Spinal Stenosis

Spinal Stenosis is a common condition that occurs when the spaces within the spine narrow, putting pressure on the spinal cord and surrounding nerves. This compression can cause pain, numbness, or weakness in the back, legs, neck, or arms—depending on the area affected. At Pain Consultants of East Tennessee, we specialize in diagnosing the type and severity of spinal stenosis and offering minimally invasive treatments that help relieve nerve pressure and restore mobility.

Quick facts

  • Region affected: Cervical, thoracic, or lumbar spine
  • Common symptoms: Back or neck pain, leg or arm numbness, tingling, or weakness
  • Causes: Arthritis, disc degeneration, thickened ligaments, or bone spurs
  • Treatment goal: Reduce nerve compression, relieve pain, and improve function

Who it affects

  • Adults over 50 experiencing back or leg pain that worsens with standing or walking
  • Individuals with degenerative changes in the spine or prior spinal injury
  • Patients with difficulty walking long distances due to pain or heaviness in the legs
  • Those whose symptoms improve when sitting or leaning forward

How it develops

The spinal canal houses the spinal cord and nerve roots. Over time, wear and tear or degenerative conditions—such as arthritis or disc bulging—can narrow this canal. The resulting pressure on the nerves causes pain that radiates from the spine into the limbs, as well as numbness or weakness. Lumbar spinal stenosis affects the lower back and legs, while cervical stenosis affects the neck, shoulders, and arms.

What to expect from treatment

Your provider will perform a detailed evaluation, review imaging, and determine which nerves are being compressed. Treatment typically includes:

  • Epidural Steroid Injections: Reduce inflammation and swelling around compressed nerves.
  • MILD® Procedure (Minimally Invasive Lumbar Decompression): Removes small amounts of thickened tissue to restore space within the spinal canal.
  • Medial Branch Blocks and Radiofrequency Ablation: Address pain caused by arthritic facet joints contributing to stenosis.
  • Physical Therapy: Strengthens core and back muscles to support posture and movement.
  • Spinal Cord Stimulation: Provides long-term pain relief for chronic nerve-related symptoms.

Benefits & goals

  • Relieve pain and pressure caused by spinal narrowing
  • Improve walking distance and endurance
  • Reduce reliance on pain medications
  • Delay or prevent the need for surgery

Risks of untreated spinal stenosis

  • Progressive nerve compression and worsening pain
  • Numbness or weakness in the arms or legs
  • Balance problems or mobility loss
  • Bowel or bladder dysfunction (in severe cases)

Is it right for me? (Checklist)

  • ✅ Chronic back, leg, or neck pain that worsens with walking or standing
  • ✅ MRI or imaging confirms narrowing of the spinal canal
  • ✅ Symptoms improve when sitting or leaning forward
  • ✅ Limited relief from medications or conservative therapy

Treatment options at PCET

FAQs

  • Is spinal stenosis a normal part of aging? It often develops with age, but not everyone experiences symptoms.
  • Can it be cured? While the narrowing itself can’t be reversed, treatments can significantly relieve pain and improve function.
  • Will I need surgery? Many patients achieve lasting relief through minimally invasive procedures without open surgery.
  • Is the MILD® procedure effective? Yes—it’s a proven option for lumbar stenosis that reduces tissue buildup and restores nerve space.
  • Is it covered by insurance? Most insurance plans, including Medicare, cover treatment for spinal stenosis when medically indicated.

📞 Call to Schedule

If you’re struggling with back or leg pain caused by Spinal Stenosis, PCET offers targeted, minimally invasive solutions to help restore comfort and mobility. Call us at 865-934-2567 to schedule your appointment today.