Chiropractic + Wellness

The spine is the body's central highway, with the spinal canal as the main lane that handles all the traffic. There are entrances and exits, or spinal cavities, that allow the nerves to branch off the spinal cord and run throughout the body. A traffic jam develops during lane closures, accidents, or construction at an entrance or exit. Lateral recess stenosis causes the narrowing of the spine's lateral recess/Lee's entrance, which can compress nerves, impede nerve circulation, and cause painful symptoms.

Lateral Recess Stenosis

The spinal column provides a strong and flexible structure for the spinal cord. The nerves travel from the spinal cord through various openings and passageways to the rest of the body. One of the openings is known as the lateral recess. Stenosis means narrowing. When a lateral recess in a vertebra develops stenosis, the nerve in that area can get jammed/pinched with no room to move, causing varying symptoms and sensations.

Symptoms

Depending on where the stenosis is taking place (neck, middle or low back), common symptoms of lateral recess stenosis can include:

• Back pain that can spread out to other areas.
• Cramping that can spread out to other sites.
• Radiating pain that worsens with movement and eases with rest.
• Numbness or weakness of the legs or arms.
• Electrical tingling sensations down the leg or arm.

Causes

The National Institute of Health lists the major causes:

Natural Wear and Tear

• Natural aging with gradual degeneration remains the most common cause of stenosis.

Congenital - Born With Stenosis

• Scoliosis
• Achondroplasia - problems with bone formation.

Disease

• Rheumatoid arthritis
• Tumors
• Paget's Disease

Natural Aging Process

• Herniated disc
• Spondylolisthesis - vertebra slips forward
• Spondylosis - spinal osteoarthritis

Traumatic Injury

• Automobile crashes and accidents
• Work Injuries
• Sports injuries

Treatment

Lateral recess stenosis has no current cure, but there are options to treat stenosis symptoms.

Chiropractic and Physical Therapy

• A chiropractic physical therapy team can relieve symptoms, restore function, and strengthen the muscles.
• Muscle groups around the stenosis area are built up to take the pressure off of the area, alleviating symptoms.

Medications

• A doctor or spine specialist may recommend or prescribe medication to ease symptoms. These include:
• Tylenol - acetaminophen.
• NSAIDS - Advil/ibuprofen or Aleve/naproxen.
• Muscle relaxers

Steroid Injections

• According to a study, neurogenic claudication is the main reason for disability and loss of independence in the elderly.
• Neurogenic claudication describes pain and weakness in the buttocks and legs during physical activity that originates from the nerves, not the vessels.
• This can happen from inflammation and swelling around a compressed nerve.
• A steroid injection can decrease inflammation for several months.

Surgery

If activity modification, NSAIDs, bracing, and physical therapy don't work or provide adequate relief, a doctor or specialist could recommend surgery.

• Lateral inter-body fusion provides indirect decompression.
• Endoscopic decompression is a new technique.
• Fusion is reserved when there is instability combined with the condition.

Back Problems Chiropractor

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

American College of Rheumatology (n.d.) “Spinal Stenosis” https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Spinal-Stenosis

Arthritis Foundation (n.d.) “Corticosteroids” https://www.arthritis.org/drug-guide/corticosteroids/corticosteroids

Drug Design, Development and Therapy (2014) “Steroid for epidural injection in spinal stenosis: a systematic review and meta-analysis” https://doi.org/10.2147/DDDT.S78070

Lee, Seung Yeop, et al. “Lumbar Stenosis: A Recent Update by Review of Literature.” Asian spine journal vol. 9,5 (2015): 818-28. doi:10.4184/asj.2015.9.5.818

Liu, Kuan, et al. “Steroid for epidural injection in spinal stenosis: a systematic review and meta-analysis.” Drug design, development, and therapy vol. 9 707-16. Jan 30, 2015, doi:10.2147/DDDT.S78070

Medline Plus (n.d.) “Achondroplasia” https://medlineplus.gov/genetics/condition/achondroplasia/

Microspine (n.d.) “Endoscopic Decompression” https://www.microspinemd.com/microspine-surgery/endoscopic-decompression/

