There is a wide range of nonoperative treatments for spinal stenosis. The more common options include:
Patients are usually counseled to avoid activities that worsen their spinal stenosis symptoms. For lumbar stenosis, patients are typically more comfortable while flexed forward:
- Recommended activity modification might include walking while bent over and leaning on a walker or shopping cart instead of walking upright; stationary biking instead of walking for exercise.
- Sitting in a recliner instead of on a straight-back chair.
A suitable program of physical therapy and exercise is a component of almost every spinal stenosis treatment program. While the spinal stenosis exercises are not a cure, it is important for patients to remain active as tolerated and not become additionally debilitated from inactivity.
An injection of cortisone into the space outside the dura (the epidural space) can temporarily relieve symptoms of spinal stenosis.
Anti-inflammatory medication (such as aspirin or ibuprofen) may be helpful in alleviating spinal stenosis symptoms. With careful use, a short term course of narcotic medication use may be helpful for severe episodes of nerve related pain.
Side effects from medications are always a concern. As a precaution, it is essential the patients make sure their physician and pharmacist are aware of all their medications and medication allergies.
Keyword: non surgical treatment spinal stenosis