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Best Non-Surgical Treatments for Spinal Stenosis

July 4, 2025

A doctor checks and diagnoses a 3D illustration of the spinal column with implant and screw placement for a patient with spinal stenosis.

If back pain and leg cramps from spinal stenosis are disrupting your daily life, you are not alone. Spinal stenosis, particularly lumbar spinal stenosis (LSS), is a condition that causes the narrowing of the spinal canal, leading to nerve compression. This can result in pain, numbness, and weakness, limiting mobility and comfort.

The good news is that you do not always need surgery to find relief. Non-surgical treatments for spinal stenosis are highly effective and can significantly improve your quality of life without the long recovery times associated with surgery.

Let us explore the most effective non-surgical treatments for spinal stenosis, so you can make an informed decision about your care.

What Is Spinal Stenosis

Spinal stenosis occurs when the spaces in your spine narrow, putting pressure on the nerves that travel through the spine. The most common type is lumbar spinal stenosis, a condition where the lower spine is affected.

Symptoms often include:

  • Pain, cramping, or tingling in the legs.
  • Lower back discomfort that improves when leaning forward or sitting down.
  • Weakness in the legs.
  • Trouble maintaining balance.

These symptoms may worsen over time, making proper treatment essential to maintain mobility and comfort.

Why Choose Non-Surgical Treatments

While surgery is an option for severe cases, many patients benefit from non-surgical approaches, which are designed to minimize pain and improve function with less risk. Benefits include:

  • Faster recovery times.
  • Lower risk of complications.
  • Minimal need for anesthesia or hospitalization.
  • Options tailored to your unique needs.

Non-surgical treatments are often ideal for those looking to avoid the invasiveness of surgery while addressing their symptoms effectively.

Effective Non-Surgical Treatments for Spinal Stenosis

The following non-surgical treatments can provide significant relief for spinal stenosis symptoms. These treatments focus on managing pain, reducing inflammation, and improving mobility.

1.     Physical Therapy

Physical therapy is often the first recommendation for spinal stenosis. Therapists design exercise programs to strengthen the muscles around your spine, improve flexibility, and enhance your posture.

Proper exercises can take pressure off the affected nerves, reducing pain and improving motion.

2.     Pain-Relief Medications

Over-the-counter medications like nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil) or naproxen (Aleve), can help alleviate inflammation and reduce pain.

For those needing stronger relief, your doctor may prescribe muscle relaxants or nerve pain medications.

3.     Epidural Steroid Injections

Epidural steroid injections are a minimally invasive treatment that delivers anti-inflammatory medication directly into the area surrounding the spinal cord. These injections can provide temporary relief from pain and swelling, often lasting for several months.

They are especially beneficial for patients with localized inflammation.

4.     Radiofrequency Ablation (RFA)

RFA uses heat generated by radio waves to precisely target and destroy nerve fibers responsible for transmitting pain signals.

This procedure offers long-lasting relief, making it a great option for those who have not found improvement with other treatments.

5.     Spinal Cord Stimulation (SCS)

Spinal cord stimulation involves implanting a small device that sends mild electrical currents to the spinal cord. These currents modify pain signals before they reach the brain, significantly reducing discomfort.

It is particularly effective for managing chronic pain caused by spinal stenosis.

6.     Nerve Blocks

A nerve block involves injecting an anesthetic near the affected nerves to temporarily block pain signals. While the relief may be short-term, nerve blocks can be repeated periodically to manage chronic pain.

7.     Guided Joint and Lumbar Spine Injections

Guided injections, performed under imaging guidance like X-rays, deliver precise doses of medication directly into the affected joints or spinal area.

These injections help reduce inflammation and provide targeted pain relief.

8.     Advanced Minimally Invasive Procedures

Two leading minimally invasive procedures for lumbar spinal stenosis are the Vertiflex procedure and the MILD® procedure.

Vertiflex Procedure

This involves placing a small implant to create more space within the spinal canal, reducing nerve pressure. It requires no large incisions and helps patients return to normal activities quickly.

MILD® Procedure

The MILD® procedure removes small pieces of bone or ligament tissue to widen the spinal canal. Like the Vertiflex procedure, it is minimally invasive and promotes faster recovery compared to traditional surgery.

Non-Surgical Treatment for Spinal Stenosis in Melbourne, FL

Spinal stenosis does not have to prevent you from living life to the fullest. Advances in non-surgical treatments for spinal stenosis make it possible to manage your symptoms effectively and safely.

At Central Florida Spine & Pain in Melbourne, Florida, our expert team, led by board-certified pain management physician, Dr. Nicholas Giordano, is here to help you explore treatment options. We specialize in advanced, minimally invasive techniques designed to target pain at the source and improve your quality of life.

Call us today at (321) 802-5021 to schedule your consultation and get personalized care tailored to your needs. Relief is closer than you think!

 

Filed Under: General Tagged With: Lumbar Spine Injections, minimally invasive treatment, non surgical treatment for spinal stenosis, Non-Surgical Treatment for Spinal Stenosis in Melbourne, Pain Management, Pain-Relief Medications, Physical Therapy, Radiofrequency Ablation (RFA), Spinal Cord Stimulation, surgery

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At Central Florida Spine & Pain,  Dr. Giordano offers Interventional Pain Therapies and Minimally Invasive Treatments for acute and chronic pain conditions.