What's the best treatment for spinal stenosis (besides laminectomy)?
Answers:
Depending on the severity of symptoms, spinal stenosis can often be managed through non-surgical means. The two most common treatments for spinal stenosis include:
Activity modification to treat spinal stenosis. Patients are usually counseled to avoid activities that cause the adverse symptoms of spinal stenosis. Patients are typically more comfortable while flexed forward. Examples of activity modification might include: walking while bent over and leaning on a walker or shopping cart instead of walking upright; stationary biking instead of walking for exercise; sitting in a recliner instead of on a straight-back chair.
Epidural injections to treat spinal stenosis. An injection of cortisone into the space outside the dura (the epidural space) can temporarily relieve symptoms of spinal stenosis. While these injections can seldom be considered curative, they can alleviate the pain in about 50% of cases. Up to three injections over a course of several months can be tried. Although they are not considered diagnostic in and of themselves, generally, if the pain caused by spinal stenosis is relieved by an injection the patient can also be expected to have a good result if they later choose surgery.
try neural therapy (Dr. William Faber, MD) or Reconstructive Therapy (Dr. John Parks Trowbridge, MD)
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