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How an Orthopedic Spine Specialist Treats Spinal Stenosis

August 8, 2025

Spinal Stenosis Medical Concept

Spinal stenosis treatment by an orthopedic spine specialist often offers a path back to relief and comfort. The condition can disrupt daily life with symptoms like pain, numbness, and stiffness. The American Academy of Orthopaedic Surgeons says it is a big reason adults seek spinal care. This is especially the case for people over 50. If you have spinal stenosis, it is important to know what treatment options you have.

Let us explore how these specialists find and treat spinal stenosis. Knowing this can help you understand how they work to improve life for their patients like you.

1.   Diagnosing Spinal Stenosis

The first step in spinal stenosis treatment is an accurate diagnosis.

Understanding the Patient’s Medical History

Diagnosing spinal stenosis starts with a detailed look at the patient’s medical history. An orthopedic spine specialist will ask questions about symptoms. This includes how long they have been present and what makes them better or worse.

They will also discuss the patient’s lifestyle and physical activity. This will help them understand how these factors may affect the symptoms.

Physical Exam of the Spine

Next, the specialist will perform a physical exam. This includes the following:

  • Checking the spine’s range of motion
  • Testing for muscle strength
  • Measuring reflexes

Sometimes, specific tests like the straight leg raise are done to see if certain movements make the symptoms worse.

Using Imaging Tests

Imaging tests are very important for diagnosing spinal stenosis. X-rays, MRIs, or CT scans give detailed pictures of the spine.

These images help the specialist confirm the diagnosis. They also let your orthopedic spine specialist identify exactly where and how severe the problem is.

2.   Non-Surgical Treatment Options

Orthopedic spine specialists usually start with non-surgical treatments. These methods aim to relieve pain, improve movement, and help patients stay active.

Physical Therapy

Physical therapy is one of the main treatments for spinal stenosis. It includes exercises that strengthen the back, core, and leg muscles to support the spine. Stretching exercises can also help improve flexibility and ease pressure on the nerves.

Many patients notice better mobility with regular physical therapy. Specialists work with physical therapists to track progress and make changes to the treatment plan when needed.

Medications

Managing pain is an important part of treatment. Over-the-counter medications, like ibuprofen or naproxen, can reduce swelling and discomfort.

If the pain persists, the specialist might suggest stronger medicines. This may include muscle relaxants or other options tailored to the patient.

Epidural Steroid Injections

For more severe symptoms, epidural steroid injections may be recommended. These injections deliver medicine directly to the spine to reduce swelling and pain.

Relief can last for weeks or months. This gives patients time to focus on physical therapy or other treatments.

Lifestyle Changes

Changes in daily habits can also help manage spinal stenosis. Specialists might suggest the following:

  • Avoiding activities that worsen symptoms
  • Keeping a healthy weight
  • Using ergonomic furniture or tools

These steps, combined with other treatments, can make a big difference in managing the condition.

3.   Surgical Options for Severe Cases

If non-surgical treatments do not work, surgery might be the next step. Orthopedic spine specialists now use safer and more advanced techniques to help patients.

Laminectomy

This is one of the most common surgeries for spinal stenosis. The surgeon removes a small part of the vertebra to make more room for the spinal cord or nerves.

After recovery, most patients feel less pressure on their nerves and have less pain.

Spinal Fusion

Sometimes, the spine may be unstable because of spinal stenosis. When this happens, spinal fusion may be recommended. This surgery connects two or more bones in the spine to make it more stable while keeping its alignment.

Minimally Invasive Surgeries

Modern surgeries for spinal stenosis often use minimally invasive techniques. These procedures are known to:

  • Use smaller cuts
  • Cause less muscle damage
  • Help patients recover faster

A common example is minimally invasive decompression. This procedure uses advanced tools to safely relieve pressure on the spine.

4.   Post-Treatment Recovery and Support

Recovery plays an important role in spinal stenosis treatment. Orthopedic spine specialists give clear instructions to help you heal and feel better after treatment. These usually include therapy, ways to manage pain, and regular follow-up visits.

Physical Therapy After Treatment

Physical therapy often continues even after surgery to help patients regain strength and move better. Specialists encourage sticking to the therapy plan, so patients can enjoy long-term improvements.

Pain Management and Follow-Ups

Doctors also suggest ways to manage any lingering pain, such as medications or gentle exercises. Follow-up appointments are important to track progress and make sure the recovery is on the right path.

You can trust The Centers for Advanced Orthopaedics, Orthopaedic Associates of Central Maryland Division’s Dr. Oren Blam, our very own board-certified, fellowship-trained orthopedic surgeon.

Specializing in spine surgery, he will make sure you get the best spinal stenosis treatment. He will be your reliable healthcare partner, from diagnosis to recovery.

The Best Orthopedic Spine Specialist for Spinal Stenosis Treatment in Baltimore, MD

Dealing with spinal stenosis can feel challenging. However, the right care from an orthopedic spine specialist can make a big difference. By using both non-surgical and surgical options, specialists can meet your unique needs. They can help you feel more comfortable and move more easily with the right spinal stenosis treatment.

Are you ready to explore treatment options or need more information on spinal stenosis? You can trust The Centers for Advanced Orthopaedics: Orthopaedic Associates of Central Maryland Division. We are dedicated to providing personalized and effective care to help you live pain-free. Take the first step toward relief today. For more information or to schedule a consultation, call us today at (410) 644-1880 or use our appointment scheduling tool.

We look forward to serving you!

 

 

 

Filed Under: Neck & Back Tagged With: orthopedic spine specialist near me, Spinal Stenosis diagnosis, Spinal Stenosis Surgery, Spinal Stenosis symptoms, spinal stenosis treatment Ellicott city md, Spinal Stenosis treatment near me

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The Centers for Advanced Orthopaedics Orthopaedic Associates of Central Maryland Division is your premier center for comprehensive physical therapy and orthopedic services for conditions affecting the back and neck, foot and ankle, hand and wrist, hip and knee, and shoulder and elbow. We are also proud to offer a Bone Health Program, nonoperative treatments, after-hours care, and on-site imaging at our 12 locations across Central Maryland.