Recognizing it
Standing and walking bring on heaviness, aching or cramping in both legs; bending forward over a cart or sitting down relieves it within minutes.
Treatment
Epidural injections reduce inflammation in the crowded canal, while flexion-based therapy and conditioning extend walking tolerance.
Long-term plan
Many patients maintain independence for years with periodic injections and consistent exercise. Severe cases are referred for decompression.
What this may include
- Caudal and interlaminar epidural injections
- Flexion-bias therapy program
- Walking and conditioning plan
- Surgical referral for severe stenosis