Lumbar Canal Stenosis

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Lumbar canal stenosis is a condition where the spinal canal in the lower back becomes narrowed, putting pressure on the spinal cord and nerves. It is a common cause of back and leg pain, especially in people over the age of 50.

What Causes Lumbar Canal Stenosis?

The narrowing of the spinal canal is often due to age-related changes in the spine, such as:

• Degenerative disc disease• Thickened ligaments• Arthritis of the spine (facet joint osteoarthritis)• Bone spurs (osteophytes)• Previous spinal injuries or surgeries

In some cases, people may be born with a naturally narrow spinal canal — a condition called congenital stenosis.

Common Symptoms

Symptoms of lumbar canal stenosis typically develop slowly over time and may include:

• Lower back pain• Pain, numbness, or tingling in the legs• Weakness or heaviness in the legs• Difficulty walking or standing for long periods• Relief of symptoms when sitting or bending forward (shopping cart sign)

These symptoms are often referred to as neurogenic claudication, a hallmark of lumbar stenosis.

Diagnosis and Evaluation

Dr. Midhun Jose uses a combination of clinical assessment and advanced imaging techniquessuch as MRI or CT scans to accurately diagnose lumbar canal stenosis and rule out other causes of nerve compression.

Treatment Options

Not all cases require surgery. In fact, many patients respond well to non-surgical treatments, including:

• Physical therapy to strengthen back and leg muscles

• Anti-inflammatory medications

• Epidural steroid injections to reduce inflammation and pain

• Lifestyle changes such as weight management and posture correction

If symptoms are severe or progressive—such as worsening leg weakness or loss of bladder/bowel control—surgical decompression may be recommended. Dr. Midhun Jose specializes in minimally invasive spine surgery techniques that relieve nerve pressure while preserving spinal stability.

Regain Your Mobility and Quality of Life

Lumbar canal stenosis is treatable — and early diagnosis can prevent long-term nerve damage.
Dr. Midhun Jose offers personalized care, from conservative management to advanced surgical solutions, helping you walk pain-free and live fully.