Non surgical treatments for lumbar spinal stenosis typical lumbar stenosis treatments include one or a combination of the following activity modification patients are usually more comfortable when flexed forward for example many patients can ease leg pain and discomfort when walking by leaning forward on a cane walker or shopping cart. Spine surgery may be considered if non operative treatments are ineffective and or symptoms worsen which may happen quickly or progressively over time there are cases when surgery is the first treatment such as acute disc herniation fracture or severe neurological deficit develops cervical myelopathy. Although randomized trials have demonstrated small short term differences in favor of surgery long term outcomes comparing surgical to non operative treatment remain controversial surgical candidates with imaging confirmed lumbar intervertebral disc herniation meeting sport eligibility criteria . Non operative treatment of the lumbar spine 1st edition bridging the gap between the medical literature and the practice of lumbar spine medicine this user friendly accessible text describes the causes of lower back pain and associated sciatic pathologies and how these problems can be successfully treated without surgery. Spinal stenosis non operative treatment and spine surgery stewart g eidelson md this is part two of a two part article designed to answer typical questions patients have about spinal stenosis including the causes symptoms and diagnostic process
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