This is the first study to evaluate the impacts of spinal stenosis on people through the content analysis of tweets. Twitter users repeatedly mentioned the negative impacts of spinal stenosis on their physical and psychosocial wellbeing. It is possible that chronic pain, poor life satisfaction, and difficulties in coping with spinal stenosis may increase the risk of developing depression in patients with spinal stenosis [44,45,46]. It was estimated that only 0.3% of Twitter users in England were 60 years or older , whereas approximately 67.5% of Twitter users were ages between 16 and 22 years . However, the causes and progression of traumatic cervical spinal stenosis differ from those of degenerative lumbar spinal stenosis.