Narrowing of the Spinal Canal
Narrowing of the Spinal Canal (Lumbar Spinal Stenosis)
The spinal canal is the canal through which the spinal cord and nerves extend within the vertebrae. Numerous factors, including trauma, abuse, and genetic factors, can cause narrowing of this canal, leading to thickening and coarsening of the soft tissue and bone structures that make up the spinal canal.
This results in compression of the nerve roots. These patients often complain of pain and numbness in the calf, particularly when standing for long periods of time or walking. The pain is relieved or eliminated when sitting or bending forward.
Symptoms
- Leg pain that increases with standing and walking
- Numbness and tingling in the calves
- Relaxation by sitting and leaning forward
- Neurogenic claudication (pain that increases with walking)
- Feeling of weakness in the legs
Treatment
Surgical Treatment
Treatment involves opening the spinal stenosis (laminectomy and foraminotomy) to release the compressed nerves and spinal cord. Sometimes, patients' vertebrae are fixed with screws (platinum) to prevent misalignment.


