Foraminal Stenosis
Foriminal stenosis diagnosis, symptoms, and treatment methods available.
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Foraminal Stenosis

Foraminal Stenosis Causes

What causes foraminal stenosis can vary greatly among patients because there are different degenerative changes that can affect the neck and back, all of which can contribute to the narrowing (stenosis) of certain spinal passages. One of these passageways is the spinal canal, which is the cylindrical, vertical space that the spinal cord travels through. The other passageways susceptible to narrowing or constricting are the foramina, or the intervertebral canals through which spinal nerve roots exit the spinal cord. These channels are fairly narrow to begin with, and blockage can easily occur if an anatomical abnormality forms near a foramen. To better understand the causes of foraminal stenosis, it can be helpful to first review how the spinal components work together.

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Managing Your Foraminal Stenosis Symptoms

If you’ve been diagnosed with foraminal stenosis, finding out how to manage your symptoms is probably at the forefront of your mind. Foraminal stenosis means that some anatomical abnormality, like bulging or herniated disc material, a calcified ligament, or bone spur, is taking up space in a foramen, one of the channels through which your spinal cord’s nerve roots exit the spinal column. The resulting compression of the nerve root is what is causing the pain, numbness, weakness, and tingling you’re experiencing.

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Foraminal Stenosis Treatment - Medication Option

foraminal stenosis treatment can vary widely from patient to patient, particularly because every individual will experience symptoms differently. In most treatment plans, medications are in some way involved. With a wide variety of medications out there, it can take a bit of trial and error to determine which doctor-recommended drugs actually help to diminish the nerve compression symptoms associated with foraminal stenosis. As a result, it's important for an individual to have a general understanding of the specific types of medications that a doctor will likely recommend and/or prescribe.

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Foraminal Stenosis Surgery - What to Expect During Recovery

The type of foraminal stenosis surgery you undergo is one factor relating to how well and how quickly you recover. Typically, there are two types of surgical approaches used to treat foraminal stenosis, or the narrowing of the channels through which spinal nerve roots exit the spinal canal. These approaches include open back or neck surgery and minimally invasive procedures.

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Understanding Your Spinal Stenosis Diagnosis

Hearing the news from your doctor that a spinal stenosis diagnosis has been confirmed in your case doesn't mean your life has to come to a complete halt. While your pain may range from mild to severe, it's important to keep in mind that in all likelihood you'll be able to effectively manage your symptoms with a combination of conservative (nonsurgical) treatments. The key to living with spinal stenosis and actively working toward alleviating your pain is taking time to truly understand your condition and what caused it.

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After Your Foraminal Stenosis Diagnosis - Physical Therapy

If your doctor has confirmed a foraminal stenosis diagnosis for you, you're probably wondering what will happen next, especially since you finally have a named condition to associate with the cause of your discomfort. Foraminal stenosis is characterized by the narrowing of a foramen, or a passageway through which a spinal nerve root exits the spinal canal. Your pain, whether mild or severe, is caused by the compression of a nerve root in your neck or back. You may think that surgery is necessary to remove the bulging or herniated disc material, calcified ligament, or other anatomical abnormality that is pinching the nerve, but your doctor will likely recommend that you first complete a course of physical therapy.

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Preparing for a Foraminal Stenosis Procedur

If you've decided to undergo a foraminal stenosis procedure, it's important to fully prepare yourself for the surgery. Your initial preparation should begin by consulting your doctor and getting all of your lingering questions answered. For example, why has he or she recommended that you consider surgery in the first place? It likely has to do with the fact that conservative, nonsurgical treatments, such as physical therapy, pain medication, anti-inflammatory drugs, and other methods aren’t helping to relieve your symptoms. Foraminal stenosis, a condition involving the blockage of a channel that provides an exit route for nerve roots leaving the spinal column, typically results in nerve root compression symptoms of shooting pain, numbness, weakness, and tingling, all of which are generally mitigated with conservative treatment. Whether your pain is mild or severe, it's important that you and your doctor allow for several weeks or months to pass before determining that conservative treatments are failing to provide relief.

