Spinal Stenosis Treatment in Ahmedabad
Why choose SGVP Holistic Hospital for Spinal Stenosis Treatment in Ahmedabad?
SGVP Holistic Hospital provides comprehensive spinal stenosis treatment through a combined approach of orthopaedic and spine expertise, accurate imaging assessment, and structured rehabilitation. Experienced spine specialists and physiotherapists work together to deliver personalised care tailored to the severity of compression and the patient’s functional needs. The hospital’s patient-centred approach and modern facilities make it a trusted destination for spine conditions in Ahmedabad.
Why choose SGVP Holistic Hospital for Spinal Stenosis Treatment in Ahmedabad?
What Is Spinal Stenosis?
What Is Spinal Stenosis?
Spinal stenosis is a condition in which the spinal canal narrows, compressing the nerves that pass through it. This narrowing reduces the space available for the spinal cord and nerve roots, leading to pain, numbness, and weakness that can significantly limit daily activity.
The condition most commonly affects the lumbar spine (lower back) and the cervical spine (neck). It develops gradually due to age-related changes in the spine and is one of the most common causes of leg pain and walking difficulty in adults over 50. In some cases, the narrowing occurs at multiple levels of the spine simultaneously, making the clinical picture more complex.
Types of Spinal Stenosis
Spinal stenosis is classified based on the region of the spine affected and the structures causing the narrowing.
Lumbar spinal stenosis is the most common form of spinal stenosis and affects the lower back. It compresses the nerve roots that supply the legs, causing the characteristic symptom of pain or heaviness in the legs when walking that eases with sitting or bending forward.
Cervical spinal stenosis affects the neck region. When severe, it can compress the spinal cord itself, causing a condition called myelopathy, which produces weakness and coordination problems in the arms and legs, not just localised neck pain.
Central canal stenosis refers to the narrowing of the central spinal canal where the spinal cord or cauda equina runs. Foraminal stenosis refers to the narrowing of the openings through which individual nerve roots exit the spinal canal.
Causes and Risk Factors
Causes and Risk Factors
Spinal stenosis most commonly develops from degenerative changes in the spine that accumulate over time. Several factors contribute to its development:
- Age-related degeneration of the spinal discs, which lose height and bulge outward as they dry out over time
- Thickening and buckling of the ligamentum flavum, the ligament that lines the back of the spinal canal
- Formation of bone spurs (osteophytes) around degenerated facet joints that encroach into the canal
- Disc herniation is contributing to additional compression of nerve structures.
- Spondylolisthesis, where one vertebra slips forward over the one below, narrowing the canal at that level
- Previous spinal surgery that has resulted in scar tissue formation or adjacent segment degeneration
- Congenital narrowing of the spinal canal, which predisposes some people to symptomatic stenosis at an earlier age
Symptoms of Spinal Stenosis
Symptoms depend on the location and severity of the narrowing, and they often develop gradually rather than suddenly.
Common symptoms include:
- Pain, aching, or cramping in the legs during walking or standing is known as neurogenic claudication
- Symptoms that ease when sitting down, bending forward, or leaning on a shopping trolley
- Numbness or tingling in the legs, feet, buttocks, or arms, depending on the level of compression
- Weakness in the legs makes walking or climbing stairs more difficult
- Neck pain, shoulder pain, or arm weakness when cervical stenosis is present
- In advanced lumbar stenosis, bladder or bowel dysfunction, which requires urgent assessment
Diagnosis of Spinal Stenosis
Diagnosis of Spinal Stenosis
A thorough assessment is essential before any treatment is recommended, as the symptoms of spinal stenosis can overlap with other conditions, including peripheral vascular disease and hip arthritis.
- Clinical examination: The doctor assesses walking ability, neurological function in the limbs, reflexes, and specific manoeuvres that reproduce or relieve symptoms. The pattern of symptom relief with forward flexion is particularly informative.
- MRI scan: The primary investigation for spinal stenosis. It provides detailed images of the spinal canal, nerve roots, discs, and soft tissues, accurately identifying the location, extent, and cause of narrowing.
- CT scan: Used alongside or instead of MRI to assess bony anatomy, particularly when surgical planning requires detailed information about bone structure.
- X-ray: Including standing and dynamic views to assess alignment, disc height, and the presence of spondylolisthesis or instability at the affected level.
- Nerve conduction studies: Used when the contribution of peripheral nerve disease needs to be assessed alongside the spinal compression.
Procedure for Spinal Stenosis Treatment at SGVP Holistic Hospital
Treatment is planned based on symptom severity, the degree of compression on imaging, the patient’s functional limitations, and their response to initial management.
- Physiotherapy: A structured exercise program forms the mainstay of non-surgical management. Flexion-based exercises open the spinal canal and relieve nerve pressure. Core strengthening, postural correction, and activity modification reduce mechanical load on the spine and help manage symptoms over the long term.
- Medications: Anti-inflammatory and analgesic medications help manage pain and enable physiotherapy to be pursued more effectively. Neuropathic pain agents such as gabapentin or pregabalin are used when nerve-related symptoms are prominent.
- Epidural steroid injections: A corticosteroid is injected into the epidural space under imaging guidance, delivering anti-inflammatory medication directly to the site of nerve compression. This can provide pain relief and improved walking ability for weeks to months, particularly in patients with significant nerve inflammation.
- Activity modification and walking aids: Adjusting posture during walking, using a walking frame or stick, and avoiding prolonged standing can meaningfully improve functional capacity while other treatments take effect.
- Surgical decompression: Surgery is recommended when symptoms are severe and consistently limit daily life, when neurological deficits are progressing, or when conservative treatment has not provided adequate relief after an appropriate period. Laminectomy, the most commonly performed procedure, removes the lamina and thickened ligament to widen the spinal canal and relieve nerve compression. When instability is present, spinal fusion is performed alongside decompression to stabilise the affected segment.
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