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Spinal stenosis

Stenosis canalis vertebralis · Stenóza páteřního kanálu

What it is

The canal narrows with age and squeezes the nerves inside.

Symptoms & signs

  • Leg pain on walking, relieved by sitting or leaning forward
  • numbness
  • heaviness
  • better pushing a trolley

🚩 Get help if…

  • call 112 / 911 now Numb groin or buttocks, or losing control of bladder or bowel
  • see a doctor soon Legs getting weaker or clumsier, or repeated falls
  • see a doctor soon Clumsy hands with numb fingers (narrowing in the neck)
  • see a doctor soon Walking distance shrinking fast

Where it strikes

Medical treatment

  • Physiotherapy
  • NSAIDs
  • epidural injections
  • decompressive laminectomy
  • interspinous spacers
  • Minimally invasive lumbar decompression (mild procedure) — FDA-cleared

Natural & lifestyle

  • Flexion-based exercise
  • stationary cycling
  • weight loss
  • walking with poles

Emerging & experimental

  • Awake endoscopic surgery

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Chiropractic care — a trial found results similar to other conservative care mixed evidence
  • Acupuncture — small trials early / small studies

ICD codes