A member asked:

Does lumbar spinal stenosis require surgery?

7 doctors weighed in across 4 answers
Dr. Loren Lewis answered

Specializes in Occupational Medicine

Not always: Usually, unless there is a need for urgent surgical intervention, a trial of conservative therapy is attempted. This may consist of combinations of physical therapy, medication, and epidural injections, most commonly, there is no urgent or emergent issue and surgery is performed for symptom relief and to improve function rather than for alleviating an emergent structural problem.

Answered 8/15/2019

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Dr. .. answered

Depends: If the symptoms aren't bad then i generally do not recommend surgery. If someone can't walk a block and has failed physical therapy and epidural steroids, surgery can be helpful.

Answered 5/7/2019

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Not usually: Most times, it is managed nonoperatively. This includes activity modification, medication, exercise/physical therapy, a 0 degree lordosis back brace, epidural steroid injections, use of a cane or walker. 15% with stenosis actually improve over time. For those who find there symptoms limiting them and having filed nonop care, then surgery is an option based on their medical condition.

Answered 1/26/2014

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No: Surgery for spinal stenosis is only needed in symptomatic patients that have failed all conservative measures. Check out spine-health.Com.

Answered 9/17/2014

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