Lumbosacral Spinal Stenosis - Non-Invasive Postural Therapy for Older Adult Veterans (LSS-NIPT)

Inclusion Criteria: Veterans receiving care at participating VA Ability to read and write English and understand instructions Agrees to comply with instructions Symptoms for over 3 months Diagnosis of Lumbar Spinal Stenosis as the cause of symptoms Discomfort involving low back pain and / or neurogenic claudication of legs or thighs Back and/or leg symptoms greater than 3/10 provoked by walking and / or standing X ray, CT, or MRI performed within the last 12 months shows Lumbar Spinal Stenosis at 1 or 2 levels Prior treatment for Spinal Stenosis including therapy, medication, epidural injections, but not surgery Relief of pain (standardly within 5 minutes) by sitting down Ability to walk 50 feet without a cane or walker General health presents ability to increase activity level if Back and / or leg symptoms resolve If home has stairs and patient uses multiple levels, must have steady handrail Transportation routinely available by car or car service and not by bus Home location allows restriction of walking to flat surfaces (lack of hills), with availability to increase ambulation on flat surfaces Exclusion Criteria: Previous Low Back Surgery for SS including decompression or fusion Successful Spinal Stenosis Treatment (such as injection) over the prior 3 months X ray, CT, or MRI shows Lumbar Spinal Stenosis in 3 or 4 levels Prior Lumbar Fracture Scoliosis with Cobb angle over 20 degrees on weight bearing AP Views Inflammatory arthropathy involving the Lumbar Spine, such as RA Radiculopathy attributed to herniated disc Suspected or confirmed moderate to severe large fiber neuropathy Failure of relief of back or leg pain brought on by standing or walking, within 5 minutes, by sitting down Rapid increase in symptoms with lumbar flexion such as sitting, Increase in symptoms brought on by leaning on grocery cart or walker Reduced symptoms by lumbo-sacral extension Vascular Claudication with ABI less than 60 or over 140 Prior bypass or stent surgery for PAD Current foot, ankle, leg, or thigh infection or open ulcer Current use of a Brace for foot, ankle, or knee pathology, Moderate to severe arthritis of the Hip, knee, ankle or foot preventing pain free ambulation greater than 1 block Neurologic or neurodegenerative induced gait pathology such as CVA, Parkinson's, NPH, Cervical Myelopathy Current Medico Legal issues, active substance use, SI, HI, or other factors that may interfere with completion of six-week treatment trial Planned surgery or procedure in the 6-week study period