Symptoms are often worse with standing, walking, and backward bending/extension of the spine. Sitting, forward bending, and unweighting of the body often provide relief. One of the hallmark signs of lumbar spinal stenosis is a decreased walking tolerance.
Conservative care (rehabilitation), may be helpful. Treatment may consist of stretching, strengthening, joint mobilization/manipulation, aerobic exercise, and activity modification. Walking with an “unweighting system” or aquatic exercise may be helpful.