How to treat lumbar spinal stenosis compressing the nerves, conservative treatment is most commonly used

The most typical symptom of lumbar spinal stenosis is lower back pain. Generally, the pain is not very severe and can be improved by rest. However, if lumbar spinal stenosis compresses the nerves, timely treatment is required, otherwise it will cause urinary and bowel problems.

(1) Manual therapy: The purpose of manual therapy is to promote blood circulation and relax muscles, disperse blood stasis, loosen adhesions, and relieve symptoms. Commonly used techniques include pressing, kneading, grasping, rubbing, rubbing, and passive movements of flexion and extension of the lower limbs.

(2) Acupuncture treatment: You can use acupoints such as Yaoyangguan, Shenshu, Dachangshu, Qihaishu, Mingmen, Huantiao, Fengshi, Weizhong, and Kunlun, once a day, and 10 times as a course of treatment.

(3) Drug treatment: Analgesic and anti-inflammatory drugs such as Voltaren and Fenbid can be used for aseptic inflammation of the nerve roots. Traditional Chinese medicine treatment is aimed at warming and unblocking the meridians, strengthening the tendons and bones, and the Bushen Zhuangjin Decoction can be used with modifications. Commonly used medicines include Rehmannia glutinosa, Paojiang, Eucommia ulmoides, Achyranthes bidentata, processed Cibotium barometz, Dipsacus asper, etc. For those with qi deficiency and blood deficiency, add astragalus, codonopsis, angelica, and white peony root. For those who suffer from cold pain in the waist and legs, add Millettia reticulata, Angelica dahurica, cinnamon twig, epimedium, etc.

(4) Blockade therapy: Epidural blockade can be used to eliminate swelling, loosen adhesions, and relieve symptoms. The commonly used method is 12.5 mg of prednisolone acetate plus 10 ml of 1% procaine, once a week.

(5) Medical sports: It can strengthen the back extensor muscles and abdominal muscles, increase the stability of the lumbar spine, and thus delay the rate of lumbar joint degeneration. Practicing Tai Chi has a good effect on this disease.

(6) Surgical treatment: If the above conservative treatments are ineffective or have little effect, surgical treatment may be considered.