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Spine Stenosis Specialist

Subach Spinal Solutions

Spine Surgeons & Back Pain Doctor located in Arlington, VA

Spinal stenosis can develop anywhere in your spine, but it’s most likely to affect your lower back because it bears the weight of your body. At Subach Spinal Solutions in Arlington, Virginia, Brian Subach, MD, FACS, Diana DeWolfe, PA-C, MPAS, and the team provide the full range of treatment options for spinal stenosis, from conservative medication and exercise to advanced options like spinal cord stimulation and minimally invasive surgery, when necessary. If you need to find relief from back or neck pain, call the office or schedule an appointment online.

Spine Stenosis Q & A

What causes spinal stenosis?

Spinal stenosis, a narrowing of the spinal canal, is caused by degenerative changes that slowly develop over the years. The spinal canal is formed by an opening in the center of each vertebra that protects the spinal cord. The opening doesn’t change; instead, the area inside the opening narrows due to spine conditions, such as:

  • Herniated disc
  • Bone spurs
  • Facet joint arthritis
  • Thickened ligaments
  • Degenerative disc disease
  • Degenerative scoliosis
  • Degenerative spondylolisthesis

These conditions protrude into the spinal canal or cause misaligned vertebrae. As a result, you end up with pinched nerves, inflammation, and pain.

What symptoms develop due to spinal stenosis?

You’ll experience pain in the area of your spine where the spinal stenosis occurs. Pinched nerves also cause symptoms like tingling, numbness, and pain that may radiate down your leg or arm, depending on if the problem is in your lower back or neck.

In severe cases, you may develop weakness in your legs or buttocks. Some people experience cramping in their calves when they walk.

What type of treatment might I receive for spinal stenosis?

The team at Subach Spinal Solutions offers operative and nonoperative management of your spinal stenosis. They also teach you how to minimize or prevent flares.

Nonsurgical treatment for spinal stenosis may include analgesics to relieve your pain and anti-inflammatory medications to reduce swelling and pain. Physical therapy or a prescribed exercise regimen is also important to build strength, restore movement, and relieve pain.

Your provider at Subach Spinal Solutions may recommend an epidural injection or spinal cord stimulation. After implanting a Nevro HF10™ spinal cord stimulator, the device uses mild electrical impulses to block nerves from sending pain signals to your brain.

Should your pain continue after exhausting conservative options, your provider at Subach Spinal Solutions may recommend surgery. While they perform minimally invasive surgery and robotic spine surgery, the type of procedure you need depends on the cause of your spinal stenosis.

These are a few types of surgery used to repair spinal stenosis:

  • Laminotomy
  • Foraminotomy
  • Medial facetectomy
  • Lumbar discectomy
  • Instrumented fusion
  • Anterior or posterior lumbar interbody fusion
  • Transforaminal lumbar interbody fusion

Your provider at Subach Spinal Solutions talks with you about your surgical options, fully explaining each appropriate procedure so you can make an informed decision.

If you live with pain due to spinal stenosis, call Subach Spinal Solutions or book an appointment online to learn about your treatment options.