Lumbar Stenosis

What Is Stenosis?

Stenosis simply means narrowing
When excessive narrowing occurs, pressure on a nerve increases and can begin to cause symptoms.

There are two types of holes that can narrow. The first hole is the spinal canal (Fig 1), through which the spinal cord passes. Normally this hole should measure 15-17 mm in diameter. When is narrows to less than 10-12mm, it is considered stenotic.

lumbar stenosis

There a second pair of holes on either side of the spine, called neural foramen (Fig
2) The spinal nerves pass through these holes, forming into a bundle which we call the sciatic nerve. You have a sciatic nerve running downward into each buttock and leg.

What Causes Stenosis?

There is no single reason/activity that causes stenosis. It develops over years and can be asymptomatic early on, just as heart disease is. In most cases we are dealing with advanced arthritic changes

How We Treat Stenosis?

Cox Flexion Distraction Decompression Manipulation – Our Expertise
Spinal stenosis symptoms are due to compressive forces. If we reduce pressures to alleviate compressive forces, the body will have a chance to improve.

Cox technique is a highly skilled, very specific form of chiropractic spinal decompression manipulation. A special table is used to perform this procedure. A Cox table allows the doctor to move a joint through multiple ranges of motion while decompressed. The skill comes in knowing which vertebrae to decompress, the degree of decompression to use, and lastly applying the decompression properly.

Cox tables allow much more specific treatment than traditional traction tables. Patients that have had surgery can still be treated with this table.

Realistic Expectations

We must remember that the goal of any treatment for stenosis is control and management of symptoms, not cure. My experience is that patients who utilize some combination of these treatments will have the best outcomes. Understand that 50% improvement is considered a good outcome.

Answer the questions below to see if you have Lumbar Stenosis

1. Numbness and/or pain in the thighs down to the calves and shins
2. Numbness and/or pain increase in intensity after walking for a while, but are relieved by taking a rest
3. Standing for a while brings on numbness and/or pain in the thighs down to the calves and shins
4. Numbness and/or pain are reduced by bending forward

If you answer yes to at least 2 of these questions, you may have lumbar stenosis.

Call us at (913) 345-9247 or fill out this form for a free consultation.


Is Spinal Stenosis Stealing Your life?

There are ways to manage spinal stenosis without surgery. People who are given more control over their condition, experience less pain and live more fulfilling lives.

Finding the right combination of treatments is the key. Unfortunately, most patients have been given few options. Few understand what stenosis is and how to reduce the daily stress to their spines.

So before you give up hope, download my FREE guide to Non-Surgical Care of Lumbar Spinal Stenosis.

In this guide, you’ll Learn:

  •  What most doctors never take time to tell you, so you won’t be left guessing about your condition
  • The 3 most common changes leading to stenosis, so you can decide which treatment options make the most sense
  • What realistic expectations are, so you aren’t repeatedly disappointed and continually looking for a silver bullet
  • 10 non-surgical types of treatment – Learn which ones can help and which ones that have little or no benefit, so you can invest your time, money and hard work wisely
  • The answers to 3 of the most frequently asked questions I get from patients, including “Is it true that I just need to walk more?” This is frequent advice given to patients by well-meaning friends and family
  • How to perform my 3 favorite exercises to begin your journey of stenosis management


Are you Ready?

If you are ready to make well informed decisions, improve control of your symptoms, and take back your quality of life without surgery, register to download your FREE guide to, Non-Surgical Care of Lumbar Spinal Stenosis.

Arthritis help


We are pleased to announce the addition of the most advanced Cox decompression table ever designed, to our office!  The Cox 8 Force Table is a state of the art instrument. Built in sensors send data to a computer, giving the doctor real-time information about the amount of decompressive force being applied.

Discuss your case with the doctor to see if you are a candidate for treatment.  Fill the form below or give us a call 913-345-9247



Fax 913-345-9447


11791 W 112th Street #101
Overland Park, KS 66210


Office Hours

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Th: 1pm - 6pm
F: 8am - 12pm
S-S: Closed

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