A member asked:

How should i treat back spinal stenosis?

8 doctors weighed in across 5 answers

Physical therapy: Physical therapy and pain medications (as needed) are appropriate first line. Spinal stenosis due to degenerative changes is relatively slowly progressive. If necessary, decompression laminectomy can be performed; but it is better to wait till it is truly necessary.

Answered 1/29/2013

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Dr. Shon Cook answered

Decompression: Spinal stenosis only matters if it is severe enough to compress the spinal cord or nerve roots. If there is no spinal cord or nerve root compression, then the stenosis is irrelevant. There are open and minimally invasive ways to decompress the spinal canal. Be sure to go to someone like me who is trained and experienced in every spinal procedure for stenosis, not just a subset of them.

Answered 6/12/2014

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Dr. Mark Weston answered

Specializes in Orthopedic Spine Surgery

Begin with injection: Injection decompression surgery can ease your suffering start with simple things surgery predictably relieves leg pain with standing and walking with no change in back discomfort.

Answered 3/24/2012

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Common problem: Lumbar spinal stenosis is a common problem especially for those older than 50. It can be managed conservatively in many patients for years. If surgery becomes necessary, it can be planned on an elective basis. Check out spine-health.Com.

Answered 7/27/2014

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Physical therapy: One very good start to treatment is physical therapy, particularly, aqua therapy -- done in the water. This alleviates the pressure on the back and joints and will help the therapist be able to help you with strengthening your core muscles and improving flexibility, both of which will help decrease pain.

Answered 9/2/2018

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