Lumbar Spinal Stenosis Rehab (Education | Exercises | Surgery | Myths)

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In this video, I discuss lumbar spinal stenosis and provide a comprehensive framework for rehab, including exercise progressions with sets and reps.
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Intro (0:00)
Spinal Stenosis (0:10)
Exercise Rationale (1:47)
Exercise 1: Squat Progression (2:59)
Exercise 2: Plank Progression (3:33)
Exercise 3: Glute Bridge Progression (4:04)
Exercise 4: Side Plank Progression (4:24)
Lumbar Flexion Exercises (4:46)
Guidelines, Not Rules (5:25)
Maintaining Physical Activity (5:49)
When Should You Get Surgery? (6:18)
Summary (7:45)
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Disclaimer: The information presented is not intended as medical advice or to be a substitute for medical counseling but intended for entertainment purposes only. If you are experiencing pain, please seek the appropriate healthcare professional.

[@E3Rehab]

Thank you so much for watching! Be sure to check out the blog with references: e3rehab.com/blog/lumbarstenosis/

[@flexinn2997]

Do you have any exercise recommendations for lumbar spinal stenosis for the morbidly obese?

[@tedantares2751]

Please pay attention to your pronunciation - try to make it clear. I have an impression that you have something in your mouth while talking

[@stitch1960]

Having LSS for 20 years. I had surgery last May /23. The absolute best thing I could have had done. My was almost in a wheel chair for the rest of my life at 63. 8 hr operation that restored my full range of motion. No fusion. Disk bulges removed in L3-L4-L5 bone removal in L2-L3 calcification of disk material pressing on my Cerebral spinal fluid. 8 hrs in the prone position with 14 people in the operating room. I walked out of the hospital…. I’m running playing soccer and hockey with my grandson’s. God I’m am blessed. 😇

[@AZ-do1kr]

You can sitting long time with out pain

[@Sarinafye]

Thank you for sharing ☺️

[@cspann33]

Wow! Thats awesome

[@brett1567able]

man thats awesome!! driving more than an hour really aggravates mine, l2&l3 c5&c6 stenosis.

[@aliqureshi3649]

The sciatica due to disc buldge and stenosis are two different diseases with similar symptoms therefore, they are mostly misdiagnosed and mistreated. Can you make a short video about how to diagnose the two diseases and what exercises to do if somebody suffers from both of them?

[@matthewjones5705]

I'm a young outpatient PT who started practicing in 2020. I love the bite sized reviews you post on this channel. Thank you.

[@Hrmn8tor]

Me too

[@philipforsythe9623]

This channel is awesome! As a new grad PT who struggles where to focus on becoming a better clinician, these small breakdowns are fantastic and provide so many great resources to check into further.

[@lexlenoir5187]

I am a 20 year old who just had surgery done after trying months of pt and nonoperative methods. I was very fit, playing soccer in college and no prior history of injuries. Surgery was the best thing that has happened to me. The second I woke up all the pain was gone and truly wondered why I did pt and exercises when this originally happened. I have made a full recovery and I am back to playing soccer. Surgery was the best thing ever.

[@Hargun-cheema]

Ohh that’s great .. what is the name of surgery you had ?? And what were your symptoms when you decided to gor for surgery ??

[@Sarinafye]

Thank you for sharing ☺️

[@lexlenoir5187]

@@Hargun-cheema I had a surgery called MILD (minimally invasive lumbar decompression). I decided to go with the surgery when the numbness going down my legs went all the way down to my feet. It got to the point where I had no sense of touch in my toes along with the pain. The surgery worked very well for me and the pain was 90% gone the moment I woke up from surgery. In the following weeks the pain lessen and lessened and I feel fantastic how

[@Hargun-cheema]

@@lexlenoir5187 when did you had your surgery and also did your numbness started from your upper leg to the lower leg because in my case the numbness started from the foot towards the knee I am just 17 been 17 months I’m facing this problem I’m not having 24 x 7 pain but whenever I walk for more than two minutes, it starts paining. It’s actually stenosis and my lower back due to the compression of nerve due to disk protection of L4 L5 and L5 S1 level.

[@lexlenoir5187]

@@Hargun-cheema I had surgery about 5 months ago. I was dealing with the symptoms for months. My symptoms were non stop though. Standing,walking, and laying down all hurt for me. Sitting was the worse for me so going to class in college was very difficult. My herniation was in l5-s1 and was a larger herniation. After trying pt and my symptoms only got worse I was feeling hopeless which lead me to the surgery. It was finally relief when I got the surgery.

[@rozinadinaa]

I have done spinal stenosis operation 9 months ago. My surgeon told it was a good operation but after 9 months still I have limitation in walking . I do exercise at home as my GP gave me instructions but unfortunately my walking is not like I used to do, I am walking just for short distance and then need to sit and start walking again. Can you please advice me ? Thank you very kindly for your helpful post.

[@danqodusk8140]

When lumbar imaging reveals an individual has stenosis and the person doesn't experience pain, it means his condition hasn't yet advanced to the point where it produces pain. Degenerating vertebrae and discs can't be rehabilitated with exercise, they're not muscles or tendons.

