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Spinal Stenosis Specialist

Daniel Loder, MD

Pain Management & Orthobiologic Treatment located in Beverly Grove, Los Angeles, CA, & Torrance, CA

When you have spinal stenosis, it means the spinal canal that protects your spinal cord has gotten narrower. If this is putting the nerves under pressure and causing painful radiculopathy, double board-certified pain specialist Daniel Loder, MD, and his team can help. At their offices in Beverly Hills, Torrance, and Manhattan Beach, California, they use advanced interventional treatments and regenerative medicine techniques to alleviate the effects of spinal stenosis. To find out more or schedule a consultation, call the Los Angeles area office nearest you today or use the online form to book an appointment.

Spinal Stenosis

What is spinal stenosis?

Spinal stenosis is a term used as a description for the narrowing of your spinal canal that can happen as you age. It's a common cause of spine pain.

Several changes can take place over time that contribute to this narrowing effect. These changes include:

Disc degeneration

The spongy, shock-absorbing discs between your vertebrae are plump and well-hydrated when you're young. However, over time they dry out, which makes them thinner and harder. This degeneration of your spinal discs alters the contours of your spine, leading to spinal stenosis.

You might also develop bulging or herniated discs, where the interior of the disc protrudes into your spinal canal.   

Osteoarthritis

Osteoarthritis is also a degenerative condition. It affects the facet joints that link your vertebrae together, causing inflammation in your spine. Your body might respond by trying to reinforce your spine with bony growths called osteophytes. Unfortunately, these bone spurs worsen the narrowing effect.

Spine tumors and some types of trauma to your spine could also cause spinal stenosis. Paget's disease, in which there's an overgrowth of bone, is a less common cause of spinal stenosis.

What are the symptoms of spinal stenosis?

Spinal stenosis doesn't always cause symptoms. It becomes a problem if the narrowing of your spinal column starts pinching the nerves coming off your spinal cord. This causes nerve compression (radiculopathy), which leads to symptoms such as:

  • Back pain
  • Hip and buttock pain
  • Pain down one or both legs
  • Heavy feeling in your legs
  • Weakness
  • Tingling or other odd sensations
  • Cramping
  • Numbness

Most patients find their symptoms are worse when they're upright and improve if they sit down. Leaning forward can provide relief as well, as it eases the pressure on the pinched nerves. Sciatica is a common form of radiculopathy that can develop because of spinal stenosis. 

How is spinal stenosis treated?

The Daniel Loder, MD, team prescribes treatments for spinal stenosis with the aim to relieve nerve compression and pain and reduce inflammation. There are several ways of achieving this, including:

  • Physical therapy
  • Stretching exercises
  • Therapeutic massage
  • Orthobiologic treatments
  • Anti-inflammatory medications
  • Epidural steroid injections

Nerve blocks can be useful in relieving pain temporarily, as they contain a local anesthetic. If your condition isn't improving, your provider might suggest radiofrequency ablation. This treatment stops the nerves in your spine from relaying pain messages to your brain.

If you have persistent spinal stenosis that isn't responding to other treatments, you could benefit from spinal cord stimulation. Your provider implants a device under your skin that sends electrical current to your nerves. You control the spinal cord stimulator with a handset.

If you have symptoms of spinal stenosis or general spine pain, call Daniel Loder, MD, today to schedule a consultation or book an appointment online.