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The foramina is the path down the spinal canal through which the nerves pass. Over time, stenosis and other spinal problems can led to narrowing of the foramina, which can put pressure on the nerves and cause disk problems as well. If the problem is severe enough, a Neurosurgeon a can decompress the area (widen the passage) at the point where it's narrowed. This is commonly done in spinal fusion operations - I've had it done in 2 of my 3 spinal surgeries.

Most people have some sort of stenosis just from everyday wear and tear on the spine, though for some who have contributing factors the problem can be more severe. Most people with the problem can live their entire lives without much problem; others require surgical intervention when all other steps have failed or cannot be employed. Radiologists will typically note any apparent narrowing of the foramina (bilateral, etc.) they see on an MRI or CT in their report, but it doesn't mean that it's a problem that needs fixing unless there's a definite issue with mobility or pain involved.

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