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The Global Insight

What is the difference between spinal stenosis and lumbar stenosis?

Author

James Olson

Updated on May 21, 2026

The two types of spinal stenosis are lumbar stenosis and cervical stenosis. Lumbar spinal stenosis is the more common of the two, but cervical spinal stenosis is often more dangerous since it involves compression of the spinal cord.

Is lumbar stenosis the same as spinal stenosis?

Lumbar spinal stenosis is a narrowing of the spinal canal in the lower part of your back. Stenosis, which means narrowing, can cause pressure on your spinal cord or the nerves that go from your spinal cord to your muscles. Spinal stenosis can happen in any part of your spine but is most common in the lower back.

Are there different stages of spinal stenosis?

There are three main types: central spinal stenosis, lateral recess stenosis, and foraminal stenosis, each of which can happen in any region of the spine (i.e. cervical, thoracic, or lumbar).

When is lumbar stenosis serious?

Almost intolerably severe lower back pain. Severe sharp, shooting, and burning pain in the leg(s) Progressive weakness in one or both legs. Numbness of the inner thighs (saddle anesthesia) and/or around the anal region.

What are the two types of spinal stenosis?

The two main types of spinal stenosis are:

  • Cervical stenosis. In this condition, the narrowing occurs in the part of the spine in your neck.
  • Lumbar stenosis. In this condition, the narrowing occurs in the part of the spine in your lower back. It's the most common form of spinal stenosis.

What is Spinal Stenosis? - Lumbar Spinal Stenosis - DePuy Videos

What is worse lumbar or cervical stenosis?

The two types of spinal stenosis are lumbar stenosis and cervical stenosis. Lumbar spinal stenosis is the more common of the two, but cervical spinal stenosis is often more dangerous since it involves compression of the spinal cord.

What activities should be avoided with spinal stenosis?

What Is Spinal Stenosis?

  • Avoid Excessive Back Extension. ...
  • Avoid Long Walks or Running. ...
  • Avoid Certain Stretches and Poses. ...
  • Avoid Loading a Rounded Back. ...
  • Avoid Too Much Bed Rest. ...
  • Avoid Contact Sports.

Is walking good for spinal stenosis?

Walking is a good exercise for spinal stenosis. It's low impact, and you control the pace and distance.

What is the best treatment for lumbar spinal stenosis?

One of the most effective treatments for treating lumbar spinal stenosis is a procedure called laminectomy. This treatment removes part of the vertebra that's putting pressure on your nerve.

Does spinal stenosis get worse with walking?

Spinal stenosis is caused by a narrowing of your spinal canal. This narrowing can irritate the nerves that travel down your legs. Symptoms are typically worse when you walk.

Does spinal stenosis hurt all the time?

Spinal stenosis is generally not progressive. The pain tends to come and go, but it usually does not progress with time. The natural history with spinal stenosis, in the majority of patients, is that of episodic periods of pain and dysfunction.

What is considered severe spinal stenosis?

Symptoms of Severe Spinal Stenosis

When spinal stenosis progresses to the severe stage, that means there has been substantial narrowing of the spinal canal. This can occur due to several different factors, but is most commonly caused by degeneration of the discs, vertebrae and spinal ligaments.

What is the life expectancy of someone with spinal stenosis?

Answer: Yes, you do have to live with it for the rest of your life. However, many patients with spinal stenosis live life in the absence of pain or with minimal symptoms.

What is the best treatment for spinal stenosis at L4 and L5?

Most commonly, it involves the L4 slipping over the L5 vertebra. It is usually treated with the same non-surgical (“conservative”) and surgical methods as lumbar spinal stenosis. Degenerative scoliosis occurs most frequently in the lower back and more commonly affects people aged 65 and older.

Can lumbar stenosis reversed?

While spinal stenosis can't be reversed, treatment is available to address your pain.

Is lumbar spinal stenosis curable?

"Unfortunately, nothing can stop the progression of spinal stenosis, since it is due to daily wear and tear," said Dr. Hennenhoefer. "The symptoms of spinal stenosis typically respond to conservative treatments, including physical therapy and injections."

What can make spinal stenosis worse?

Diet and exercise

Diet and exercise can be considered for patients that have spinal stenosis who are also overweight. Because additional fat in the body presses down on the spine and makes it support more weight, it aggravates spinal stenosis and may even lead to the condition developing.

What is the best sleeping position for spinal stenosis?

Many people with spinal stenosis find the most comfort sleeping on their side in “fetal position” — that is, with knees curled up toward the abdomen. Another alternative is to sleep in an adjustable bed or recliner that allows the head and knees to remain elevated.

What are three treatments for spinal stenosis?

Examples of surgical procedures to treat spinal stenosis include:

  • Laminectomy. This procedure removes the back part (lamina) of the affected vertebra. ...
  • Laminotomy. ...
  • Laminoplasty. ...
  • Minimally invasive surgery.

Is sitting good for spinal stenosis?

Bending forward or sitting will relieve the pain because these positions help to open up the spinal canal, but the symptoms recur if you stand straight again. Numbness and tingling can also affect you while weakness is less common.

Will I end up in a wheelchair with spinal stenosis?

Disability: In severe cases of spinal stenosis, a patient can end up permanently disabled. This may be through paralysis, or weakness so severe that it is impossible to stand and move as normal. It is not unreasonable to expect severe stenosis to lead to a person being bound to a wheelchair.

Is Climbing stairs good for spinal stenosis?

In essence, walking uphill and doing stairs decreases the space in your already-narrowed spinal channels. With spinal stenosis, you may also have pain when you're walking normally—but generally, that's when you're walking a longer distance (as in longer than from your car to the house).

How do you prevent spinal stenosis from getting worse?

Having good posture and practicing proper body mechanics are some of the best ways to prevent stenosis from progressing and to ensure the health of your back. Good posture and body mechanics should be practiced all the time—whether you're sitting, standing, lifting a heavy object, or even sleeping.

How do you fix spinal stenosis without surgery?

Nonsurgical Treatment Options for Spinal Stenosis

  1. Steroid Injections. Epidural steroid injections are commonly used to provide long-term pain relief. ...
  2. DRX9000. ...
  3. Medication. ...
  4. Physical Therapy. ...
  5. Correcting Posture. ...
  6. Permanent Lifestyle Changes. ...
  7. Facet Blocks. ...
  8. Radiofrequency Ablation.

Does gabapentin help spinal stenosis?

Gabapentin is an antiepileptic drug originally intended for seizures. It's most effective for treating neuropathic back pain caused by disk herniation and consequent sciatica, as well as spinal stenosis, diabetic neuropathy, and postherpetic neuralgia.