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Spinal Stenosis Procedure

One spinal stenosis procedure often used to good effect by orthopedic surgeons who are skilled at endoscopic techniques is a laminotomy. This procedure is designed to relieve pressure from the spinal cord or nerve roots caused by a narrowing within the spinal canal. A minimally invasive laminotomy is not to be confused with a laminectomy, which entails the removal of an entire portion of the vertebral arch known as the lamina. During a laminotomy, only enough of the lamina is removed to provide relief from the pressure on the compressed or irritated neural structure. The procedure may also be used to provide access to the ligamentum flavum, if that large spinal ligament is responsible for the neural compression.

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Spinal Stenosis Surgery

Spinal stenosis surgery is normally considered only when conservative, nonsurgical, treatment has failed to provide adequate relief over the course of several weeks or months. It may take some time to determine whether conservative treatment will prove sufficient. No two cases, and no two patients, are alike. A period of trial and error may be required, during which communication between patient and doctor is vital. Changes in symptoms, especially for the worse, should be relayed to a doctor as soon as possible, because this may be an indication that another form of treatment is necessary.

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Spinal Stenosis Treatment

Spinal stenosis treatment is a means to manage the symptoms associated with nerve compression related to narrowing within one of the passageways of the spine. These passageways, or foramina, are vulnerable to constriction in the aftermath of a traumatic injury or in the presence of a degenerative spine condition, such as a herniated disc or a bone spur. While these conditions and the resulting constriction are not necessarily symptomatic, they can produce pain, tingling, numbness, or muscle weakness in the extremities if contact is made with a nerve root or the spinal cord.

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Spinal Stenosis

Spinal stenosis is the narrowing of a channel within the vertebral column. There are a number of passageways within the spine, housing the spinal cord and many pairs of nerve roots that branch off the spinal cord. These openings are narrow to begin with, and any sort of anatomical abnormality can reduce the area available for the delicate nerve structures in the neck and back. While spinal narrowing does not necessarily produce symptoms, it does increase the likelihood that the spinal cord or nerve roots will become irritated or compressed.

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Foraminal Stenosis

Foraminal stenosis is the term used to refer to narrowing, or restriction, of the openings within the spine that allow nerve roots to pass to and from the spinal cord. These apertures, or openings, are vulnerable to narrowing when a degenerative spine condition begins to affect the vertebrae, intervertebral discs, and other tissues that make up the spine. The intervertebral foramina are relatively narrow to begin with, and any sort of physical abnormality that develops within the spine potentially could lead to the foramina collapsing and compressing one or more nerve roots. Nerve root compression causes a variety of symptoms, primarily localized pain, pain that radiates the length of the compressed nerve, tingling, numbness, or muscle weakness in the extremities.

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Spinal Stenosis Symptoms

Spinal stenosis, which is a narrowing in the spine, can be the result of a bulging disc, torn disc, osteophyte, and many other conditions. All of these conditions involve some type of tissue intruding upon a space in the spine through which a nerve root or the spinal cord must pass.

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Spinal Stenosis Causes

Spinal stenosis causes can include a variety of conditions. Although only a doctor can provide you with an accurate diagnosis and a treatment plan based on that assessment, many people discover that their spinal stenosis is due to:

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Foraminal Stenosis Therapy May Ease Your Pain

If you suffer from foraminal stenosis, there are a variety of therapies you can try to ease your pain. Of course before doing so, you’ll want to consult your physician to ensure that the foraminal stenosis therapy you’d like to try is safe and appropriate for your condition. And, while many therapies can relieve your symptoms, none can actually eliminate the cause of your pain—a narrowing of the passageway that nerves travel through when exiting the spinal canal. To treat the cause of your condition, you’d need a procedure like what’s offered at Laser Spine Institute (LSI).

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Foraminal Stenosis Help from Laser Spine Institute

Foraminal stenosis sufferers who feel they’ve tried everything for relief with no results may have another option: treatment at Laser Spine Institute (LSI). Our surgeons use advanced, innovative techniques to treat this condition, and these procedures are safer and more effective than traditional back or neck surgery.

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Foraminal Stenosis Pain Can Often be Treated at Laser Spine Institute

Fortunately for most sufferers of foraminal stenosis pain, treatment is as simple as visiting the physical therapist, performing some special exercises, and taking some pain or anti-inflammatory medication. For others, the tingling, numbness and throbbing can’t be quelled using conservative techniques and something more aggressive is needed. If you find yourself in this situation, Laser Spine Institute (LSI) can help. 

