ConditionsLumbar Stenosis

Lumbar Stenosis

Narrowing of the spinal canal in the lower back causing leg pain, heaviness, and difficulty walking. Dr. Basques offers the full range of minimally invasive decompression and stabilization procedures.

Lumbar spinal stenosis is a narrowing of the spinal canal in the lower back that compresses the nerve roots and/or spinal cord. It most commonly develops gradually with age as degenerative changes — disc bulging, facet joint enlargement, and ligament thickening — reduce the space available for nerves. The hallmark symptom is neurogenic claudication: leg pain, heaviness, cramping, or numbness that occurs with walking or standing and is relieved by sitting or leaning forward (like pushing a shopping cart). Unlike vascular claudication, symptoms are positional and relieved by spinal flexion. Lumbar stenosis is one of the most common reasons for spine surgery in older adults, and Dr. Basques specializes in minimally invasive decompression techniques that provide relief with less tissue disruption and faster recovery.

Common Symptoms

Leg pain, heaviness, or cramping with walking (neurogenic claudication)
Relief of symptoms when sitting or bending forward
Lower back pain
Numbness or tingling in legs
Leg weakness with prolonged standing
Balance problems

Diagnosis

Dr. Basques performs a thorough neurological examination including assessment of gait, strength, sensation, and reflexes. MRI clearly demonstrates the degree and levels of canal narrowing. X-rays evaluate alignment, instability, and deformity. In selected cases, CT myelography may be used if MRI is contraindicated.

Treatment Options

Dr. Basques always starts with the least invasive treatment appropriate for your condition.

Non-Surgical Treatments

Physical therapy and core strengthening
Anti-inflammatory medications
Epidural steroid injections
Activity modification (avoid prolonged standing/walking)
Assistive devices (cane, walker) for temporary relief

Get a Personalized Treatment Plan

Dr. Basques will evaluate your condition and recommend the most advanced, least invasive approach. Serving Rhode Island, Massachusetts, Connecticut, and all of New England.

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