Christopher Silveri MD

Christopher P. Silveri, M.D.FAAOS

Board Certified Orthopaedic Surgeon : Spine View Profile
  • I would like to express my sincere appreciation for keeping me up and running. By - Martha Howar

  • After suffering back pain for over 50 years the pain it became unbearable. By - Bob Vandel

  • Dr Silveri performed the first case using the O-Arm 3-D Imaging at Fair Oaks Hospital. Exciting New Technology

  • Thanks for the GREAT WORK! Double Fusion Feb 4, 2003 MARATHON October 30, 2005 By - Tim Bergen

  • Ballroom Dancer Fully Recovers from Back Surgery,A Laminectomy and Three Vertebra Fusion By - Tom Woll

  • Thanks Dr. Silveri.

  • Play
  • Pause

Lumbar Stenosis

Spinal Stenosis

Spinal Stenosis Surgical

Lumbar stenosis is the compression of spinal nerves caused by narrowing of spinal canal and it is one of the common causes of low back pain. Spinal stenosis can also affect the spine in neck region. The symptoms include back pain, burning or aching type of pain in buttocks that radiates to the legs (sciatica), weakness in the legs or "foot drop”. One of the causes for spinal stenosis is the ageing and other causes include Paget’s disease, achondroplasia, spinal tumors and spinal injuries. As age advances the chances of developing osteoarthritis, disc degeneration and thickening of ligaments may increase and these conditions cause spinal stenosis.

Lumbar spinal stenosis may be treated with conservative treatment approaches such as use of pain medications, physical therapy, steroid injections, or acupuncture. In chronic cases, surgery may be required to treat the condition.

Nonsurgical Treatment

  • Physical therapy: Physical Therapy involves stretching exercises, massage, and lumbar and abdominal strengthening.
  • Anti-inflammatory medications: Non-steroidal anti-inflammatory drugs (NSAIDs) initially provide pain relief and reduce swelling.
  • Steroid injections: Cortisone steroid injections are given around the nerves or in the "epidural space” to decrease swelling and pain.
  • Acupuncture: Acupuncture can be helpful in cases where the pain is less severe.
  • Chiropractic manipulation: Chiropractic manipulation can be done in some cases but not when there is co-existing osteoporosis or herniated disc because these cases increase the symptoms or cause injuries.

Surgical Treatment

Surgery is considered for patients in whom the pain and weakness is causing debilitation such as inability to walk for a long time. The two main surgical procedures to treat lumbar spinal stenosis are laminectomy and spinal fusion.

  • Laminectomy: This procedure involves removal of the bone, bone spurs, and ligaments that compress the nerves.
  • Spinal fusion: In this procedure, two or more vertebrae are permanently fused together.
  • Penn Medicine
  • American  Association of Orthopaedic Surgeons
  •  American Board of Orthopaedic Surgery
  • North American Spine Society
  • Georgetown University