Spinal StenosisExpert Treatment
Comprehensive treatment for spinal canal narrowing and neurogenic claudication. Learn about effective management strategies.
Spinal stenosis is a narrowing of the spinal canal that can compress the spinal cord and nerve roots. This condition most commonly affects the lumbar spine and can cause neurogenic claudication - leg pain and weakness that occurs with walking.
The condition typically develops gradually due to age-related changes in the spine, including disc degeneration, ligament thickening, and bone spur formation. Early intervention with conservative treatment can significantly improve symptoms and function.
Mild Stenosis
Symptoms:
- •Occasional leg discomfort
- •Mild walking limitations
- •Symptoms with prolonged standing
Treatment:
Conservative management with physical therapy and activity modification
Prognosis:
Good response to conservative treatment
Moderate Stenosis
Symptoms:
- •Neurogenic claudication
- •Walking distance limitations
- •Leg numbness and weakness
Treatment:
Physical therapy, epidural injections, and activity modification
Prognosis:
Variable response, may require advanced interventions
Severe Stenosis
Symptoms:
- •Severe walking limitations
- •Significant leg weakness
- •Bowel/bladder dysfunction
Treatment:
Surgical decompression often required
Prognosis:
Surgery typically provides good outcomes
Conservative Management
6-12 weeksSymptom relief and functional improvement
Advanced Conservative Care
3-6 monthsMaximizing non-surgical options
Surgical Consideration
VariableDecompression and stabilization
Flexion Exercises
DailyKnee to Chest Stretches
Pull knees toward chest while lying on back
Pelvic Tilts
Flatten lower back against floor
Cat-Cow Stretches
Spinal flexion and extension on hands and knees
Core Strengthening
3-4 times per weekModified Planks
Hold plank position with proper form
Dead Bug Exercise
Opposite arm and leg extensions
Wall Sits
Sit against wall with knees bent
Walking Program
DailyInterval Walking
Walk until symptoms appear, then rest
Stationary Bike
Leaning forward position for comfort
Pool Walking
Walking in chest-deep water
Age-Related
Structural
Lifestyle
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