Spinal Stenosis (Lumbar) Treatment

“Lumbar spinal stenosis occurs when the spaces in your lower spine narrow, putting pressure on the spinal cord and nerves. This can cause lower back pain, leg pain, numbness, or difficulty walking. With early diagnosis and proper treatment, most cases can be managed without surgery. I can help guide you toward relief and improved mobility.”

-Dr. Anatoly Pisman, MD

What is Lumbar Spinal Stenosis?

Lumbar spinal stenosis is the narrowing of the spinal canal in the lower back, which can compress nerves and lead to pain, weakness, or numbness in the legs. The condition often develops gradually due to age-related changes in the spine, degenerative disc disease, or spondylolisthesis.

Common Causes

Spinal stenosis can result from several structural changes in the spine:

Symptoms of Lumbar Spinal Stenosis

Symptoms often develop gradually and can affect your ability to stand, walk, or perform daily activities. Paying attention to these early signs can help you get timely evaluation and treatment.

When to See a Doctor

Medical attention is recommended if symptoms interfere with daily activities or worsen over time. Persistent leg pain, numbness, or weakness, or difficulty walking, signals the need for evaluation. Early intervention can prevent further nerve compression and improve mobility.

Diagnosis & Testing

Diagnosis involves a detailed review of your symptoms and a physical examination focusing on strength, reflexes, and nerve function. Imaging such as MRI or CT scans can confirm spinal canal narrowing. EMG/NCV testing may be used to assess nerve function if needed.

Non-Surgical Treatment Options

Most cases of lumbar spinal stenosis can be managed without surgery. Treatment options may include:

• Physical therapy to strengthen core and back muscles, improve flexibility, and support posture
• Epidural steroid injections or nerve blocks to reduce inflammation and pain
• Activity modification and targeted medications

A customized plan helps relieve discomfort, restore mobility, and improve daily function.

What to Expect at Your Visit

During your visit, your pain history will be reviewed, and a physical exam will evaluate nerve involvement and mobility. Based on the findings, a personalized treatment plan will be created to reduce symptoms and improve your quality of life.