Cervical Spinal stenosis (CSS), or lumbar stenosis (LSS) are conditions in which the spinal canal narrows and compresses the spinal cord and/or nerve roots. This is usually due to the process of spinal degeneration that occurs with an imbalanced spinal structure, usually initially caused by weak postural muscles, or even minor injuries, or habitual imbalanced postures. It can also sometimes be caused by spinal disc herniation, osteoporosis or in rare cases, a tumor. Spinal stenosis may affect the cervical, mid back or lumbar vertebrae. Signs of CSS include spastic gait, upper or lower extremity numbness, weakness, or both. Radiating pain in the upper limb(s), sphincter disturbances, muscle wasting, sensory deficits, and reflex abnormalities are also sometimes present. If severe, treatment will usually include surgery. From our perspective, it is vital to locate the cause of the stenosis. If due to bony growth impinging the spinal cord or nerve roots, chiropractic care is not going to remove those bony growths. However, if the pressure producing effect of the bony growths on the spinal cord or nerve roots is being aggravated due to misalignment of the vertebrae, then whatever realignment of these vertebrae that can be achieved through advanced chiropractic care, will produce a corresponding reduction in pain and symptomatology, as well as prevent further progression of the stenosis, which is of vital importance. Specific corrective exercises can also be helpful in preventing worsening, while strengthening supportive tissues.