Lumbar · Non-surgical treatment in Delhi NCR
Spinal Stenosis
Also called: Lumbar canal stenosis · Foraminal narrowing · Neurogenic claudication
Stenosis is a space problem. We cannot remove bone, but we can create space by restoring segmental motion, decompressing the disc and reducing the soft-tissue and inflammatory contribution — which is often the difference between 100 metres and 2 kilometres of walking.
Quick answer
How is Spinal Stenosis treated?
Spinal stenosis is narrowing of the spinal canal or nerve exits, typically after 50, producing leg heaviness and cramping that appears on walking and eases on sitting or leaning forward. Back2Health manages stenosis non-surgically with flexion-distraction decompression, joint mobilisation, super-inductive nerve therapy and a graded walking programme that lengthens pain-free walking distance.
Symptoms patients describe
- Leg heaviness, cramping or burning that starts after walking a set distance
- Relief on sitting, bending forward or leaning on a trolley
- Low back ache with stiffness on standing upright
- Numbness in both legs or feet
- Reduced balance and confidence on uneven ground
Why it happens
- Facet joint hypertrophy and ligamentum flavum thickening
- Disc bulging into the canal reducing available space
- Degenerative spondylolisthesis narrowing the canal
- Long-standing untreated disc degeneration
- Congenitally narrow canal
Assessment
How we confirm the diagnosis before touching your spine.
No two patients with the same MRI need the same plan. This is the examination sequence used at the first visit.
- 01Walking tolerance test with time and distance to symptom onset
- 02Bicycle test to differentiate stenosis from vascular claudication
- 03Neurological screen and reflex testing in both legs
- 04Hip and knee assessment to exclude referred joint pain
- 05MRI review for canal diameter and level of narrowing
Treatment protocol
How Back2Health treats spinal stenosis.
Phased, measured and time-bound. Your exact schedule is set after the first assessment.
Phase 1 — Create space
Weeks 1–3
Flexion-biased decompression cycles that open the canal and foramina, plus laser to reduce inflammatory swelling around the nerve.
Phase 2 — Mobilise
Weeks 4–6
Gentle chiropractic mobilisation, hip flexor and thoracolumbar fascia release, and super-inductive therapy for the neural tissue.
Phase 3 — Extend your range
Weeks 7–12
Interval walking programme, cycling for aerobic base, core and glute strength, and balance training for confident, independent mobility.
Technology used for this condition
Realistic outlook
Walking distance is the metric we track. Doubling or tripling pain-free walking distance over 10–12 weeks is a realistic goal for most patients.
When not to wait
- Bladder or bowel changes
- Rapidly worsening weakness in both legs
- Calf pain with skin colour change or absent pulses (vascular cause)
Answers
Spinal Stenosis: common questions.
Can spinal stenosis be treated without surgery?+
For most patients, yes. Surgery is reserved for progressive neurological loss. Structured decompression and conditioning improve function significantly in the majority of degenerative stenosis cases.
Why can I cycle but not walk?+
Cycling puts the spine in flexion, which opens the canal. This 'shopping trolley sign' is a classic stenosis finding and guides how we set your decompression angles.
Book an assessment
Get your spinal stenosis properly diagnosed.
Bring your MRI or X-ray. You'll leave the first consultation knowing exactly what is wrong, whether decompression is right for you, and how many sessions it should take.
Related lumbar conditions
Herniated Disc (Slipped Disc)
The most common cause of severe, radiating back and leg pain in desk-based adults. Between 80–90% of herniations resolve without surgery when intradiscal pressure is reduced early and the supporting spine is rebuilt.
Bulging Disc
The stage before a herniation. Catch it here and you avoid the far harder problem later — decompression plus posture correction can restore disc height rather than merely masking pain.
Sciatica
Sciatica is a symptom, not a diagnosis. The entire clinical value lies in identifying which structure is compressing the nerve — and treating that, not the leg.
Spondylolisthesis
The one spinal condition where stability, not mobility, is the priority. Treatment must be prescribed by a clinician who knows exactly what not to do.
Chronic Lower Back Pain
Chronic back pain is rarely one thing. Our value is diagnostic precision — finding which of the four or five candidate structures is actually driving your pain.