Jeff LangmaidFounder, The Evidence Based Chiropractor

You're Letting Your Stenosis Patients Head Toward Surgery

17 Jul 2026 · 1 min

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In this segment of his YouTube video, Jeff Langmaid emphasizes that lumbar spinal stenosis becomes increasingly common with age and is a leading cause of pain, disability, and spinal surgery in adults over 65. He stresses that the condition is a major public‑health issue, not a niche problem, and that reducing the need for surgery—by improving conservative care and patient quality of life—has real‑world implications for spine care in communities.

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Lumbar spinal stenosis does become more common with age. Time and gravity undefeated, right? This is a major issue for a lot of older adults, and this paper notes that lumbar spinal stenosis is among the most common causes of pain and disability in older adults and is a leading indication for spinal surgery in people over 65 years old. So this is a really big deal. This is not only about getting back some quality of life, this is about reducing the necessity for surgery in an ideal state. Not every patient every single time, but in many cases, many times. So this is not like a tiny niche condition. This is real-world spine care with real implications in your community.