Arachnoiditis

Arachnoiditis is a painful neurological condition caused by inflammation of the arachnoid membrane—the delicate layer that surrounds the brain and spinal cord. This inflammation can lead to nerve irritation, scarring, and chronic pain, affecting movement, sensation, and overall quality of life. At Covenant Spine and Neurology, our team of board-certified specialists provides compassionate, personalized care using advanced diagnostic tools and evidence-based treatment strategies.

Understanding Arachnoiditis

The arachnoid membrane protects the spinal cord and nerves within the spinal canal. When it becomes inflamed—often due to injury, infection, spinal surgery, or exposure to certain chemicals—it can cause the spinal nerves to stick together, leading to persistent pain and neurological symptoms.

 

Common symptoms may include:

 

  • Chronic burning or stinging pain in the lower back or legs

  • Numbness, tingling, or weakness in the extremities

  • Muscle cramps, spasms, or uncontrollable twitching

  • Difficulty sitting or standing for long periods

  • Bladder, bowel, or sexual dysfunction (in advanced cases)

Causes and Risk Factors

Arachnoiditis can develop from several underlying factors, such as:

 

  • Spinal surgery or repeated spinal procedures

  • Epidural steroid injections or trauma to the spine

  • Bacterial or viral infections near the spinal cord

  • Spinal canal bleeding or chemical irritation from contrast dyes

  • Chronic degenerative disc disease or spinal stenosis

Understanding the root cause is key to building an effective treatment plan.

Diagnosis at Covenant Spine and Neurology

Accurate diagnosis requires a careful evaluation of both neurological and spinal health. Our team uses:

 

  • MRI and CT imaging to identify inflammation, nerve adhesions, or scarring
  • Comprehensive neurological exams to assess sensory and motor function

  • Review of medical and surgical history to uncover potential contributing factors

Early and accurate diagnosis allows us to slow progression, reduce pain, and improve daily function.

Personalized Treatment Options

While there is no single cure for arachnoiditis, individualized care can help manage pain and enhance quality of life. Covenant Spine and Neurology develops targeted treatment plans that may include:

 

Medication Management

 

Anti-inflammatory medications, nerve stabilizers, and pain-modulating agents can help reduce inflammation and improve nerve function.

 

Interventional Therapies

 

  • Epidural adhesiolysis (lysis of adhesions) to release trapped nerves

  • Targeted nerve blocks for localized pain relief

  • Spinal cord stimulation to interrupt pain signals and restore comfort

Physical & Supportive Therapies

 

Customized physical therapy, low-impact exercise, and posture training help preserve mobility and prevent further nerve irritation. Counseling and pain management programs also support emotional well-being and resilience.

Long-Term Management and Support

Because arachnoiditis is a chronic condition, long-term follow-up is essential. Our team monitors progress, adjusts therapies, and works closely with each patient to maintain function and comfort. We also collaborate with pain specialists, rehabilitation therapists, and primary care providers to ensure seamless, coordinated care.

Why Choose Covenant Spine and Neurology

  • Board-certified neurologists with expertise in chronic spinal and nerve conditions

  • Advanced diagnostic imaging for precise evaluation

  • Comprehensive, multidisciplinary approach to treatment

  • Compassionate care focused on education and long-term support

  • Personalized plans that evolve with your needs and goals

Take the Next Step Toward Relief

If you’re experiencing chronic spinal pain or neurological symptoms, don’t wait to seek care. Contact Covenant Spine and Neurology today to schedule your consultation and take the first step toward better health and improved quality of life.

Book Your Appointment Now

For more information or to schedule an appointment call us at 336-761-4020.