Lumbar spinal stenosis conservative treatment

• Relationship between posterior paraspinal muscle fat infiltration and early conversion to lumbar spinal fusion following decompression surgery
• Endoscopic Interlaminar Standalone Decompression for Lumbar Lateral Recess Stenosis With Subligamentous Disc Herniation: A Disc-Preserving Alternative to Discectomy
• Tubular versus unilateral biportal endoscopy: MRI analysis after unilateral laminectomy for bilateral decompression in lumbar spinal stenosis
• Coflex Interspinous Stabilization with Decompression for Lumbar Spinal Stenosis: An Average 14-Year Follow-Up
• Comparison of Endoscopic Unilateral Laminectomy for Bilateral Decompression (Endo-ULBD) and Posterior Lumbar Interbody Fusion (PLIF) in Managing Multi-Segmental Lumbar Spinal Stenosis: Technique and Early Outcomes
• Case Report: The Successful Use of Hydroxyzine for Analgesia in a Patient With Lumbar Spinal Stenosis
• The Efficacy of the Minimally Invasive Lumbar Decompression (MILD) Procedure: A PRISMA-compliant Systemic Review and Meta-analysis
• Untreated symptomatic lumbar spinal stenosis and health-related quality of life: the locomotive Syndrome and Health Outcome in Aizu Cohort Study (LOHAS)

For decades the mainstays of nonsurgical lumbar spinal stenosis treatment included physical therapy, spinal manipulation, exercise, and stretching

Medical management consisted of nonsteroidal anti-inflammatory medications (NSAIDs), anticonvulsants, antidepressants for neuropathic pain, and opioids. Traditional interventional treatment consisted of interlaminar lumbar epidural steroid injections (ESIs) and transforaminal ESIs. Although these strategies can reduce pain significantly, they often have the limitation of short-term duration of benefit (1 -6 months).

A study will assess the effectiveness of a 6-week specific rehabilitation program combining education and exercises on walking capacity in patients with lumbar spinal stenosis and neurogenic claudication. By measuring objective gait pattern characteristics, the study will also provide new information about the impact of neurogenic claudication on gait patterns that could eventually improve the evaluation and management of LSS ¹⁾