A. Performing quality imaging studies is important in accurately evaluating the spinal anatomy. An effective combination includes weight bearing x-rays with flexion and extension views of the spine and a view of the bony pelvis including the hip joints.
An MRI scan is the most valuable in the diagnosis process, providing excellent views of the soft tissues in and around the spine including the spinal cord and nerves. A CT scan is often performed along with a myelogram, which give excellent imaging of the bone structures. Other helpful tests may include an EMG/Nerve Conduction Study to rule out a neuropathy, a peripheral vascular ultrasound study to evaluate circulation, a bone density test to determine bone mineral and bone strength, and various blood tests looking at general health and metabolic makeup.
The evaluation and diagnosis of spinal stenosis requires this approach to accurately determine the exact cause. It is a critical component in determining the most appropriate treatment program, including the use of certain medications, physical therapy, intervention pain procedures, and/or surgery.
