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Treatment options for lumbar stenosis depend on the nature and the severity of the symptoms. Most of the time, the symptoms of lumbar stenosis can respond really well to oral anti-inflammatory medications, such as ibuprofen, oral steroid medications, such as [?], Neurontin or other nerve medications, or a short course of structured physical therapy. In those who symptoms are severe or worsening with time, occasionally a lumbar epidural injection is very helpful to calm down the symptoms of lumbar stenosis. In cases of severe lumbar stenosis with worsening symptoms that don’t respond to these simple conservative non-operative measures, surgery might be required, usually in the form of a lumbar decompression and occasionally in the form of a lumbar fusion if there is instability present in the lumbar spine.