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What is Foraminal Stenosis?

February 12, 2022

Thirty-three vertebrae make up the spine, and in between each one is a small opening called a foramen. The foreman allows nerves to pass from the spinal cord to other body parts. Sometimes, with age or injury, these openings can tighten or even close, causing a condition called foraminal stenosis.

Types of Foraminal Stenosis

The spinal cord acts as a neural superhighway in charge of sending and receiving neural signals from the brain, allowing the body to move and feel sensations. In addition to this “highway,” the foramen could be likened to on and off-ramps. If one of these openings narrows, neural traffic jams can occur, leading to pain, numbness, or weakening of various body parts. 

Neural foraminal stenosis is usually divided into three categories based on the location of foraminal narrowing along the spine.

Cervical Stenosis

The nerves that branch out from the cervical spine provide feeling to the upper body. Pinched nerves in the neck caused by foraminal narrowing can cause a wide range of sensations in the shoulders and arms that can include:

  • Tingling in the hands 
  • Weakness or heaviness of the arms
  • Sharp neck pain

Thoracic Stenosis

Thoracic Stenosis affects the mid-back region where the vertebrae attach to the ribs. While thoracic stenosis is the least common of the three types of spinal foraminal narrowing, it often has the most profound effect on the body. Symptoms may include:

  • Backaches
  • Difficulty with spinal rotation
  • Body Imbalance or sense of instability

Lumbar Stenosis

Lumbar stenosis is a common form of foraminal narrowing that often comes with age. It is estimated that over 90% of individuals will experience lumbar stenosis by the time they reach 60. Because the lumbar spine supports the weight of the torso and upper body, nerve compression is often quite extensive. It can affect both sides of the spinal nerve roots, resulting in a specific type of stenosis referred to as bilateral foraminal stenosis. Symptoms often include:

  • Sciatica
  • Weakness of the legs
  • Tingling sensation in the feet
  • Loss of bladder or bowel control

How is Foraminal Stenosis Treated?

In most cases, foraminal stenosis can be treated with a combination of physical and chiropractic therapy. A doctor may suggest a series of exercises as well as modifications to daily activities to lessen the compression of the spinal nerves.

In more severe cases of spinal stenosis, a minor surgery known as a foraminotomy may be the best option to alleviate pain and other symptoms associated with foraminal narrowing. This minimally invasive spinal procedure involves removing a small amount of bone and tissue surrounding the foramen, giving more space for a nerve.

Foraminal Stenosis Treatment in Irving, Texas

If you’re experiencing pain, discomfort, or seeming random sensations in different areas of your body, please don’t wait to seek out medical treatment. At Spine Health and Wellness, our team of doctors and chiropractic therapists specialize in identifying and treating foraminal stenosis and various other spinal conditions. Our comprehensive and conservative treatment options are designed to help you recover quickly and easily. Click here to request an appointment today!



Frequently asked questions

What are the three types of foraminal stenosis based on location?
Foraminal stenosis is generally classified as cervical, thoracic, or lumbar, depending on where along the spine the nerve opening narrows. Cervical stenosis affects the neck and can cause arm tingling or weakness. Thoracic stenosis involves the mid-back and may affect balance or rotation. Lumbar stenosis, the most common type, affects the lower back and often produces sciatica or leg symptoms as people age.
Can foraminal stenosis cause loss of bladder or bowel control?
Yes, severe lumbar foraminal stenosis can sometimes lead to loss of bladder or bowel control because nerve roots controlling those functions become compressed. This symptom should never be ignored and is considered a sign that emergency medical care is needed right away, since it may indicate significant nerve compression requiring urgent evaluation rather than routine chiropractic or physical therapy treatment.
What treatment options exist for foraminal stenosis besides surgery?
Most cases of foraminal stenosis can be managed conservatively with a combination of physical and chiropractic therapy, along with targeted exercises and modifications to daily activities that reduce pressure on the affected nerves. Spine Health & Wellness in North Texas offers these conservative approaches first. Surgery, such as a minimally invasive foraminotomy, is typically reserved for more severe or persistent cases that do not respond to conservative care.
What symptoms in the arms or hands might mean cervical foraminal stenosis?
Cervical foraminal stenosis can cause tingling in the hands, a feeling of weakness or heaviness in the arms, and sharp neck pain, since narrowed openings in the neck compress nerves that supply the upper body. These sensations happen because nerve signals traveling through the cervical spine become disrupted. If symptoms are sudden, severe, or paired with loss of coordination, seeking prompt medical evaluation is advisable.
Gregory H. Stowe, DC
Founder of Spine Health & Wellness. Doctor of Chiropractic, Texas Designated Doctor and California Qualified Medical Evaluator.

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