Spinal Stenosis

While the narrowing itself is a structural finding, the symptoms it produces are heavily influenced by how the spine moves and how well the surrounding muscles support it. A stiff, poorly supported spine tends to produce more nerve irritation than one that moves well and is well-supported through the core and hips.

• Age-related degenerative changes narrowing the spinal canal
• Disc bulging contributing to the narrowed space
• Facet joint enlargement from degeneration
• Weak core and hip support increasing load on the affected segments
• Poor posture increasing extension-based nerve compression

• Leg pain, numbness, or heaviness that worsens with standing or walking
• Relief with sitting or bending forward
• Symptoms that can affect one or both legs
• Low back stiffness that accompanies the leg symptoms
• Reduced walking tolerance that gradually improves with rest

We assess which positions and movements relieve versus worsen your symptoms, along with core and hip strength and spinal mobility, to build a plan that reduces nerve irritation while improving your overall tolerance for standing and walking.

We use decompression to create temporary relief of pressure, paired with mobility work and targeted strengthening to improve how the spine handles daily positions and movement.

• Decompression to create temporary relief of pressure on the affected nerves
• Flexion-based mobility work matched to what relieves your specific symptoms
• Core and hip strengthening to improve how the spine handles daily positions
• Gait and posture training for standing and walking tolerance

Improvement in walking tolerance and symptom relief typically builds gradually over several weeks to a few months, since stenosis is a structural condition that responds to consistent, progressive management rather than quick fixes.

Many patients with spinal stenosis find significant, lasting relief through conservative care — building the capacity around the narrowed segments so they’re asked to do less of the work on their own.