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What is spinal stenosis and how can PT help?

What is spinal stenosis and how can PT help?

Who amongst us hasn’t experienced some degree of back pain in their lives? Whether it was after a long weekend doing yard work, lifting up your child, or even just sleeping on it wrong, there are many things that can set off pain in you lower back. In fact, low back pain is one of the most-common complaints that we see as physical therapists. Today, Toby Bluth, DPT, will be discussing one specific type of back pain that typically affects those over 50 years old – stenosis. Dr Bluth explains what stenosis is, why you get it, and even shares 5 of his favorite exercises to decrease pain and symptoms.

Low Back pain is one of the most common impairments treated at Fit Stop Physical Therapy.  It has been estimated that 75% of Americans will have some sort of back pain throughout their life.  Lumbar spinal stenosis (LSS) is the most common type of low back pain after the age of 55.  Stenosis is the word we use to describe any type of “narrowing” that can occur in our spinal column.  In the spine, narrowing occurs commonly from any of the following:

* facet joint degenerationstenosis
* osteophyte (bone spur) formation
* disc degeneration
* disc bulging and/or herniation

 

 

 

Pain associated with LSS can be quite debilitating and can result in a significant decrease in overall activity.  Pain with LSS is usually located in the low back itself, and often results in leg pain because of the pressure that narrowing puts on the nerve roots leaving the spine.  Other hallmark symptoms include increased pain with standing and walking, relief with sitting, decreased strength and flexibility in the legs and decreased reflexes in the legs.

shutterstock_84259471 smallPhysical therapy (PT) is a very viable option for treating LSS.  In recent years, a good body of literature has been building in favor of PT over surgery for LSS.   A study very recently published in the Annals of Internal Medicine on April 7, 2015, demonstrates that PT is just as viable an option for treating LSS as decompression surgery.  Patients were randomly assigned to either a surgery group or an evidence-based PT group and followed over the course of two years.  After two years, both groups demonstrated similar reductions in pain and other symptoms.  Since PT has lower risk and cost associated with it when compared to surgery, it seems it should be considered as the first line of treatment for LSS.

If you fit the bill for lumbar stenosis (over age 50, sitting feels better than standing, bending forward feels better than bending backwards) then there’s a lot that physical therapy can do for you! Strengthening key muscle groups to help hold your back in key positions can offer significant pain relief and increase your activity level. The following is a free home exercise program consisting of exercises we commonly prescribe for our patients with this condition. Click on the picture and it will open in a new tab/window where you can download it to your computer/device. (This home exercise program was generated using www.hep2go.com. This is the best home exercise program generator we have found and it’s free on their website!)

Lumbar Spine Stenosis Exercises

Please keep in mind not all back pain is created equally. While these exercises are ideal for a specific population they may not be the best for all low back pain. The best thing you can do to treat your back pain is to go get it checked out by a healthcare professional. Physical therapists at the Fit Stop are highly trained therapists with specialized training in treating LSS.  After a thorough initial evaluation, your therapist will detail a customized plan of care for your LSS.  If the plan is followed with consistency, physical therapy will allow you to manage your pain related to LSS, and allow for a more active lifestyle and improved quality of life.

Looking for more information on what physical therapy can do for your low back pain? Here are more of our popular blog posts that can help you out:

common types of back pain physical therapy     best pilates exercises for core strength physical therapy     cost effective treatment for low back pain

Toby Bluth,  PT, DPT
Fit Stop Physical Therapy – Heber City
345 West 600 South Suite 200
Heber City, UT 84032
(435) 654-5607

Disclaimer: The  information  presented on this website is designed to be used for informational purposes only. The diagnoses and  treatment plans outlined are extremely generalized and may or may not be the recommended interventions for your specific problem. If you are experiencing pain, you are encouraged to consult a healthcare provider to determine the best  treatment  plan that will be in your best interest individual. Fit Stop Physical Therapy claims exemption from accident, injury, or perpetuation of any injury incurred while performing  exercises  found on this website. The user assumes all risk …  and reward !!
how to treat lumbar spine stenosis fit stop physical therapy

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Comments (3)

  1. Very timely, nephs and bro! I have been experiencing lower back pain for weeks and more recently, spasms. I assumed it was sciatica but I haven’t felt the pain down my legs usually associated with that so maybe it’s spinal stenosis! I’m well over 50, that’s for sure. I’m still too fat so I’m sure that doesn’t help either. I have to cover last two days of scout camp starting Thursday night so I’ll start exercises immediately. I’m coming up with Lexi end of the month so maybe I’ll stop in to see you. In case it is sciatica and not stenosis, I’m assuming these exercises will help that too?

    Thanks,
    Uncle Dib
    480-225-5371

    • Hi Steve! Sciatica can actually be one of the symptoms caused by stenosis. These exercises should help you out, but we’d love to see you in the clinic if you need any additional help!

  2. Pingback: How Can I Avoid Surgery | Fit Stop Physical Therapy

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