Understand your lumbar canal stenosis treatment options

Canal stenosis treatment for the lumbar (lower) spine region

If you suspect you have lumbar canal stenosis, you should research the causes and symptoms of this condition. Understanding what causes this condition to develop in your spine can help you carry on an informed conversation with your doctor as you discuss the canal stenosis treatment options available to you.

Lumbar canal stenosis treatment is designed to relieve symptoms caused by nerve compression in the lumbar (lower) area of the spinal column. The spinal column acts as a sheath that protects the spinal cord and nerve roots contained in the central vertebral canal. As a person grows older, this canal can slowly narrow and may eventually compress the neural structures that it is supposed to protect. This narrowing is often caused by normal spinal deterioration or injury-related conditions such as herniated discs, bulging discs, inflamed arthritic joints and bone spurs. Lumbar canal stenosis treatment alternatives vary widely depending on the severity and specific source of symptoms.

Conservative treatment options

Before beginning any course of canal stenosis treatment, it is extremely important to have a physician diagnose the condition and identify the exact location of the problem. As the symptoms of canal stenosis stem from the compression of nerve tissue within the spinal canal, treating the condition is dependent on understanding the source of the compression.

More often than not, canal stenosis responds to nonsurgical treatment. Only a small segment of the population requires surgical intervention to decompress irritated nerve tissue. Instead, a regimen of conservative techniques can often be effective over the course of several weeks or months. This approach usually doesn’t provide instantaneous relief, but with the right combination of treatments, many patients find that they can overcome their pain, increase their spinal flexibility and manage their lumbar canal stenosis effectively.

However, while there are many different lumbar canal stenosis treatment options readily available, it is important to understand that not all treatments and approaches are right for each individual patient. Depending on your specific condition, your overall health and age, the location of your stenosis and other contributing factors, any number of methods may be recommended. The wrong style of treatment could prove to be a waste of time or potentially even worsen your symptoms.

With this mind, here are some examples of a few of the most popular treatment options available:

  • Rest — There’s no denying that taking it easy for a few days can be helpful when you’re experiencing significant back pain. The caveat here is that prolonged periods of inactivity can actually make things worse. So while you might feel inclined to stay off your feet, be sure to speak with your physician and determine how long it is appropriate to rest before spinal muscles start to weaken and your condition deteriorates.
  • Heat and ice packs — One of the simplest canal stenosis treatment options is to use a heating pad or ice pack. The element of heat can be helpful because it soothes sore muscles, encourages healing, promotes circulation and relaxes muscle spasms. Ice packs, on the other hand, tend to numb the pain and lessen any swelling.
  • Epidural injections — Steroid injections are a proven effective means of alleviating back pain for several weeks or months at a time. However, physicians are sometimes leery of recommending too many epidural injections because they can weaken muscle tissue and the spinal infrastructure. The potential side effects associated with steroid injections should be considered.
  • Exercise — Low-impact exercise is an effective treatment option because it can help a patient shed excess body weight, thereby reducing some of the strain placed on the spine. Furthermore, the right kind of exercise may also strengthen the muscles that support the back. However, it’s important to only participate in physician-approved exercises that are low-impact in nature. Popular options include walking, swimming and stretching.
  • Medications — Under the direction of a physician, the use of nonsteroidal anti-inflammatory drugs, pain medication, muscle relaxants and other medication may be recommended to reduce inflammation and manage pain. More often than not, over-the-counter medication will be sufficient, but in some instances prescription medication may be warranted.
  • Lifestyle changes — Oftentimes, a physician will recommend lifestyle adjustments to complement the treatment process. Healthy dieting, avoiding activities that place excess strain on the spine, cutting down on alcohol consumption and quitting smoking are all common examples of adjustments that are often considered.

Many individuals also choose to rely on a variety of complementary or alternative methods to assist in the canal stenosis treatment process. Chiropractic therapy, deep tissue massage and acupuncture are all popular options that people have used for generations to manage back pain. However, it should be noted that many alternative medicines are somewhat controversial within the mainstream medical community, and it is always advised that you consult your physician before choosing to pursue a new treatment path. Anecdotally, alternative medicine often helps people manage their discomfort, but not all physicians agree with the efficacy of these approaches.


In most cases, the right combination of conservative treatments will help you effectively manage your symptoms. However, if after several weeks or months you have not experienced satisfactory results and no treatment is proving sufficient, you might consider back surgery as a lumbar canal stenosis treatment of last resort. Conservative techniques tend to focus on symptom management, whereas surgical intervention physically removes the origin of the painful nerve compression, be it a bone spur, herniated disc material or other spine condition.

At Laser Spine Institute, our surgeons specialize in state-of-the-art minimally invasive lumbar canal stenosis surgery to decompress spinal nerves. Unlike a traditional open spine surgery, which requires lengthy hospitalization and an arduous rehabilitation process, the procedures that we offer at Laser Spine Institute are minimally invasive. Our surgeries require a small initial incision and muscle tissue is spared from excessive cutting, which limits collateral damage around the neck and back. This helps minimize postsurgical recovery time, reduces the risks for complications and allows our procedures to be performed on an outpatient basis.

To learn more about our lumbar canal stenosis treatment and to find out if you may be a candidate for minimally invasive spine surgery, contact Laser Spine Institute for a no-cost review of your MRI.*