The team at The Poynton SpineCare Institute have created a simple guide for you and your patients to best manage their low back pain with and without leg pain.





5 per 100,000

Prevalence rate of 13% with 20%> 60 years of age



70% plateau, 15% get worse, 15% improve

Stenosis may not be symptomatic


Who is for conservative treatment?

Mild to moderate stenosis can be treated conservatively

If conservative measures fail they may require surgery

Once a Patient is referred they can be started on their individualised management plan and monitored for progression of symptoms



·         Back pain +/- neurogenic claudication

·         Neurology

·         Diminished walking distance

·         Changes in balance & gait

·         Heaviness in legs

·         Eased with forward flexion and sitting


Who is for surgery?

Generally people who have symptomatic severe stenosis

  • whose quality of life and function is affected
  • who have Neurology
  • are not responding to conservative treatment

Age is not an exclusion for surgery as stenosis is a disease of the older population


Treatment Options

Patients should have an individualised treatment plan consisting either of surgery or conservative intervention

Conservative includes

·         Exercise and physiotherapy

·         Avoidance of extension based exercises

·         Injection therapy, such as transforaminal or epidural steroid injection although evidence supporting their use is managing stenosis  is low

Surgery , decompression surgery +/-instrumentation

Outcome of Surgery

Surgery has excellent long term outcome for severe spinal stenosis and can prevent progressive neurology and improve quality of life

Complications risks are low and few patients require revision surgery.

Please see for more information on decompression surgery


How do I refer my patient to the Poynton SpineCare Insitute?

All health care professionals can refer to the Institute via email, fax, or post. If urgent referral is required please contact via  telephone