What is Lumbar Stenosis?
Lumbar spinal stenosis is narrowing of the spinal canal where the spinal cord and nerves to the legs travel through. It is typically caused by normal degenerative changes associated with ageing. The narrowing of the spinal canal can compress the nerves and constrict the blood supply of the nerves creating a sense of altered sensation, weakness and pain in the legs. Theses symptoms are typically made worse from standing and walking and reduced with sitting or bending forward.
Due to an increasing older population, spinal stenosis is one of the leading causes of pain, disability and loss of independence in older adults. However, research has demonstrated positive improvement in function, pain, and disability with non-invasive interventions such at the Lumbar Spinal Stenosis Bootcamp.
What is the Lumbar Spinal Stenosis Bootcamp?
The Lumbar Spinal Stenosis Bootcamp is a 6-week relatively intensive program that involves an initial assessment, twelve twice-per-week hands-on manual therapy sessions, exercise prescription, weekly progress updates, and at-home exercises. The bootcamp is designed to promote improvement in function and walking tolerance quickly while teaching patients how to manage themselves after the 6-week period has finished for long-lasting benefit.
What Should I Expect During the Bootcamp?
The first step of the Stenosis bootcamp is a detailed history and physical assessment addressing your specific difficulties and goals. This assessment is followed by an introduction to the bootcamp with a review of initial at home exercises and stretches.
The initial assessment is followed by 6 weeks of manual therapy and exercise. You will receive hands on therapy twice per week in the clinic, as well as a review and progression of your at-home exercise. Exercises typically follow a routine layout, however, these can be modified based on each individual.
A less intensive modified bootcamp protocol can be adopted should the patient desire. However, the effect of this protocol is not currently established.
What is required
All exercises prescribed in the bootcamp require no machinery or special equipment. Access to an upright stationary bicycle is required for some of the at-home exercise and a pedometer is needed to assess weekly changes in walking tolerance. Lastly, a Lumbar Stenosis Bootcamp workbook that includes exercise descriptions and progress tracking will be provided as part of the total cost, which maybe covered by your extended healthcare plan.