Lean forward so it doesn't hurt so much? Hi, and welcome to the board. I don't think there is any advice for stenosis. It's not like exercising is going to take away the stenosis. I'm sorry if I sound a little flippant. I have the same problem and I know how much it hurts very well.

I got to the point where I was driving down my driveway to get my mail out of the box at the street. I could not stand for more than a minute or two. I had surgery to clean out the stenosis. There really isn't a lot that can be done for it. I suppose if the stenosis is caused by your herniated disc, when that problem is solved it may help the stenosis. But usually stenosis, which just means "narrowing," is caused by arthritic changes in the spine.

I like to think of it as an old copper pipe that has become totally clogged up with mineral deposits. As more and more gunk builds up, there is less and less room for the water to pass through. So it is with the spinal cord or the foramina. They are supposed to be openings that the nerves pass through, but when they become clogged with degenerative "changes" (gunk), it takes up space that the nerves need. Without sufficient space, the nerve becomes pinched off and compression is the result. Depending on where the stenosis is located, you end up with referred pain in the lower extremities or in the arms and hands. You can run a search for a dermatome map or chart to see where L4-5 refers pain.

A spinal specialist will probably have you go to physical therapy to see if you can get the disc to heal up on its own. This may be enough to help with the stenosis, if it is not caused by other structural problems. Epidural steroid injections may be tried to see if inflammation is causing the problem. If these conservative measures do not work, the spinal specialist may recommend surgery to clean out the stenosis and open up enough space for the nerves.

The website, in addition to the forum, has lots of great articles written by various spinal specialists. It is a good idea to learn everything you can about your problems so that you can help participate in your own treatment decisions and so you can understand what the doctor is talking about!

http://www.spine-health.com/conditions/herniated-disc/whats-a-herniated-...

http://www.spine-health.com/conditions/spinal-stenosis/definitive-guide-...

Please post with all your comments and questions. You will find many friendly people on here who are happy to share their knowledge and experiences.

Gwennie

Hi MollyFive, first welcome.

Here is a link:
http://www.spine-health.com/conditions/spinal-stenosis/definitive-guide-...

That has good info on this condition.

I have Severe at L3/L4 more at L5 and some issues in the cervical area. I also must walk, every day. I use a cane - all of the time. It allows me to cant my back open just a degree or 2 and this allows me to relieve the pressure of my vertebra for a longer time. Does it work, Without cane - I can do 200meters before I am in pain and climbing. With cane - I can go most of the day, about 3 to 4 miles, walking.

I hope you find answers! C45

And thanks for the great answers. I haven't tried a cane yet, had a walker in the house for a while. I am seeing a neurosurgeon in a few weeks, but haven't tried PT or injections as of yet. I did go to a chiropractor and he nearly killed me. He told me to walk as much as I can stand and the family doc told me not to move at all. So, I am a little confused about what to do.

You'll find that many people on this board are cautious of chiropractors, especially until the patient has an accurate diagnosis from a spinal specialist and is positive there is no nerve involvement. There is a place for chiropractors, but sometimes they can do more harm than good.

I'm not sure why your family doctor said to not move at all. That used to be the advice to back patients years and years ago, but research has proven that the patient is better off continuing to walk. You will find a list of exercises on this site that are recommended if you have sciatic-type pain from the stenosis. You might look through them. Here is one comment:
"Exercise is of paramount importance in the treatment of spinal stenosis"

Here is another link to information about stenosis from a rheumatologist's point of view:

http://www.rheumatology.org/public/factsheets/diseases_and_conditions/st...

It too stresses that exercise is very important. Unlike having an unstable spine, stenosis should not be made worse by sensible exercising. (Taking up weightlifting or kick boxing at this point is not a good idea. ).