Can people with spinal stenosis exercise?

In general, patients with spinal stenosis can engage in physical activity, but types of exercise must be carefully selected to avoid worsening nerve compression. The key principle is "choosing the right exercises and controlling intensity." Specific details are as follows:

Most cases of spinal stenosis are caused by nerve compression within the spinal canal due to herniated discs, bone spurs, or similar conditions. Unsupervised activities—such as bending over to lift heavy objects or intense running and jumping—can increase spinal pressure and potentially worsen symptoms like lower back and leg pain or numbness. However, appropriate exercise can strengthen the muscles of the lower back and improve spinal stability, thereby alleviating symptoms. Recommended exercises include back muscle strengthening activities such as the "flying swallow" and "five-point support," which should be performed under medical guidance to prevent incorrect form; low-intensity aerobic activities like walking and swimming—especially swimming, which unloads the spine while strengthening overall musculature; and stretching exercises such as wall-assisted standing stretches to relax the back and lumbar muscles.

Prior to beginning any exercise, patients should consult their doctor to develop a personalized plan. If discomfort occurs during exercise, it should be stopped immediately. Proper exercise can support treatment, whereas inappropriate activity may exacerbate the condition.