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Thoracic spinal stenosis usually develops slowly over time, and it may be some time before symptoms occur. Symptoms in the arm may include weakness, stiffness or clumsiness in the hands, such as difficulty buttoning a shirt, turning a doorknob or opening a jar. Leg symptoms may include weakness, difficulty walking, frequent falls or the need to use a cane or walker as the disease progresses. Urinary urgency is also common. In advanced cases, bladder and bowel incontinence can occur.