What is spinal stenosis?

Background: A narrowing within the vertebral canal coupled with hypertrophy of the spinal lamina and ligamentum flavum or facets as the result of age related degenerative process. Contributing factors: Posture, prior job or lifestyle(sat for numerous hours), an individual who runs frequently, sits for excessive hours, and doesn’t regular stretch. Presentation: Client presents in posterior pelvic tilt, creating shortened and tight hamstrings with tight lumbar extensors. Evidenced training recommendations: Important to avoid end of range extension based exercises should be avoided as they close the neural foramen(ie. cobra press-up). Focus: Perform flexion based exercises such as; knee to chest, prayer stretch and reverse abdominal crunch. Lower extremity stretching should focus stretching the inflexible hamstrings, hip flexors and quadriceps, which are commonly tight in stenotic individuals. Yoga and pilates can also be effective to improve a client’s flexibility and core stability. Progressive resistance training exercises such as lat pull-down, seated mid row, seated reverse flyes, and horizontal leg press are all-safe to teach a client with lumbar stenosis based on science. www.pinnacle-tcs.com "Teaching The Science Behind The Movement"