National Institutes of Health (n.d.) “Spinal Stenosis” https://www.niams.nih.gov/health-topics/spinal-stenosis

Northwest Medical Center (2022) “Lateral Recess/Foraminal Stenosis” https://nw-mc.com/lateral-recessforaminal-stenosis/

NSPC Brain and Spine Surgery (n.d.) Lateral Recess Stenosis https://nspc.com/lateral-recess-stenosis/

Raja A, Hoang S, Patel P, et al. Spinal Stenosis. [Updated 2022 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441989/

Dehydration affects the body physically and mentally but also affects the health of the spine's discs. Spinal discs that lack proper hydration begin to compress, collapse between vertebrae, or cannot refill correctly, causing further compression and increasing the risk of spinal injury. Dehydrated discs can cause injuries like herniated disc/s, degenerative disc disease, and spinal stenosis. Chiropractic treatment offers spinal decompression that will restretch and realign the spine allowing the injury/s to heal and proper disc rehydration.

Spine Support

As crucial as the spine is within daily activities, it is vital to understand its mechanics. The spinal vertebrae discs work to absorb shock when bending, twisting, or flexing to ensure the bones do not rub together. Within each disc is the nucleus pulposus, made up of 85 percent water that provides movement when the spine rotates and moves in various directions. This high water content in the discs helps the spine function. The discs naturally lose some water as the body ages, but dehydration can also occur when individuals do not intake enough water from drinking or in food. If the dehydration is severe, the risk of injury increases or can aggravate existing spine conditions. The loss of hydration in an adult spine can cause a loss of disc height daily. Without proper rehydration, other medical issues can begin to present.

Symptoms

Depending on which discs are affected, the pain or numbness can travel from the neck into the shoulders, arms, and hands or from the lower back down through the legs. Symptoms can include:

• Back stiffness 
• Burning or tingling sensations
• Reduced or painful movement
• Back pain
• Weakness
• Numbness in the low back, legs, or feet
• Changes in knee and foot reflexes
• Sciatica

When the body is dehydrated, it can be difficult to replenish the water in the discs thoroughly, as well as nutrient levels through a consistent loss of fluid. Dehydration disrupts the balance which can lead to an increased risk of injury and increased degeneration. Causes of disc dehydration include:

• Trauma from an auto accident, fall, work, or sports injury.
• Repeated strain on the back from consistent lifting, reaching, bending, twisting, etc.
• Sudden weight loss can cause the body, including the discs, to lose fluid.
• Ankylosing spondylitis.

Spinal Rehydration

The entire body relies on proper hydration with direct water consumption to rehydrate the body but also incorporating fruits and vegetables to aid in hydration. These foods include:

• Watermelon
• Cantaloupe
• Lettuce
• Tomatoes

These foods are made of more than 90% water and contain essential nutrients and help the spine function more efficiently. Proper water consumption is based on age, body size, and activity level. However, to fully heal desiccated discs, spinal injuries, or back pain, chiropractic decompression, and manipulation adjustments are recommended. Non-surgical motorized spinal decompression treatment is gentle. The therapy lengthens and decompresses the spine reversing the pressure within the damaged disc/s creating an intradiscal vacuum that relieves the pressure off the nerve and helps reshape and rehydrate the damaged disc/s.

DOC

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Djurasovic, Mladen, et al. “The influence of preoperative MRI findings on lumbar fusion clinical outcomes.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 21,8 (2012): 1616-23. doi:10.1007/s00586-012-2244-9

Karki, D B et al. “Magnetic Resonance Imaging Findings in Lumbar Disc Degeneration in Symptomatic Patients.” Journal of Nepal Health Research Council vol. 13,30 (2015): 154-9.

Twomey, L T, and J R Taylor. “Age changes in lumbar vertebrae and intervertebral discs.” Clinical Orthopedics and related research,224 (1987): 97-104.

Videman, Tapio et al. “Age- and pathology-specific measures of disc degeneration.” Spine vol. 33,25 (2008): 2781-8. doi:10.1097/BRS.0b013e31817e1d11