Manual therapy for lumbar spinal stenosis: a comprehensive physical therapy approach.

A physical therapy approach to lumbar spinal stenosis involves techniques directed at opening up the neurovascular spaces in the lumbar spine to reduce the stenosis. This entails manual therapy techniques for improving intervertebral motion, regaining neural mobility, and restoring muscle function, followed by an active exercise program that often involves flexion exercises. Techniques for unloading the spine and patient education are included in this physical therapy approach. A successful functional outcome requires a comprehensive and individualized approach to the patient with spinal stenosis.