Although there is no cure for spinal stenosis,medically if dimension of central canal compromise technically a regular exercise, medication and in most cases surgery can provide relief.
Regular exercise can help you build and maintain strength in the muscles of your arms and upper legs (the hip adductors and abductors, quadriceps and hamstrings). This will improve your balance, ability to walk, bend and move about, as well as control pain. A pain physician can show you which exercises are right for you. But exercise are not definitive answer to increase canal dimension.
Over-the-counter medications such as acetaminophen (Tylenol), or nonsteroidal anti-inflammatories (commonly NSAIDS such as ibuprofen or naproxen (Aleve, Anaprox), may also relieve pain. In addition, a PAIN PHYSICIAN may prescribe other medications to help with pain and/or muscle spasm.
Cortisone injections (corticosteroid injections)
Transforaminal Injections or inter laminar directly into the area around the spinal cord (known as epidural injections) may provide a great deal of temporary and occasional permanent relief. But better then any medical treatment ,There is little objective data however to support use of cortisone injections for spinal stenosis and many studies include other causes for back pain. These injections are usually given on an outpatient basis in a hospital or clinic setting.in fluoroscopic or ultrasound guidance.but intramuscular use of steroid shot by any physician is risky with side effects.
Some patients with severe or worsening symptoms (but who are otherwise healthy) may be candidates for a “decompression laminectomy.” This surgery removes the bony spurs and buildup of bone in the spinal canal, freeing space for the nerves and spinal cord. Afterwards, doctors often perform a spinal fusion to connect two or more vertebrae and better support for the spine.
Several recent studies have found that surgery produces better results than non-surgical treatment in the long term. However, results vary and, like all surgeries, this one also carries risks. Some of these risks include blood clots in the epidural area and/or the legs; tears in the tissue around the spinal cord; infection; and injury to the nerve root. While surgery may bring some relief, it will cure spinal stenosis or osteoarthritis and symptoms may recur
But under endoscopic assistance our results are far better then what normal surgery does.and risk association with endoscopic laminectomy are very less.so never be afraid with endoscopic assisted surgery.