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Lumbar Stenosis

Spinal stenosis refers to the narrowing of the spinal canals, which can affect the central canal that houses the spinal cord and/or the transverse foramina from which the spinal nerves emerge.

Typically, the narrowing of the spinal canals is an age-related process known as secondary stenosis. This occurs as the vertebral discs degenerate and lose height, the ligaments become rigid, and bone spurs may develop. These factors collectively contribute to the occurrence of stenosis. Additionally, conditions like spondylolisthesis, trauma, or post-surgical complications can also lead to spinal stenosis.

Due to mechanical compression and impaired blood flow, spinal stenosis often results in severe pain. In cases of lumbar or low back spinal stenosis, common symptoms include low back pain and radiating pain that spreads across the buttocks and thighs. Sensations of tingling, numbness, and leg weakness may also be present.

Symptoms tend to worsen during activities such as standing, walking, and backward bending or extension of the spine. Conversely, sitting, forward bending, and unloading the body often provide relief. A notable characteristic of lumbar spinal stenosis is a decreased tolerance for walking.

Conservative care through rehabilitation can be beneficial in managing spinal stenosis. Treatment approaches may include stretching, strengthening exercises, joint mobilization or manipulation, aerobic exercise, and modifying daily activities. Utilizing an "unweighting system" while walking or engaging in aquatic exercises can be helpful as well.

It is crucial to closely collaborate with your physician and physical therapist to develop an effective treatment plan for spinal stenosis.

Possible Treatments

Aerobic/Endurance Exercise

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