women suffering from lower back pain

3 ​​Things You Should Know About Foraminal Narrowing

Medically Reviewed by NJ Spine & Orthopedic on June 15, 2024

Foraminal narrowing (neural foraminal stenosis) is a condition where the neural foramina, which are the openings of nerve roots at each vertebra in the spine, become narrowed. This can lead to pressure on the spinal nerves, causing pain and other symptoms such as numbness and tingling. But what else should you know about foraminal narrowing?

NJ Spine & Orthopedic can help you determine what your symptoms of foraminal narrowing may be after evaluating your medical records. Then, our surgeons and Concierge Team can devise a plan to help alleviate your symptoms and reduce pain.

Foraminal narrowing, also known as foraminal stenosis, is a condition where the openings between the bones in your spine (foramina) become narrowed. Proper evaluation is crucial for patients experiencing severe pain due to foraminal narrowing. This narrowing can compress nerves, leading to symptoms such as pain, numbness, and weakness in the limbs.

Diagnosis typically involves imaging studies like MRI or CT scans to visualize the extent of the narrowing and its impact on the spinal nerves. Treatment planning should be individualized, taking into account the severity of symptoms and the specific needs of the patient.

3 Things to Know About Foraminal Narrowing

There are various aspects to foraminal narrowing that may affect what you know about your symptoms. Foraminal narrowing is a type of spinal stenosis that affects the neural foramen and can put pressure on affected nerves, leading to nerve pain and potential nerve damage. These include:

1. Classification of Foraminal Narrowing

Before delving into the various categories of foraminal narrowing, it’s helpful to understand the anatomy of the neural foramen. Neural foraminal openings are located between adjacent vertebrae at each side of the spine. These openings allow nerve roots from the spinal cord to pass through and communicate with other parts of the body.

The neural foraminal narrowing can be classified into bilateral and unilateral. Bilateral foraminal narrowing refers to constricting spinal canal openings (foramina) on both sides of the vertebral column. On the other hand, unilateral foraminal narrowing occurs when the foramen on one side is constricted. This type of stenosis can result from factors like degeneration or trauma and can affect any part of the spine.

2. Types of Foraminal Narrowing

The foraminal narrowing can occur in both congenital and acquired forms. Also, the location of the narrowing is a key factor in determining the type of foraminal narrowing. Below are the most common types:

  • Cervical foraminal narrowing
  • Lumbar foraminal narrowing
  • Thoracic foraminal narrowing
  • Cervical spine foraminal narrowing
  • Lumbar spine foraminal narrowing

Lumbar spinal stenosis is a common condition that can result from lumbar foraminal narrowing.

Conservative treatments for foraminal narrowing may involve rest, physical therapy, and anti-inflammatory injections to alleviate pain. In more severe cases, when conservative measures are insufficient, surgical intervention may be considered to decompress the nerves and provide long-term relief.

3. Common Surgeries Used to Treat Foraminal Narrowing

With modern medical advances, spinal decompression surgeries have become minimally invasive, meaning they use smaller incisions and have a shorter recovery time. These surgeries aim to relieve pressure on the nerve root. The type of surgery depends on the severity of the narrowing, but some common procedures used to treat foraminal narrowing include:

Depending on your symptoms and other needs, NJ Spine & Orthopedic will work with you to create a specific treatment plan for your foraminal narrowing symptoms. Our Concierge Team can also help coordinate your travel and appointment needs to help streamline treatment.

Schedule a Consultation with an Experienced Spine Specialist at NJ Spine & Orthopedic

While foraminal narrowing can be a painful and debilitating condition, it is treatable. Neural foraminal stenosis occurs when the openings for the spinal nerves become narrowed, leading to symptoms that require specialist care. With the right diagnosis and treatment plan, foraminal narrowing patients can experience long-term relief from this condition. Non-surgical treatments such as physical therapy, pain medication, and corticosteroid injections are typically the first line of defense. If these methods fail to provide adequate relief, surgery may be recommended to relieve nerve compression and improve spinal function.

At NJ Spine & Orthopedic, we specialize in diagnosing and treating spinal conditions, including foraminal narrowing. Our experienced spine and orthopedic specialists are dedicated to offering you the highest quality of care. We provide a personalized treatment plan tailored to meet your needs and help you achieve optimal relief from foraminal stenosis. To schedule an appointment and learn more about our services, contact us online or call us at (866) 553-0612 today.

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