[@oscarvillanueva1450]

24 years old diagnosed with stenosis & osteoarthritis of thoracic T3- T4 & T2-T3 due to working on a computer for 12 hours a day & being sedentary growing up + going hard in the gym with not the greatest but not the worst form eventually all those factors led to asymptomatic stenosis which I didn’t feel until it became moderate & my upper / middle back became very stiff & locked up I started following these principles with my own unique twist & am feeling much better! Hopefully I’ll be symptom free for the majority of my life!

[@patrickjoyce4178]

Yes. I can almost run a marathon.

[@BoneyardLabs]

Just found your channel and already have subbed! I love, love, love how you explain the anatomical and scientific aspects of treatment. I am the kind of person that needs all the background explanation in my self care, this channel is perfect!

[@triplevitalitytv4260]

You rock man, thanks for the content. This is so helpful, both for clinicians and patients alike. Great literature review!

[@golamanik6582]

Great video ! Short and to the point.

[@user-mb4jd2zk2d]

The best video on LSS I have come across from personal experience.

[@mistercat1573]

Super informative video and with scientific back up, which almost nobody provides, I trully appreciate you effort for helping people in need and with facts.

[@Tootallspottery]

Great video and I really appreciate you for making this, really helped me :)

[@alexcarvajalramirez4048]

Great presentation, thanks

[@robertwoodroffe123]

Thank you for this video! 😊

[@user-nu1bv8xy3m]

Thank you so Much im have a Lumbar spinal problem of my back pain watching from Korea its make me help. These thanks for sharing.God Bless

[@neelaramachandran8871]

Excellent information. Thank you so much

[@jasperdavenport7224]

Crushing it as usual guys!💪

[@aguywhohikes1271]

Thanks again gentleman!

[@PT.Anindya]

Thank you for your update on stenosis. 💕 From India

[@AMRPhysiotherapy]

Great video. Useful exercises for clinic. Thanks for sharing

[@StudiousSeanReads]

as a medical student, I find your videos helpful with learning anatomy & it’s relationship to therapeutic stretches effective for ameliorating many areas of soreness I have! The lumber spine stretches help a lot, especially since I am constantly sitting in a very uncomfortable position where my lumbar spine accrues lots of pressure & pain throughout the day. You’re doing phenomenal work by making these videos, which are clearly helping so many like myself! Thank you for doing this work 👍💯

[@paulpugh2480]

Well said.

[@santamonicajane]

My physical therapist , Sabir, recommended I watch this, and I will be incorporating these into my routine. Thanks

[@manishchouhan3347]

Does this helped?

[@edcelroman6428]

Thank you so much po malaking tulong na po sa akin ito meron po ako Lower Back pain 4/5 po senior po ako 69 yr old ❤

[@pbufh]

Please make one on cervical stenosis

[@Nowallthereis]

Excellent overview and exercises.

[@Annie0-ys8oj]

Obviously for the sturdy young and not for seniors with arthritis.

[@user-yt9bi4tl5s]

Next video about sacralization of L5. Thanks

[@gerrygizzygarcia2572]

I got 2 heirnated discs and ddd looking for some relief the pain is insane of both sides of my lower back

[@MsSmigger55]

Any exercises suitable for a 67 year old with additionalumbar osteoarthritis please? There is no way I could do any of those you are demonstrating...thank you

[@piymhz6775]

Stupid question > How come it is advised to flex the knee e=and don't bend over the spine when handling objects to "spare" the vertebrae ? but that doesn't apply to fitness workout ? like bending forward, espacially with the spine arched (rounded) seems to be the perfect recipe for a vertebral hernia ? particularily if there is a "terrain" for that. thanks for your feedback. Cheers. A.

[@ChrisEzio]

Hello are these excersices work for an already muscluman professional athlete with spinal cause for a herniated disc?

[@TheDuffcat]

Great Vid I know its not very common but could you do a video at some stage on peroneal tendinopathy?

[@E3Rehab]

Filming that this coming weekend!

[@TheDuffcat]

@@E3Rehab legends. Thanks!

[@rockettt7]

Experiencing this now including some ‘natural’ fusion in L4-L5…. Honest admission, I’m not the best at consistently doing my exercises, but will use this as a strong guide. Thx for posting. Peace.

[@lyndalee310]

What is 'natural' fusion? (Vs surgery fusion)

[@rathnasiribandara5847]

Can i do the exercise after surgery ?

[@bmp713]

Are bodyweight squats and bicep curls safe after cervical disc replacement surgery?

[@Couti91]

Hello Doctor! I have spinal instability with increased joint fluid in L3-L4 and L4-L5. After exercising my leg bends involuntarily. What am I doing wrong? A hug from Brazil!

[@riteshmasqured]

Hey coach still waiting for the quad tendonitis vid.

[@E3Rehab]

Patellar tendinopathy video covers the same concepts.

