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Back & Spine

Spinal Stenosis Treatment in Bakersfield

Your legs ache, tingle or feel heavy after a few minutes of walking or standing, and the only fix is to sit down or lean on something. That pattern is often lumbar spinal stenosis, and the right exercise can help you walk farther.

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Yes, physical therapy can help spinal stenosis. An exercise-based program is a common first treatment for lumbar spinal stenosis, and many people can walk and stand longer with less leg pain after it. Exercise doesn’t widen the spinal canal, but it can change how well your body copes with the narrowing. At ARI Physical Therapy in Bakersfield, every visit is one-on-one with a licensed physical therapist.

Does this sound like you?

✓Legs that ache, tingle, burn or feel heavy when you walk or stand
✓Relief within a few minutes of sitting down or bending forward
✓Walking is easier when you lean on a shopping cart or walker
✓Walking uphill is easier than walking downhill
✓You can ride a bike much longer than you can walk
✓Standing still in line or at the kitchen counter is hard on your back and legs

What spinal stenosis is

Spinal stenosis means the spaces the nerves travel through in your low back have narrowed. It usually comes from age-related changes like arthritis in the spine joints, thickened ligaments and disc bulges, and it is most common after age 50.

Standing up straight and leaning back make these spaces a little smaller, and bending forward opens them up. That is why sitting down or leaning on a shopping cart often brings quick relief, sometimes called the “shopping cart sign.” Narrowing also shows up on many scans of people who feel fine, so your symptoms and how far you can walk guide treatment more than the scan does.

Is it stenosis or something else?

Leg pain with walking has a few possible causes, so a careful check matters:

  • Poor circulation in the legs (peripheral artery disease) can also cause calf pain with walking. It usually eases when you simply stop and stand still, while stenosis usually needs sitting or bending forward.
  • Hip arthritis can cause groin and thigh pain with walking. See our hip pain guide.
  • A disc problem often hurts more with sitting, the opposite of stenosis. See our sciatica and back pain guide.

How physical therapy helps

Treatment focuses on what you can do, not just on the narrowing. That includes positions and exercises that gently open space for the nerves, strength for your hips, legs and trunk, hands-on care for a stiff back and hips, and a walking plan that builds distance step by step with planned rest breaks. Many people find a stationary bike a comfortable way to stay fit while walking improves. Because leg symptoms can make you less steady, balance work is often part of the plan too. See balance and fall prevention.

What treatment at ARI looks like

1
A one-on-one evaluation

Your first visit takes about 45 to 60 minutes. We check how your back and hips move, test leg strength, reflexes and sensation, look at your balance and how far you can walk, and ask what you most want to get back to.

2
Easing the legs, building strength

Positions and exercises that ease leg symptoms, hands-on treatment, progressive strengthening for your hips, legs and trunk, and balance training.

3
Walking farther

A step-by-step walking plan, easier ways to handle standing tasks like cooking and shopping, and a home program to keep you moving.

No referral needed to start. In California, you can see a physical therapist directly for up to 12 visits or 45 days, whichever comes first. Some insurance plans still require a referral for coverage; call us at (661) 282-8584 and we'll help you check.

When to see a doctor first

See a doctor promptly if you have:

  • Numbness in the groin, buttocks or inner thighs, or new trouble controlling your bladder or bowels. These can be signs of cauda equina syndrome: get emergency care
  • Leg weakness that is getting worse, or your foot catching or slapping when you walk
  • Clumsy hands, trouble with buttons, or a change in your balance or walking that isn’t just leg pain, which can mean narrowing in the neck
  • Calf pain with walking that eases as soon as you stand still, cold or discolored feet, or sores on the feet that won’t heal, which can be a circulation problem
  • Back pain with fever, a history of cancer, or weight loss you can’t explain
  • Back pain after a fall, especially if you have osteoporosis

Why patients choose ARI

Care at ARI is always one-on-one and in person with a licensed physical therapist at our Bakersfield clinic: 8200 Stockdale Hwy, Suite B2, in the Town & Country Village center next to Trader Joe's. Our clinic director, Deepa Konnur, PT, MPT, OCS, is a board-certified Orthopedic Certified Specialist. We accept most private insurance plans and Medicare, and we have staff who speak Spanish and Hindi.

Spinal stenosis FAQs

Not always. Stenosis tends to change slowly, and for many people symptoms stay about the same or improve with exercise rather than steadily getting worse. Your therapist and doctor can help you watch for changes that need attention.
Yes, in the right amounts. Short, frequent walks with planned rest breaks often work better than one long walk. Leaning slightly forward, using a cart or walker on longer outings, and building up gradually can help you go farther.
Positions that keep your back arched for a long time, like standing still for long periods or reaching overhead, often bring on leg symptoms. You don't have to avoid them for good, but it helps to break them up. Your therapist will show you which exercises ease your symptoms.
Many people manage well without surgery. Surgery, such as a laminectomy, may be considered if symptoms are severe, keep getting worse, or don't improve with good treatment. That is a decision to make with your doctor, and rehab helps either way.
No. In California you can see a physical therapist directly for up to 12 visits or 45 days, whichever comes first. Some insurance plans still require a referral for coverage, so call us at (661) 282-8584 and we'll help you check.

Common questions

Ready to feel better?

Talk to a licensed physical therapist at ARI, one-on-one. Request an evaluation and we'll get back to you, usually within one business day.

Sources

  1. Spinal Stenosis. National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS).
  2. Lumbar Spinal Stenosis. OrthoInfo, American Academy of Orthopaedic Surgeons.
  3. Spinal Stenosis. MedlinePlus, National Library of Medicine.

This page is general information, not a diagnosis. If you have symptoms, a licensed clinician should evaluate you.

Clinically reviewed by Deepa Konnur, PT, MPT, OCS, board-certified Orthopedic Certified Specialist · Reviewed October 2026