced Practice Registered Nurse
FNP-BC: Family Practice Specialization (Multi-State Board Certified)
FNP-BC: Family Practice Across Life Span (Neonatal to Geriatrics)
RN: Registered Nurse (Multi-State Compact License)
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Family with Primary Care Focus (Family Nurse Practitioner or FNP)
- The Family Nurse Practitioner (FNP) promotes, maintains, and restores health for individuals and families across the lifespan. FNPs also identify health risks, promote wellness, and diagnose and manage acute and chronic illness.
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Memberships & Associations:
TCA: Texas Chiropractic Association: Member ID: 104311
TNA: Texas Nurse Association: Member ID: 06458222
TNP: Texas Nurse Practitioner Association ID: 2025091511
AANP: American Association of Nurse Practitioners: Member ID: 2198960
ANA: American Nurses Association: Member ID: 06458222 (District TX01)
| Primary Taxonomy | Selected Taxonomy | State | License Number |
|---|---|---|---|
| No | 111N00000X - Chiropractor | NM | DC2182 |
| Yes | 111N00000X - Chiropractor | TX | DC5807 |
| Yes | 363LF0000X - Nurse Practitioner - Family | TX | 1191402 |
| Yes | 363LF0000X - Nurse Practitioner - Family | FL | 11043890 |
| Yes | 363LF0000X - Nurse Practitioner - Family | CO | C-APN.0105610-C-NP |
| Yes | 363LF0000X - Nurse Practitioner - Family | NY | N25929 |
| Yes | 363LF0000X - Nurse Practitioner - Family | NM |
90560 |
| Yes | 363LF0000X - Nurse Practitioner - Family | GA | GAA-NP005701 |
Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST
(Board Certified: Family Practice Nurse Practitioner—Multistate)*
(Primary Care Across Lifespan—Neonatal / Pediatric / Adult / Geriatrics)
(Licensed Nurse Practitioner & Chiropractor - Multistate)*
Clinical Director
Digital Business Card
NPI: 1205907805
Dr. Maria Cardenas, MD
(Board Certified: Internal Medicine)*
(Licensed Medical Doctor)*
Medical Director, Clinical Director & Collaborative Physician
NPI # 1164426748
MD License #: J2933
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