Regular treatment of spinal stenosis in 75-year-olds can relieve symptoms, improve quality of life, and lead to a cure. Generally speaking, good results can be achieved at an early stage with medication or physical therapy, the former including non-steroidal anti-inflammatory drugs such as ibuprofen, nutritive drugs such as methylcobalamin, and glucocorticosteroids such as local injection of prednisone, and the latter including physiotherapy such as heat therapy and microwave therapy. If the symptoms are more serious, they can seriously affect the quality of life, and the effect of non-surgical treatment is not good, the need for spinal decompression surgery and other treatments. It is recommended that people with obvious symptoms of spinal stenosis at the age of 75 should go to a regular hospital in time to improve the relevant examinations, to clarify the severity of the disease, and to carry out standardized treatment under the guidance of the doctor, so as to avoid delaying the condition. The medication should be applied according to the doctor’s prescription.