Lumbar stenosis physical therapy exercises
www.houstonmethodist.org 5 star quality site for more information on lumbar stenosis -this website is the location of the picture above
Surgical decompression versus physical therapy for lumbar stenosis patients that were surgical candidates resulted in nearly the same outcomes according to the Annals of Internal Medicine 2015
Ann Intern Med. 2015 Apr 7;162(7):465-73. doi: 10.7326/M14-1420.Surgery versus nonsurgical treatment of lumbar spinal stenosis: a randomized trial.Delitto A, Piva SR, Moore CG, Fritz JM, Wisniewski SR, Josbeno DA, Fye M, Welch WC.
http://www.ncbi.nlm.nih.gov/pubmed/25844995– scholarly article for the above article and it is exceptional
Now take this information with a grain of salt. If you have tried physical therapy and exercises for stenosis and you still have….
- Intractable local pain or sciatica
2. Significant weakness down the legs from the stenosis
Then under the the direction of your orthopedic surgeon you really should likely have decompression surgery.
Lumbar stenosis is the narrowing of the vertebral openings (foramen) where the nerves branch out from the spinal cord and/or the narrowing of the canal where the spinal cord is located.
The consequences of lumbar stenosis are numbness down the legs, weakness down the legs, and/or pain in the low back.
This condition is more common in those that are advanced in (age >65) due to degenerative disc disease and/or degenerative joint disease.
The treatment options are from conservative to less conservative.
- Anti- inflammatory medication if ok per physician
- Physical therapy and exercises
- Cortisone Injections
- Spinal decompression- surgical opening of the vertebrae for pressure relief on the spinal cord or peripheral nerves
Some things to avoid are: Lumbar extension, standing up straight. Good positions are sitting and leaning forward on support area like the kitchen sink.
A few physical therapy exercises and helpful strategies for this condition are listed below:
- Using a walker to help with relief of pressure on the spine. Clipartrview.com site.
2. Single knee to chest and double knee to chest ukhealthcare.uky.edu Very good site for additional information.
Bring one knee to the chest gently hold 45 seconds perform 3 x, 2 x a day, 5 x a week
Bring both knees to the chest gently hold 45 seconds perform 3 x , 2 x a day, 5 x a week
3. Muslim prayer stretch www.city-data.com A site for some more exercises.
Perform on soft surface to help knees – 3 x for 45 seconds, 2 x a day, 5 x a week
firsthealthassociates.com Excellent site for more pictures of exercises. This is an alternate to the exercise above- same reps as above