In general, there are three main types of spinal stenosis. Dr. Rashad Trabulsi and his team at Manhattan Wellness Group are experienced experts in the treatment of spinal stenosis. Below are the three most common forms of spinal stenosis that they see:

Foraminal stenosis is the most common type of lumbar spinal stenosis, and may also be referred to as lateral spinal stenosis. This type of stenosis is caused when the nerve root is about to leave the canal through a side hole in the back of the spine, called the neuro-foramen, and a bone spur forms and applies pressure on the root nerve. This type of spinal stenosis can easily be visualized as a pinching of the nerves.

Narrowing of the central canal (called central stenosis) in the lumbar (lower back) area can compress the thecal sac. This narrowing can cause pressure on the nerve bundle at the end of the spinal cord, or the individual nerves within the thecal sac.

The individual nerves exit from the center of the spinal canal out hole in the back of the spine called the neuro-foramen. Beyond the neuro-foramen, there can also be narrowing secondary to the development of bone spurs from the facet joints, bulging discs, herniated discs, and ligamentum hypertrophy. This narrowing of the area lateral, or to the side of the neuro-foramen is called far lateral stenosis. There is often a combination of foraminal and far lateral stenosis

While surgery is commonly needed to relieve pain associated with a stenosis, Dr. Rashad Trabulsi and his team have developed synergistic treatments as alternative solutions to these 3 types of stenosis. Through use of physical and massage therapy, our team at Manhattan Wellness Group has had great success in treating patients with stenosis.