Spinal Stenosis

Spinal stenosis is a narrowing of one or more areas in the spinal canal. This narrowing can put pressure on your spinal cord and/or on the nerves that branch out from the spinal cord. The stenosis is usually due to a combination of factors that included a bulging or disk herniation, arthritic bony changes, and/or hypertrophy (swelling) of spinal ligaments. Symptoms that are experienced typically are cramping, pain or numbness in your back and legs (if the stenosis is in the lower back), or cramping, pain or numbness in the neck, shoulders or arms (if the stenosis is in the neck).

Treatment options include medications, physical therapy or injections. The injection that is used typically to treat this condition is an epidural. For more information on epidurals, Click on the appropriate spinal segment for an informational video.

Caudal Steroid Injection
Cervical Epidural Steroid Injection
Lumbar Epidural Steroid Injection
Thoracic Epidural Steroid Injection

If an epidural is not helpful and surgery is not an option, then spinal cord stimulation (neuromodulation) can be considered. This procedure is done by inserting electrodes through an epidural needle into the epidural space over the spinal cord. The electrodes are then used to transmit a signal to the spinal cord that blocks pain and replaces the pain with a more pleasant feeling. Click on this link for more information about spinal cord stimulation, Spinal Cord Stimulator Implant.

Nevada Advanced Pain Specialists is recognized as an industry leader in pain management. We have a state-of-the-art facility in Reno, Nevada, that allows for us to offer the highest possible level of quality care of our patients.

We are committed to providing a comprehensive and multi-disciplinary approach for each individual’s pain complaints to provide the most appropriate care. Our approach includes analysis of biomechanics, joint motion, as well as skeletal, nerve and muscle tissues. Every individual is evaluated for the root cause of their pain – not just a “quick fix” approach to only provide symptomatic relief.

Your pain will be evaluated with latest diagnostic tools and technologies used by the professionals at Nevada Advanced Pain Specialists to make accurate assessments including: EMG/Nerve testing, MRIs, x-rays, bone scans, and diagnostic pain injections.


Over 90% of our facet joint injection patients report improvement in their condition. Over 75% said their condition improved by more than 50%

Over 83% of our epidural patients report improvement in their condition. Over 75% said their condition improved by more than 50%

Overall, 83% of our patients report a better quality of life, 60% report less pain, and 62% report improvement in their function

Ready to come see one of our physicians?