@dunkinmacdougall -- Since neural foraminal stenosis is a type of spinal stenosis I think the tests are the same and the doctors evaluate based on X-rays, MRIs or CT according to Mayo Clinic - https://www.mayoclinic.org/diseases-conditions/spinal-stenosis/diagnosis-treatment/drc-20352966

Have you heard of Myofascial Release Therapy (MFR)? There is a discussion on the topic you might find helpful.
-- Myofascial Release Therapy (MFR) for treating compression and pain: https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/

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