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Physiotherapy for Spinal Stenosis

Topic Overview

The purpose of physiotherapy is to decrease pain and allow you to gradually return to your normal activities. Physiotherapy for spinal stenosis involves treatment with physical or mechanical means, such as through exercise or heat. Physiotherapy may reduce pain in the soft tissues (such as the muscles, ligaments, and tendons), improve function, and build muscle strength. A physiotherapist provides these treatments and will also provide education, instruction, and support for recovery.

Physiotherapy techniques may include:

  • Stretching, to reduce stress on joints.
  • Education, to help you improve and maintain your posture.
  • Exercise, to strengthen muscles.
  • Manual therapy, including massage, to improve or keep range of motion.
  • Heat therapy, to improve blood circulation to the muscles and other soft tissues.
  • Ice therapy, to help relieve pain.
  • Cycling and limited walking, to promote good physical conditioning.
  • Aquatic exercises, to allow your body to exercise without pressure on the spine.

Exercises and techniques that may help relieve symptoms of spinal stenosis and prevent progression of the condition include:

  • Lower limb strengthening, which may help prevent falls.
  • Stretching.
  • Pelvic tilts and lower back stabilizing.
  • Frequent changes of position, to avoid sustained postures that compress the spine.
  • Planning ahead so that you take breaks in between potentially back-stressing activities such as walking and yard work.
  • Proper lifting, pushing, and pulling.

Your doctor or a physiotherapist will design a program specific to your normal level of activity, physical fitness, and severity of pain.

Credits

Current as of: November 16, 2020

Author: Healthwise Staff
Medical Review:
William H. Blahd Jr. MD, FACEP - Emergency Medicine
Donald Sproule MDCM, CCFP - Family Medicine
E. Gregory Thompson MD - Internal Medicine
Adam Husney MD - Family Medicine
Kathleen Romito MD - Family Medicine
Robert B. Keller MD - Orthopedics
Kenneth J. Koval MD - Orthopedic Surgery, Orthopedic Trauma

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