• Julian Simpson

Lumbar Spinal Stenosis and how non pharmacological therapies could help

Effectiveness of conservative non-pharmacologic therapies for pain, disability, physical capacity, and physical activity behaviour in patients with degenerative lumbar spinal stenosis

Samantha Jacobi, Amber Beynon, Stephan Dombrowski, Niels Wedderkopp, Richelle Witherspoon, Jeffrey J. Hebert,

Effectiveness of conservative non-pharmacologic therapies for pain, disability, physical capacity, and physical activity behaviour in patients with degenerative lumbar spinal stenosis: a systematic review and meta-analysis,

Archives of Physical Medicine and Rehabilitation,

2021,



For patients with LSS, there is low- to moderate-quality evidence that manual therapy with supervised exercises results in small improvements in short-term walking capacity, pain, and symptom severity compared to self-directed or group exercise.


The choice between rehabilitation and surgery for LSS is very uncertain owing to the very low-quality of available evidence.


(LSS = Lumbar Spinal Stenosis )


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