Lumbar spinal stenosis (LSS) is a common diagnosis given to those experiencing low back pain. The gold standard of diagnosing stenosis is using an MRI to determine closure of natural occurring spaces of the lumbar spine. At times the closures can contribute to impingement of nerves or spinal canal which can lead low back pain and symptoms of numbness, tingling and weakness in the lower legs.
Low back pain, specifically spinal stenosis and the management of the diagnosis has been studied thoroughly. A recent article by Kirker et al. 2022 in the journal of Physiotherapy Theory and practice examined the results of 4 different interventions on individuals with spinal stenosis. The interventions were: 1. Rehabilitation 2. Surgery 3. Injection 4. Medication.
The researchers found no significant difference in any intervention suggesting the importance of a multi-modal, multi-disciplinary approach to management of spinal stenosis. Although no intervention was superior to the others, there is significant evidence to support the use of physical therapy for the treatment of the symptoms associated with LSS. Some treatments include manual therapy, strengthening progression, and activity modification. See the video below for exercises that may be helpful in for you in the early phases of treating lumbar spinal stenosis with a home exercise program.
To learn more about spinal stenosis and appropriate steps to take, schedule a free consultation with one of the Boulder experts at MEND.