Spinal Stenosis

The spinal canal is the passageway where the spinal cord and nerve roots reside. Spinal stenosis results when the canal is narrowed. The narrowing may result from disc protrusions or herniations, thickening of the ligaments within the canal, movement of the vertebral bodies or osteophytes (bone spurs) growing into the canal.

Non-surgical options include medication, physical therapy and epidural injections. Surgical treatment generally consists of spinal decompression, with or without fusion, to enlarge the spinal canal and relieve the pressure on the nerves.

What Are The Symptoms

Depending on which nerves are affected, spinal stenosis can cause pain or numbness in your legs, back, neck, shoulders or arms; limb weakness and incoordination; loss of sensation in your extremities; and problems with bladder or bowel function. Pain is not always present, particularly if you have spinal stenosis in your neck.

The primary symptom of spinal stenosis in the lumbar spine is pain or other sensations in one or both legs. Stenosis can cause difficulty walking even relatively short distances, but this problem is relieved with a brief rest. In the cervical spine, pain or numbness radiates into the arms.

Spinal stenosis is commonly caused by age-related changes in the spine. In severe cases of spinal stenosis, doctors may recommend surgery to create additional space for the spinal cord or nerves.

Treatment Options


Chiropractic approach to healing involves the whole body. Pain relief can be obtained quickly and effectively, and drug-free.

We help our patients avoid surgery and risks associated with surgery including infections, bleeding, prolonged recovery, and risks of anesthesia.

We offer a safe and affordable alternative. We believe that by working to keep the spinal cord correctly aligned, we can maintain the health of the nerves and immune systems and your overall well-being.

Epidural Injection

We may prescribe steroid injections that treat inflammation and pain right at the source. This minimally invasive treatment involves an injection of corticosteroids into the area around your spinal cord and nerves in order to reduce inflammation.

The epidural space is located along the entire spinal canal superficial to the spinal fluid. Physician injects the medicine into the epidural space to relieve the inflammation of the nerves. This will reduce pain, numbness and tingling. X-ray guidance is used to ensure precise placement.

Holistic Treatments

There are many holistic treatments available for most painful conditions. Pain is often symptom of an injury. Various regenerative injection treatments are used to stimulate the repair of a damaged or injured area when the body’s natural healing process is not able to do the job on its own.

Available options include:

  • Prolotherapy
  • PRP (Platelet Rich Plasma)
  • Sarapin Injections
  • Zeel Injections
  • Stem Cell Injections

Percutaneous Disectomy

This minimally invasive procedure uses a small needle and a canula device to reduce a herniated disc, quickly relieving pain in most patients.

This process removes small portions of the disc nucleus.The empty space created allows the disc to reabsorb the herniation, the herniated part of the disc.

This procedure is a great alternative to open back surgery for herniated discs and allows to reduce the prolonged recovery and complications related to open surgery.

The procedure may be performed on an outpatient basis. X-ray images are used to guide the placement of the cannula.

Physical Therapy

Physical rehabilitation with active patient participation is a key approach to treatment of patients. Exercises learned during physical therapy can strengthen your spine and minimize your pain.

It is non-medical and non-surgical treatment in which range of motions and exercises are used to treat patients with back & neck pain, sciatica, and other related symptoms.

It is free from any risk of side-effects that are often linked with surgery such as bleeding and infection. In this treatment, our professionals also teach healthy habits to patients to prevent pain in future.


It is a regenerative treatment that is minimally invasive, in which we inject prolotherapy solution into the inflammation affected ligaments, tendons and joints to stimulate the repaid of damaged or injured area.

It is used to stimulate the repair of a damaged or injured area when the body’s natural healing process is inadequate. It is a great option for treatment because it can be an alternative to pain medications, surgery, and cortisone shots. It is a safe and affordable option for treatment.

Therapeutic Injections

There are several different types of injection therapies that are designed to treat specific types of disorders, injuries and pain in the body.

  • Facet Joint Injections
  • Cortisone Injections
  • Epidural Steroid Injections
  • Joint Injections
  • Lumbar Facet Blocks for Low Back Pain
  • Lumbar Sympathetic Block
  • Platelet Rich Plasma (PRP) Injection
  • Platelet Rich Plasma Therapy
  • Prolotherapy
  • Sacroiliac Joint Injections
  • Sarapin Injections
  • Spinal Injections
  • Sphenopalatine Nerve Blocks
  • Stem Cell Injections
  • Zeel Injections

Trigger Point Injection

In this treatment, medicine is directly injected into the trigger points. These points are central area of muscle spasm in the upper back and shoulder areas. It is used to treat conditions including fibromyalgia, tension headache, and myofascial pain syndrome.

Sometimes an anesthetic or saline is also used to help “flush out” inflammatory agents that may be irritating a nerve.

The spinal canal is the passageway where the spinal cord and nerve roots reside. Spinal stenosis is a narrowing of one or more areas in your spinal canal. The narrowing may result from disc protrusions or herniations, thickening of the ligaments within the canal, movement of the vertebral bodies or osteophytes (bone spurs) growing into the canal. It is not possible to predict whether an individual will develop spinal stenosis. It does not have a predisposition for any sex, race or ethnicity.

Spinal stenosis can be congenital, meaning present at birth. Acquired spinal stenosis is more common and generally affects people 60 or more years of age. Spinal stenosis may affect the cervical or lumbar spine. Symptoms include nerve compression leading to persistent pain in the buttocks, limping, lack of feeling in the extremities, or loss of bladder or bowel control. Often, patients have difficulty walking even relatively short distances because of leg symptoms of pain or weakness. This typically resolves with a brief period of rest.

Your physician will perform a physical examination. Imaging studies such as an MRI, CT scan or myelogram may also be ordered to help make the diagnosis. If the doctor thinks you have nerve damage, an electromyography (EMG) may be needed. This exam measures the effectiveness of your nerves to conduct signals.

Non-surgical options include medication, physical therapy, aerobic conditioning and epidural injections. Indications for surgery include pain that fails to improve satisfactorily with non-surgical treatment. Surgical treatment generally consists of spinal decompression to enlarge the spinal canal and relieve the pressure on the spinal cord or nerve roots.

It is important to discuss treatment options with your doctor in deciding which treatment, if any, may be best for you.

At our clinic, we cure all painful conditions including Back pain, Neck pain, Arthritis, Herniated discs, Spinal stenosis, Hip/Knee Pain, Sciatica, Pinched nerves, Fibromyalgia, Headaches and Bursitis.

Also, we offer treatment for chronic migraines, Cervicogenic headache, chronic tension-type headache, Cluster headache and many other painful conditions.

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At our clinic, we properly determine the root cause of your pain.

Our specialists exclusively make use of new techniques for evaluating pain.

Immediate Appointments Available.

We are a Pain Management Center in Manhattan, NY. We provided a one-on-one experience, using state of the art equipment, and proven techniques that reduce pain quickly and enable a return to normal function. With our services, we aim to ensure complete well-being of patients with a holistic approach.

At our clinic, we properly determine the cause of discomfort, plan strategies and suggest therapies, accordingly. Our main aim is to ensure the complete well-being and health of patients; therefore we use several holistic treatments that stimulate the ability of the body to repair the damaged area.

Our holistic treatments are extensively utilized in the form of an alternate to pain medications and surgeries in various musculoskeletal conditions, as it focuses on permanently treating the root cause of the pain. Our holistic treatments include: Prolotherapy, PRP (Platelet Rich Plasma), Sarapin Therapy, Zeel Therapy, and Stem Cell Therapy.

Immediate Appointments Available. Call Us Today.