My doctor has told me I have spinal stenosis. That’s what’s been causing my back pain and problems walking. I understand surgery may be needed. Is there any problem with putting it off? Will delaying the operation make things worse in the end?

Not according to a recent study from Finland. Patients with moderate spinal stenosis were divided into two treatment groups. One group was treated with pain relievers and exercise. The second group had surgery to take pressure off the spinal nerves.

The operation is called a segmental decompression. Bone is cut away from around the nerve. In some cases, spinal fusion was also needed to stabilize the spine.

The two groups were compared over the next two years. Pain and other symptoms, along with function were measured. The exercise group made steady improvements. But early results were better for the operative group. They had less pain and better function. Both groups were able to walk about the same distance.

It may be worth it to some people to have the surgery in order to reduce painful symptoms. There is no known disadvantage in delaying surgery. Patients who wait to have the surgery seem to have the same results later after surgery.