Spinal stenosis is a common spine condition that occurs when the spaces within your spine narrow, putting pressure on the spinal cord and nerves. While it can affect anyone, it’s more common in adults over 50, and its severity can range from mild discomfort to debilitating pain and mobility issues. In Singapore, the demand for accurate diagnosis and effective treatment for spinal stenosis singapore is growing as more people seek early medical intervention to maintain quality of life.
This guide will explain what spinal stenosis is, its causes, symptoms, diagnostic methods, and the treatment options available in Singapore, including both non-surgical and surgical approaches.
Understanding Spinal Stenosis
The spine is made up of bones (vertebrae), discs, ligaments, and nerves. Spinal stenosis occurs when the spinal canal — the hollow space that houses the spinal cord — becomes narrower than normal. This narrowing can compress nerves and cause pain, numbness, or weakness.
There are two main types:
Cervical Spinal Stenosis – Narrowing in the neck area, potentially affecting the arms, hands, legs, and bladder control.
Lumbar Spinal Stenosis – Narrowing in the lower back, often causing pain, numbness, or cramping in the legs.
Common Causes of Spinal Stenosis in Singapore
Spinal stenosis can develop from multiple factors, including:
Age-related degeneration – The most common cause, as bones, discs, and ligaments naturally wear down over time.
Herniated discs – Displaced discs can press against the spinal cord or nerves.
Bone spurs – Overgrowth of bone due to arthritis can intrude into the spinal canal.
Thickened ligaments – Ligaments in the spine can thicken and reduce spinal space.
Spinal injuries – Trauma from accidents or falls can cause dislocation or fractures.
Congenital conditions – Some individuals are born with a naturally narrow spinal canal.
Signs and Symptoms
Symptoms vary depending on the severity and location of the stenosis. Common signs include:
Persistent neck or lower back pain
Numbness or tingling in arms, hands, legs, or feet
Weakness in limbs
Cramping or pain when walking or standing for long periods (neurogenic claudication)
Difficulty with balance and coordination
In severe cases, loss of bladder or bowel control (requires urgent medical attention)
Diagnosis of Spinal Stenosis in Singapore
In Singapore, spine specialists often use a combination of medical history, physical examination, and imaging tests to diagnose spinal stenosis accurately:
MRI (Magnetic Resonance Imaging) – Provides detailed images of soft tissues, nerves, and the spinal canal.
CT Scan – Shows detailed bone structures and can identify narrowing areas.
X-rays – Detect bone spurs and alignment issues.
Nerve conduction studies – Evaluate nerve function and pinpoint compression.
Treatment Options for Spinal Stenosis in Singapore
Treatment depends on the severity of the condition, age, lifestyle, and overall health. Singapore offers both non-surgical and surgical solutions.
1. Non-Surgical Treatments
These are usually the first line of management:
Medications – Pain relievers, anti-inflammatory drugs, or nerve pain medication.
Physiotherapy – Exercises to strengthen muscles, improve posture, and increase flexibility.
Epidural steroid injections – Reduce inflammation and nerve irritation.
Activity modification – Avoiding activities that worsen symptoms while promoting safe exercises.
Heat or cold therapy – Helps reduce muscle tension and inflammation.
2. Surgical Treatments
Surgery may be considered if symptoms are severe or non-surgical methods fail to provide relief:
Laminectomy – Removal of part of the vertebra (lamina) to create more space for nerves.
Foraminotomy – Enlarging the openings where nerve roots exit the spine.
Spinal fusion – Joining two or more vertebrae to stabilize the spine.
Minimally invasive spine surgery (MISS) – Smaller incisions, faster recovery, and less tissue damage.
Finding a Spinal Stenosis Specialist in Singapore
When searching for a spinal stenosis specialist in Singapore, consider:
Board-certified orthopaedic surgeons or neurosurgeons with experience in spinal conditions.
Hospitals and clinics offering advanced imaging and minimally invasive surgical options.
Positive patient reviews and clear communication about treatment plans.
Well-known medical institutions in Singapore for spinal care include:
National University Hospital (NUH)
Singapore General Hospital (SGH)
Mount Elizabeth Hospital
Gleneagles Hospital
Specialist spine clinics like The Orthopaedic & Spine Clinic and Atlas Orthopaedic Group
Cost of Spinal Stenosis Treatment in Singapore
The cost varies depending on the complexity of the case, the type of treatment, and whether you choose a public or private facility.
Consultations: SGD 100 – SGD 250
MRI scans: SGD 800 – SGD 1,500
Physiotherapy: SGD 80 – SGD 150 per session
Surgical procedures: SGD 15,000 – SGD 35,000 in private hospitals (lower in public hospitals with subsidies)
Patients under the MediSave and MediShield Life schemes may claim part of their medical expenses, and some insurance plans also provide coverage.
Living with Spinal Stenosis – Self-Care Tips
While professional treatment is essential, lifestyle adjustments can help manage symptoms:
Stay active with low-impact exercises like swimming or walking.
Maintain good posture to reduce strain on the spine.
Control weight to lessen pressure on the back.
Stretch regularly to keep muscles flexible.
Listen to your body and avoid activities that cause pain.
When to Seek Immediate Medical Help
Seek urgent medical attention if you experience:
Sudden weakness or numbness in the legs
Loss of bladder or bowel control
Severe, worsening back pain
Difficulty walking or standing
These may indicate cauda equina syndrome, a medical emergency.
Conclusion
Spinal stenosis in Singapore is a manageable condition when detected early and treated appropriately. With modern diagnostic tools, skilled spine specialists, and advanced treatment options available in the country, patients have a high chance of maintaining mobility and quality of life. If you suspect you may have spinal stenosis, consult a qualified specialist for a proper diagnosis and personalised treatment plan.
