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Spinal Stenosis Frequently Asked Questions

Q. How is spinal stenosis diagnosed?

The evaluation and diagnosis of spinal stenosis requires a team approach if necessary, to accurately determine the exact cause of the condition. This is critical in outlining the most appropriate treatment program including the use of certain medications, physical therapy, intervention pain procedures, and/or surgery.

It is important that good imaging studies be performed to accurately evaluate and see the spinal anatomy. An effective combination includes weight bearing X-Rays with flexion and extension views of the spine and a view of the bony pelvis including the hip joints. An MRI scan is the most valuable. It provides excellent views of the soft tissues in and around the spine including the spinal cord and nerves. CT scan imaging is often performed along with a myelogram which gives excellent imaging of the bone structures. Other helpful tests may include an EMG/Nerve Conduction Study to rule out a neuropathy; a peripheral vascular ultrasound study to evaluate circulation; a bone density test to determine bone mineral and bone strength; and various blood tests looking at general health and metabolic makeup.

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