What is often the primary focus in the treatment of cases with lumbar stenosis?

• A. Medication
• B. Surgery
• C. Manual Therapy
• D. Injections

Answer: (C)

In the treatment of lumbar stenosis, the primary focus often centers around conservative management strategies, which may include manual therapy. This approach is aimed at alleviating symptoms and improving functional mobility without the need for invasive procedures. Manual therapy encompasses various techniques such as mobilizations and manipulations that can help to reduce pain, improve range of motion, and enhance overall function in patients suffering from lumbar stenosis.

Conservative treatments like manual therapy are typically advisable initially, as they can provide relief for many patients. They can also be part of a broader rehabilitation strategy that includes exercise and education on managing symptoms. In contrast, options such as medication, surgery, or injections may be considered based on the severity of the stenosis and the extent of symptoms. However, these approaches are often reserved for cases that do not respond to conservative treatments.

Ultimately, focusing on manual therapy helps address the biomechanical dysfunctions and pain associated with lumbar stenosis in a non-invasive manner, making it a common first-line treatment choice.