PULMONOLOGY
IMAJ | volume 28
Journal 1, January 2026
pages: 5-8
Is Spinal Stenosis the Cause of Exercise-Induced Dyspnea?
1 School of Public Health, Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel
2 Department of Sports Therapy, Ono Academic College, Kiryat Ono, Israel
3 Department of Pulmonology, Sheba Medical Center, Tel Hashomer, Israel
4 Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Tel Hashomer, Israel
5 Dina Recanati School of Medicine, Reichman University, Herzliya, Israel
Summary
Spinal stenosis is a progressive degenerative condition characterized by the narrowing of the spinal canal, leading to compression of the spinal cord and nerve roots [1]. While commonly associated with aging, it can also develop following traumatic injuries that induce structural damage and chronic inflammation and contribute to canal narrowing [1]. Although spinal stenosis is primarily linked to neurogenic claudication, emerging evidence suggests that it may also impact respiratory function, particularly when it involves the cervical and thoracic spine [2].
We evaluated a 77-year-old male with a longstanding history of spinal stenosis and exertional dyspnea. We explored the potential connection between his symptoms and underlying spinal pathology, particularly in the absence of cardiopulmonary disease.