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Bilateral Stenosis May Require Surgical Treatment

Bilateral stenosis—when stenosis affects both arms or both legs—is a relatively rare condition, but it can be extremely debilitating when it does occur. The numbness and tingling stenosis causes can limit your activities when the pain occurs in your back and just one limb. When it takes hold of both arms or legs, it can truly ground you, making work and other activities unmanageable. Sometimes, conservative treatments recommended by your doctor will work. These include over-the-counter painkillers and anti-inflammatory medications, exercises and stretching, or physical therapy. If these don’t bring any relief from your bilateral stenosis, your doctor may try a spinal steroid injection. This may provide relief anywhere from a week to more than a year. However, spinal injections generally only provide relief temporarily, so if your condition doesn’t improve on its own before the effects of the injection wear off, your doctor may recommend surgery.

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Neural Stenosis Treatment at Laser Spine Institute is Safe and Effective

Neural stenosis, defined as a narrowing of the foraminal passage that nerves travel through when leaving the spinal canal, can be more than just painful. It can cause tingling and numbness all the way down your legs or arms and into your fingers or toes. It can make regular activities like walking or sitting uncomfortable, and in the worst case scenario, it can even rob you of bowel and bladder control. 

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Thoracic Stenosis Can Often Be Effectively Treated with Endoscopic Surgery

Foraminal stenosis in the thoracic area of the back is much less common than it is in the cervical or lumbar regions, which experience much more movement. Still, when it develops it can be incredibly painful and may be untreatable with conservative methods like physical therapy, traction, and anti-inflammatory medications. If you’ve found yourself in this position, you may want to speak with the experts at Laser Spine Institute. We treat sufferers of thoracic stenosis with a cutting edge surgery that it more successful than traditional open-back surgery and comes with many more benefits.

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Foraminal Stenosis Pain can be Reduced More Safely With Laser Surgery than Traditional…

If you’ve already tried anti-inflammatory medications, pain killers, physical therapy, and other conservative treatments for your foraminal stenosis without achieving relief, your doctor may have suggested a laminectomy. This procedure involves cutting through the skin and muscle covering the affected area to reveal the foraminal stenosis site. The surgeon then cuts away a portion of a vertebra to relieve pressure on the compressed nerve. In some cases, the incised vertebra has to be fused to another to provide stability. If this all sounds scary and highly invasive to you, you’ll be happy to know there is another option: laser surgery from the Laser Spine Institute. Not only is this surgery much less invasive, but it also has higher success rates, and fewer potential complications. 

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Foraminal Stenosis Pain Can Often be Significantly Reduced with LSI’s 5-Day Process

Have you been suffering with foraminal stenosis for months or even years? Has the battery of conservative treatments your doctor prescribed done little to decrease the pain, numbness, and weakness in your lower body? If the answer is yes to either or both of these questions, you’ll be thrilled to hear that a return to your pre-pain life may be just a short week away. It’s possible through the Laser Spine Institute’s 5-day process, which treats the root cause of your foraminal stenosis pain: pressure on a nerve exiting the spine caused by a bone spur or build up of tissue. This method leads to a lasting improvement, rather than symptoms management provided by pain killers, physical therapy, cortisone shots, and chiropractic adjustments. And while traditional open-back surgery also aims to eliminate the cause of your pain, laser spine surgery for foraminal stenosis comes with benefits such as a lower risk of infection, no need for hospitalization, a tiny incision, a reduced risk for scar tissue, and a short recovery time. 

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Foraminal Stenosis Treatment with a Cutting Edge Laser: Why You Should Choose LSI

The numbness, weakness, and pain from foraminal stenosis have likely driven you to the doctor already, and you may be weighing your treatment options. If you are considering laser spine surgery, Laser Spine Institute is a great choice. LSI patients have a short recovery time—they walk out of the surgery center after endoscopic, outpatient procedure and are back to their normal activities within two weeks—and experience better rates of success than those who choose traditional, open-back foraminal stenosis surgery.

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Foraminal Stenosis Sufferers May be Candidates for Treatment at the Laser Spine Institute

Do you have foraminal stenosis that’s interrupting your daily activities? Are the conservative therapies suggested by your doctor doing little to provide you with pain relief? Do you think traditional back surgery sounds too risky? If you answered yes to any or all of these questions, you may be a candidate for foraminal stenosis treatment at the Laser Spine Institute. We perform a revolutionary surgery that offers superior pain relief to individuals who’ve already tried physical therapy, acupuncture, pain relievers, chiropractic adjustments, and other conservative techniques without achieving the results they desire. It uses a laser and other tools to remove the tissue build-up inside the affected foramen (an opening in the spinal canal through which nerves travel to other parts of the body) relieving pressure on the compressed nerve. During laser spine surgery, the foraminal stenosis site is accessed through a small tube in the back. Traditional surgery, however, requires a large incision through skin and muscle. This incision increases the risk of infection, lengthens recovery time, and increases your chances of developing complications.

