How is lumbar spinal stenosis treated?

  Lumbar spinal stenosis is one of the conditions that cause chronic low back pain, and treatment for this condition mainly includes conservative and surgical treatment. Most patients can have their symptoms relieved with non-surgical treatment.  Non-surgical treatment is similar to general low back and leg pain, including rest, pain relief, functional exercise of lumbar back muscles, appropriate wearing of lumbar girth, herbal treatment, etc., not massage and tui-na treatment. In some patients, the symptoms can be relieved by the reconstruction of the stability of lumbar vertebral segments with the gradual increase of age.  Commonly used conservative treatment are: (1) manipulation treatment: the purpose of manipulation treatment is to activate the blood and relax the tendons, to relieve pain, to loosen the adhesions, so that the symptoms can be relieved. Commonly used techniques are pressing and kneading, rolling, holding, rubbing, rubbing, and passive movement of lower limb flexion and extension.  (2) Acupuncture and moxibustion treatment: acupuncture points such as lumbar Yangguan, Kidney Yu, Large Intestine Yu, Qihai Yu, Life Gate, Huanjiao, Fengshi, Guizhong, Kunlun, etc. should be taken once a day for 10~15 times.  (3) Drug therapy: Analgesic and anti-inflammatory drugs such as diclofenac sodium, ibuprofen and celecoxib can be used for aseptic inflammation of nerve roots. Chinese medicine treatment should be warming the meridians, strengthening the tendons and bones, activating the blood and relieving pain, and can be used to supplement the kidney and strengthen the tendons soup, unique living parasite soup, remitting paralysis soup plus or minus, commonly used drugs such as rehmannia, rehmannia, mulberry, dulcimer, ginger, dulcimer, cow’s knee, dog’s spine, sequestra, etc.. For Qi deficiency and blood deficiency, add Astragalus, Radix Codonopsis, Radix Angelicae Sinensis, Radix Paeoniae Alba, and Antler. In case of cold pain in the back and legs, add chicken blood vine, douhu, gui zhi, epimedium, locking yang, etc.  (4) closed treatment: epidural closure can be used to eliminate swelling, loosen adhesions and relieve symptoms, commonly used prednisolone acetate, or compound betamethasone, methylcobalamin plus procaine or lidocaine, once a week.  (5) medical sports: can strengthen the back extension muscle, abdominal muscle muscle exercise, so that the stability of the lumbar spine increased, thus delaying the rate of evolution of lumbar joint degeneration. Such as swimming, jogging, etc.  (6) Surgery: If the above conservative treatment is ineffective or the effect is not obvious, surgery can be considered. Surgery can obviously relieve pain and improve the quality of life.