Spinal canal narrowing, or spinal stenosis, often causes pain, numbness, and weakness in the back, legs, or neck. Spinal Stenosis Treatment NJ options depend on the severity of symptoms and location of the stenosis. Conservative measures such as physical therapy, pain medications, and epidural steroid injections are usually first-line treatments to relieve pain and improve function. If conservative measures fail to provide sufficient relief or if there is progressive neurological compromise, surgery could be considered. Surgery performed for spinal stenosis typically is to make more room for the spinal canal to relieve pressure on vascular structures like the spinal cord and the nerves. Common procedures include laminectomy (removing part of the vertebral bone) and laminectomy with fusion (stabilizing the spine after decompression).