Lumbar Spinal Stenosis - Management

Management

Nonoperative therapies and laminectomy are the standard treatment for LSS; little "evidence is available to recommend specific nonsurgical treatments".

A trial of conservative treatment including "activity modification, medications, physical therapy, home exercise therapy, and spinal injections" is recommended. Individuals are generally advised to avoid stressing the lower back, particularly with the spine extended. A physical therapy program to provide core strengthening and aerobic conditioning may be recommended and is considered useful, although "high-level evidence is lacking for the direct benefit of physical therapy or exercise".

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