[@riteshmasqured]

@@E3Rehab thank you for the response will check it out now. You are doing god's work 🙏🏼.

[@Deanosthegreat]

Is ok to still lift weights without putting pressure on the lower back? I have Foraminal stenosis L5 S1. Thanks

[@alleyes9911]

Hi, I am pretty certain the medical professionals are very helpful with knowledge and education of certain conditions but nevertheless it is annoying when there is no Q.& A. So I have both cervical and lumbar stenosis and have read somewhere that sometimes other diseases or illnesses show up like MS or Parkinsons , does anyone have any news on this ? Positive would be preferable.

[@AhmedAli-qb3lj]

I have these symptoms while walking, standing, and do not relief when sitting or bending forward.😓 what do you expect in this case.

[@christbuilds7409]

I have cervical and lumbar stenosis, osteoarthritis, ddd and I'm only 39. How is it with age?

[@shuhaoli2260]

Hello, I like your work very much. Can you forward it?

[@a.phillips6892]

Should you do these exercises while you actively have sciatica? I’ve had it for 8 weeks.

[@montetown8836]

I see you posted 7 months ago and sincerely hope something worked out for you. I had sciatica issues for over a year and I tried every stretching / excercise you can imagine. The video is correct in regard to trying everything before surgery. My sciatica pain progressively got worse to the point it was debilitating. Long story long I had minimally invasive surgery and had immediate relief! Don't be afraid to consult with a Spinal Specialist or two it changed my life for the better.

[@wandalee5010]

I was fine with my back pain until an intentional, fall at work! Three able bodied men, set me up to fall! I hope they are happy!

[@JocelynBarbosa48]

Be 😢😮y

[@sabir3391]

Hello Thank you for the informative and useful video Just one thing; I would have watched more if you weren't talking so serious and looked happier. Nonetheless still appreciate your work 🥰

[@birdguy1000]

Very informative , but why not have someone over 60 doing the exercises , the model is fairly young , so much easier to do it all !

[@ntinacci3515]

Quite agree!

[@jodylinnartz4461]

I’m 44 can’t a full set of any of them

[@robertwoodroffe123]

Well ! I only saw this today and! Figure I’ve had stenosis since 30’ so 32 years ago , but these symptoms fit my main problem, so wish I knew about this particular diagnosis long ago

[@brokenspell4851]

He mentions do the best you can. I’m over 60🙄 and started similar exercises when things shut down during Covid and struggled. I kept with it and can now do most of the exercises with no issue.

[@maggiestg]

100%

[@surinderrandhawa4841]

These exercises are good person. Not pt with back pain I am suffering 10 years done all pt. And exercises no relief. I have surgery. Laminectomy. 3 wks ago. My that pain gone.

[@MiraMate]

how could I work with you Mia

[@nelehmirak6550]

Hello! I got lumbar stenosis, now I got footdrop on my left leg. Got "sciatica" pain on left leg! I can't stand more than 10 mins, my legs become numb and painful! Please! What should I do? Thanks

[@Hargun-cheema]

I have same symptoms I m 17 years old .. which treatment has helped you ??

[@ngay9993]

❤

[@ANSARALI-rz7ft]

I have 3 disc bulges and facet joint hypotraphy its mean stenosis?

[@AZ-do1kr]

Yes it does

[@christbuilds7409]

With age? I'm only 40. With DDD, osteoarthritis, cervical and lumbar stenosis.

[@rajraje5988]

Please add in this video clip in Tami languages

[@abhistraj4284]

👍

[@annmariezarzecki5787]

I am 63 and can do these all but explain to me why I have sciatica from hell. My butt is on fire when I stand up and down to my calf. Weakness and numbness. Trying to get into Ortho but that’s a joke. Of If I was the President of the US maybe 😩

[@michaeltulig6525]

Statistics are interesting but it's a case-by-case basis. I'm not a doctor. For me, physical therapy solved one issue by strengthing my core where I had moderate disk slippage. In another case, I had two bone spurs pinching my spinal cord. A neurosurgeon did a laminotomy to grind and suction it out. PT wasn't helping, couldn't help IMHO. Get an X-ray or MRI, as needed. Use the right tool for the job. You aren't a statistic. You're a special case.

[@ryanlie6250]

Or bird dog McGill’s favourite

[@aleksi3339]

What's E3's say on functional LBP on healthy athletes?

[@41975marcelo]

Doc,hello from japan,i love your videos about hip replacement,myself have to go under replacement 2years ago,my question is why my thigh still hurts? Its a little above from the knee ,and sometimes in my hip ,right in front, of course i ask my doc,he tell me to walk and make simple stretch

[@5salh]

Doctor, your information is valuable You have to speak slow so we can learn from you Thanks

[@stevematthews2459]

If you don't have it you don't have a clue

[@misbahhabib8866]

You need to show easier exercises. Much easier ones. No average 60 plus person with or without stenosis could possibly do these

[@therelaxationchannel7805]

You are teaching people wrong! These are exercises are really bad for your lower back.

[@jenniferjohnson954]

So what's the correct exercises?