Spinal Stenosis Treatment in
New York City
Personalized care for spinal stenosis from board-certified orthopedic spine surgeon Paul-Marie J. Brisson, MD.
Understanding Spinal Stenosis
Spinal stenosis occurs when the spaces within the spinal canal become narrower, placing pressure on the spinal cord or nearby nerves. It most commonly affects the lower back or neck and may gradually interfere with walking, balance, strength, and everyday movement.
Dr. Paul-Marie J. Brisson carefully evaluates each patient’s symptoms, medical history, physical condition, and imaging to determine the location and severity of the narrowing. Treatment is then tailored to the patient’s needs and quality-of-life goals.
Conservative Treatment Options
Surgery is not always necessary for spinal stenosis. When appropriate, Dr. Brisson begins with conservative care designed to reduce discomfort, improve mobility, and help patients remain active.
Treatment may include medication, physical therapy, activity modification, therapeutic exercise, or targeted spinal injections. The recommended approach depends on the location of the stenosis, the degree of nerve compression, and how the symptoms affect the patient’s daily life.
Common Symptoms of Spinal Stenosis
Symptoms vary depending on whether the condition affects the lumbar spine in the lower back or the cervical spine in the neck. Some patients experience mild discomfort, while others develop significant pain or limited mobility.
Common symptoms may include:
- Neck or lower back pain
- Pain radiating into the arms or legs
- Numbness or tingling
- Muscle weakness or heaviness
- Difficulty walking or standing for long periods
- Problems with balance or coordination
- Symptoms that improve when sitting or leaning forward
When Surgery May Be Recommended
Surgery may be considered when conservative treatments no longer provide adequate relief or when nerve compression causes worsening pain, weakness, numbness, difficulty walking, or loss of function.
Depending on the condition, treatment may involve decompression surgery, laminectomy, spinal fusion, or a combination of procedures. Dr. Brisson uses minimally invasive techniques whenever appropriate and explains the recommended approach, potential benefits and risks, and expected recovery before moving forward.
Frequently Asked Questions
Spinal stenosis is often caused by age-related changes such as arthritis, degenerative disc disease, thickened ligaments, bone spurs, or herniated discs. It may also develop because of an injury, spinal deformity, previous surgery, or a naturally narrow spinal canal.
Diagnosis typically includes a review of your symptoms and medical history, followed by a physical and neurological examination. Imaging such as an MRI, CT scan, or X-ray may be used to identify narrowing and determine whether nerves are being compressed.
No. Many patients manage their symptoms with physical therapy, medication, activity changes, or injections. Surgery may be considered when symptoms become severe, continue despite conservative care, or begin to affect strength, mobility, or nerve function.
Take the Next Step Toward Better Mobility
If spinal stenosis is causing pain, weakness, or difficulty walking, Paul-Marie J. Brisson, MD can help you understand your treatment options. Request an appointment today for a personalized evaluation.
