Spinal Stenosis Pain Relief PDF

Without surgery or injections. Five exercises, three times a week, built to open up the space around a compressed nerve and rebuild the strength behind your walking and standing.
5
Exercises
20
Minutes
Weeks
Beginner
Difficulty
Equipment
Great for
Spinal Stenosis

Program Overview

You can sit for an hour without a problem. You can ride in a car all day. Then you stand up, walk half a block, and your legs go heavy, or numb, or both. So you start looking for something to lean on.

Stenosis shows up clearly on an image, but the image does not come with a fix. By now you have probably been told your options are injections, surgery, or waiting it out. There is a third option, and it starts with understanding that stenosis is a space problem before it is a strength problem.

Dr. Michael Derry is a board-certified orthopedic physical therapist in Jacksonville with more than a decade in practice. This free guide is his five-exercise stenosis routine, written so you can do it at home.

  • Open Up the Space First: Flexion-based movements that take pressure off the compressed nerve. This is why bending forward feels good and standing tall does not.
  • Nerve Mobility Included: A lumbar flexion nerve glide, a part of stenosis care that often gets overlooked.
  • Strength for Your Hips and Legs: A chair-supported squat and a modified lunge for your glutes and quads, with tips for keeping pressure off your lower back.
  • Clear Instructions: A photo, exact reps, and a coaching tip for every movement, including options for one-sided leg pain and balance.
  • Three Sessions a Week: About twenty minutes each, and you can also use it on days you feel stiff.

Here's how this PDF has helped my clients:

Dr. Derry treats stenosis in his Jacksonville concierge practice and covers it in his book Revision Sciatica and on The Resilient Spine YouTube channel. No medications, no injections, and no equipment beyond an incline board (or a folded yoga mat) and a sturdy chair.

  • A Photo for Every Movement: See the position before you try it.
  • Exact Dosage: Reps and sets for all five exercises, plus hold times where they matter.
  • Modifications Built In: Adjustments for one-sided leg pain, balance, and knee comfort.
  • Video Walkthrough: Watch all five exercises demonstrated on video.
  • A Realistic Ask: About twenty minutes, three times a week.
After suffering with sciatica my husband did exactly what Dr. Derry prescribed and in 8 weeks the pain was gone! We had faith in the process and it worked! We now have Dr. Derry on speed dial should we need him again!

‍⭐⭐⭐⭐⭐ - Marcia W.

Patient Testimonials

Read what patients have to say about my services!

Michael has been a vital partner to help me overcome injuries and identify areas of weakness. He constantly assesses and adapts interventions to encourage recovery. The stretch, glide, manipulate, and dry needling techniques have helped keep me active.

-Chris A.

My time with Dr Derry was worth every penny.  After suffering with pain from a car accident almost 4 years ago Physical Therapy was the key to increasing my strength and decreasing my pain.  Dr Derry worked with my crazy working mom schedule and traveled to both my home and place of business.  I highly recommend Dr Derry.

-Jill M.

Dr. Derry was extremely helpful with developing my in-home program.  My back is much better than it was a couple of weeks ago. He gets to know what your goals are, then works on a individual plan with you.  Very good experience!

-Christine T.

Hi, I'm Dr. Michael Derry, DPT, OCS

A trusted Doctor of Physical Therapy with nearly ten years of experience. I have earned my Doctorate in Physical Therapy from Bradley University and I am a board-certified orthopedic clinical specialist.
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Specializing in core strengthening and orthopedic care, I am helping people to improve their strength and resiliency. Based in Jacksonville, Florida, I offer personalized care as a concierge physical therapist via Revision Health Services.
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I have also been an adjunct professor and wrote a book on core strengthening available on Amazon!
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My approach combines evidence-based practices with real-world experience to provide safe and effective exercise routines.
Dr. Michael Derry

Stenosis Is a Space Problem Before It's a Strength Problem

Most back programs go straight to strengthening, and with stenosis that usually misses the mark. Start by creating space for the nerve, then build strength.

Why Strengthening Alone Doesn't Fix Stenosis

Being strong is a good thing. But when degenerative changes have narrowed the space around your nerves, jumping straight into back-strengthening usually misses the mark. For most general back issues, strength is the primary fix. With stenosis, mobility and nerve health have to come first.

The five exercises in this guide follow that thinking. Two are flexion movements that open up space: a seated lumbar flexion and a standing lumbar flexion with a nerve glide. One stretches the front of your hip. The other two build strength: a chair-supported squat with your heels on an incline and a modified lunge done leaning forward.

One rule before you start: the routine should be pain free, but it does not have to be soreness free.

What to Expect

Nerve symptoms can change quickly once pressure comes off, or they can take their time. The pathway is different for everyone, which is why I am not going to give you a timeline.

I can't promise a total absence of pain. What I can promise is that if you put in the work and listen to your body, your trajectory will change.

Watch which direction your symptoms move. If they travel further down your leg, back off. If they pull back toward your spine, you are going the right way.

Perfect For People Who:

  • Can't walk far without needing to sit
  • Lean on shopping carts for relief
  • Have leg pain that disappears when sitting
  • Want to avoid surgery or injections
  • Need exercises that won't make symptoms worse

How It Works

  1. Get instant access. Enter your name and email. The guide arrives in your inbox, free.
  2. Set up. You need an incline board (or a folded yoga mat) and a sturdy chair.
  3. Run it three times a week. Follow the reps and hold times. Watch the video first if you want to see a movement before you try it.
  4. Check the next 24 hours. Symptoms pulling back toward your spine is progress. Symptoms traveling further down your leg means ease off.

Ready to Stop Looking for the Next Place to Sit?

If you have been planning your days around shorter walks and places to sit, start here: five exercises from a board-certified orthopedic physical therapist who treats stenosis in his practice.

What You Get:

  • Five stenosis exercises with photos and exact dosage
  • A lumbar flexion nerve glide that targets the sciatic nerve
  • Modifications for one-sided leg pain, balance, and knee comfort
  • A video walkthrough of all five movements
  • A simple three-times-a-week schedule
  • 100% free, instant access, no obligation

Enter your name and email below and the guide arrives right away. Dr. Derry is finishing Revision Stenosis, his book on lumbar stenosis and a full at-home plan built on this same approach. Join the free waitlist and we'll email you when it's out.