What is Lumbar Stenosis?
Lumbar stenosis is a medical condition characterized by the narrowing of the spinal canal in the lower back, leading to compression of the spinal nerves, and is mostly common in the older/geriatric population. This narrowing can result from various factors, including age-related degeneration, herniated discs, or bone overgrowth.
Signs and Symptoms of Lumbar Stenosis
Lumbar stenosis often manifests with symptoms triggered by activities that involve extension of the spine and weight-bearing. Extension, or arching backward, can worsen symptoms because it further narrows the already compromised spinal canal. Weight-bearing activities, such as walking or standing for extended periods, can also exacerbate symptoms. The increased load on the spine during weight-bearing activities contributes to the compression of nerves, leading to discomfort and potentially limiting an individual's ability to engage in daily activities. The symptoms triggered by lumbar stenosis can vary but commonly include radiating pain, weakness, and a feeling of heaviness in the legs.
Physical Therapy for Lumbar Stenosis
Physical therapy is a valuable intervention for individuals with lumbar stenosis, whether they opt for surgery or pursue non-surgical management. In non-surgical cases, physical therapy focuses on alleviating symptoms, improving function, and preventing further deterioration. For those considering surgery, pre-operative physical therapy can optimize the patient's condition and post-operative outcomes. In the case of lumbar stenosis, a physical therapist may employ exercises that encourage flexion of the spine rather than extension, helping to relieve pressure on the affected nerves. This may include activities like knee-to-chest stretches or gentle pelvic tilts.