Lumbar spinal stenosis (LSS) is a debilitating condition associated with the degeneration of the spine, which can have a wide range of symptoms including back pain, leg pain, numbness and tingling in the legs and impaired physical function. A recent study found that for patients with mild-to-moderate LSS, conservative treatment that includes manual therapies, supervised exercises, and aerobic training may provide similar long-term benefits with respect to pain and disability as decompression surgery with or without spinal fusion. Doctors of chiropractic often employ such an approach in the management of LSS. BMC Musculoskeletal Disorders, July 2022