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Foraminal Stenosis Symptoms Can Often Be Minimized or Even Eliminated With Laser Spine Surgery

Foraminal stenosis sufferers can experience symptoms that range in severity from numbness and tingling to throbbing back and neck pain that radiates in to the limbs. At its very worst, it can severely limit your activities. Going to work, playing golf, or walking the dog can be just too painful to continue with foraminal stenosis symptoms. You can even lose bladder and bowel control. If you’re experiencing these painful effects, you’ve likely been to the doctor and gotten even worse news. While your doctor may be able to alleviate your symptoms, the treatment he or she is suggesting, a laminectomy, sounds scary and comes with a host of potential complications. During this procedure, a surgeon cuts away a portion of the affected vertebrae and removes the built up tissue that’s squeezing one of the nerves as it exits your spinal canal. While that relieves the foraminal stenosis symptoms, it can cause other problems including a return to pain from scar tissue or a shifting of stress on the spine resulting from the fusion.  Fortunately, there’s another solution for this back problem: laser spine surgery from the Florida-based Laser Spine Institute.

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Foraminal Stenosis Treatment from Laser Spine Institute Delivers Relief for Many

If you suffer from forminal stenosis, you know firsthand the constant lower back and neck pain that comes with the disorder. It’s caused by tissue build up in a foramen, an opening where nerves pass from the spinal canal into the rest of the body. This tissue build-up squeezes the nerve, causing pain and irritation to the surrounding area, and sometimes to the regions of the body where the nerve travels. The result can be pain radiating into your buttocks, down your legs and all the way to your feet. It’s possible that you’re limping and you may have lost bowel or bladder control. But even with all of this discomfort, the foraminal stenosis treatment that your doctor offered you may sound so invasive and potentially risky you don’t want to get it done.

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Neural Foraminal Narrowing

The most common cause of neural foraminal stenosis is due to disc degeneration. Through the natural ageing process, our discs may become herniated or bulge resulting in a narrow foramen. 

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Lumbar Foraminal Stenosis

When referring to spinal stenosis, the reference is with respect to the narrowing of the spinal column where nerves exit through the neuroforamen. Most often, spinal stenosis is associated with the nerves in the spine becoming compressed due to the narrowing or closing of the neuroforamen.

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Left or Right Stenosis

The word foramen is Latin and means a natural hole or an opening or short passage, especially in the body. Most often this hole is found in a bone that a nerve will pass through.

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Cervical Foraminal Stenosis

Before you can confirm whether you are indeed suffering from cervical stenosis, you will need to consult a physician. 

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Thoracic Foraminal Stenosis

For those who suffer from foraminal stenosis, the symptoms are often the same as thoracic spinal stenosis.  The difference in thoracic foraminal stenosis is one or more vertebral foramen being affected.

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What is Foraminal Stenosis

To best understand foraminal stenosis we should look at spinal stenosis first to get a general understanding of what stenosis is.  When translating from Greek language, stenosis is defined as a narrowing of a normally larger opening

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Foraminal Stenosis Treatment

Most common back pain conditions are usually treatable through conservative methods, but unlike these other back pain problems conventional treatment methods for foraminal stenosis rarely provide much back pain relief.

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Foraminal Stenosis Symptoms

Quite often a patient’s ability to walk will be severely limited and rarely become debilitating to the point that the patient will stop walking.  After a five to ten minute period of rest this discomfort will usually subside.

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Foraminal Stenosis Surgery

If conservative treatment of foraminal stenosis fails to relieve your back pain symptoms, or if there is progressive weakness or loss of bowel / bladder function surgery may become a viable option for treatment of foraminal stenosis.  There are a variety of operations that are available for lumbar spinal stenosis, but they are dependent on the doctor’s findings from examination of a CT or MRI scan.

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Foraminal Stenosis and Back Pain Prevention Tips

Our back is a complex structure and because of this there is a multitude of reasons that may contribute and lead to back injuries.

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