By Dr. Om Patil – Endoscopic Spine Surgeon in Mumbai

SpineWala | Your Back In Action

What Is Lumbar Canal Stenosis?

Lumbar canal stenosis is a condition in which the spinal canal in the lower back becomes narrowed, putting pressure on the spinal cord and nerves. This narrowing can result from age-related degeneration, disc bulge, facet joint hypertrophy, or ligament thickening. Over time, these changes reduce the available space for nerves, leading to pain and mobility issues.

It’s one of the most common causes of back and leg pain in people over 50, though early symptoms can appear in younger individuals with a sedentary lifestyle or genetic predisposition.

Common Symptoms of Lumbar Canal Stenosis

Symptoms may develop gradually and worsen over months or years. Typical complaints include:

Low back pain that increases while standing or walking Leg pain,

tingling, or numbness (neurogenic claudication)

Difficulty walking long distances due to heaviness or cramping in legs

Relief while bending forward or sitting

Weakness in legs or foot drop in severe cases

Imbalance or unsteady gait

Reduced flexibility and stiffness in the lower back

These symptoms often limit daily activities, but early detection and lifestyle modifications can prevent progression.

Lifestyle Modifications Before Considering Surgery

Before jumping to surgery, a number of non-surgical and lifestyle measures can provide significant relief:

1. Posture Correction

Avoid prolonged sitting or standing. Maintain the spine’s natural curve using lumbar supports. Practice ergonomically correct sitting—hips and knees at 90°, back supported.

2. Regular Exercise and Stretching

Gentle mobility exercises improve blood flow and strengthen stabilizing muscles.

Core strengthening: Pelvic tilts, bridges, and planks. Flexibility exercises: Hamstring and hip flexor stretches. Low-impact activities: Swimming, cycling, or walking on flat surfaces.

(Avoid high-impact activities like running or jumping that can worsen nerve compression.)

3. Weight Management

Excess weight increases spinal load. Adopting a balanced vegetarian diet and intermittent fasting can help reduce inflammation and pressure on the lumbar spine.

4. Ergonomic Adjustments

Use supportive chairs and mattresses. Avoid lifting heavy objects with a bent spine—bend your knees instead. Take short breaks during prolonged sitting.

5. Stress Management

Chronic pain worsens with mental stress. Incorporate deep breathing, mindfulness meditation, or pranayama for relaxation and improved pain tolerance.

Alternative Therapies to Try Before Surgery

Many patients can manage lumbar canal stenosis successfully through a combination of medical and holistic approaches:

1. Physiotherapy and Manual Therapy

A structured physiotherapy program designed by a spine specialist can:

Improve mobility Strengthen core and paraspinal muscles Enhance posture and balance Reduce pressure on affected nerves

2. Ayurveda and Panchakarma

Ayurvedic therapies such as Kati Basti (medicated oil pooling on the lower back), Abhyanga, and Swedana (herbal steam) can improve flexibility and reduce inflammation naturally.

3. Chiropractic or Osteopathic Care

Gentle spinal manipulations under expert guidance may help in early or mild cases to relieve nerve compression.

4. Acupuncture and Dry Needling

These techniques can reduce pain perception, improve blood flow, and relax muscle spasms around the affected area.

5. Yoga and Mind–Body Therapies

Asanas like Bhujangasana (Cobra Pose), Shalabhasana (Locust Pose), and Cat–Cow stretches help decompress the lumbar spine when done under supervision.

When to Consider Surgery

If symptoms persist beyond 3–6 months despite lifestyle and conservative measures, or if you develop:

Severe pain unresponsive to medication Weakness or numbness in the legs Loss of bladder or bowel control

…it may indicate significant nerve compression requiring minimally invasive or endoscopic spine surgery.

Modern endoscopic techniques allow for faster recovery, minimal blood loss, and preservation of spinal stability.

Lumbar canal stenosis doesn’t always mean surgery. With early diagnosis, discipline in lifestyle, and integration of alternative therapies, many patients can regain mobility and avoid or delay surgical intervention.

However, if non-surgical options fail, minimally invasive endoscopic decompression performed by an expert spine surgeon can offer long-term relief with minimal downtime.

About the Author

Dr. Om Patil

Endoscopic Spine Surgeon | SpineWala – Your Back In Action

🌐 Endospineworld.com | Spinewala.com

📞 9819191896 / 9819195885 / 9819195150

📍 117, Broadway Healthcare, Dadar East, Mumbai

📍 505, Cozderm Skin Clinic, Chembur East, Mumbai