A single-center, three-arm randomized trial of 259 adults older than 60 with imaging-confirmed lumbar spinal stenosis and neurogenic claudication. It compared 6 weeks of nonopioid medical care, community group exercise, or manual therapy with individualized exercise. The question was which nonsurgical option best improves symptoms, function, and walking at 2 and 6 months.
A single-center, three-arm randomized trial of 259 adults older than 60 with imaging-confirmed lumbar spinal stenosis and neurogenic claudication. It compared 6 weeks of nonopioid medical care, community group exercise, or manual therapy with individualized exercise. The question was which nonsurgical option best improves symptoms, function, and walking at 2 and 6 months.