Advice Needed L4 L5 Ligament flavum with mod stenosis, claudia equina

Posted by dsonderhouse @dsonderhouse, Dec 16, 2025

I have tried three rounds of PT, two l4 l5 ablations. Multiple rounds of steroids. Walking and standing causes nerve pain and numbness. Pelvic pain and pelvic weakness standing and sitting. Have to lay down multiple times a day. L4, l5 has some slippage. Stability issues with footing. Nerve burning pain down side of thighs, saddle numbness but fully functional.

Has anyone had l4 l5 ligment correction and fusion along with opening up stenosis surgery?

What was your experience if so?

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I have severe L4/5 stenosis and had crippling sciatica pain. I’ve avoided surgery by retraining my posture per the Gokhale Primal Posture method.

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I have foraminal stenosis and was told I needed two diagnostic nerve blocks followed by an ablation. The diagnostic blocks were terribly painful and gave mixed results, so I refused the ablation. I am so glad that I did! Lots of research after the blocks showed me how unreliable and inconsistent nerve blocks are. Instead I tried Gokuale's method of posture correction and "glide walking" on the recommendation of several people on this portal. It was miraculous. No more pain unless I get lazy and slouch. I walk over a mile each day. I heartily recommend Gokhale's book Eight Steps to a Pain Free Back.

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Glad to hear you too had good results from following the Gokhale Method.

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Profile picture for genie15 @genie15

I have foraminal stenosis and was told I needed two diagnostic nerve blocks followed by an ablation. The diagnostic blocks were terribly painful and gave mixed results, so I refused the ablation. I am so glad that I did! Lots of research after the blocks showed me how unreliable and inconsistent nerve blocks are. Instead I tried Gokuale's method of posture correction and "glide walking" on the recommendation of several people on this portal. It was miraculous. No more pain unless I get lazy and slouch. I walk over a mile each day. I heartily recommend Gokhale's book Eight Steps to a Pain Free Back.

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@genie15 what is glide walking?

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Profile picture for sbcarcht @sbcarcht

Glad to hear you too had good results from following the Gokhale Method.

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@sbcarcht any specifics on how it helps stabalize spine. Especially when one level is sliding under another? Thanks.

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Profile picture for dsonderhouse @dsonderhouse

@genie15 what is glide walking?

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@dsonderhouse
Glide walking is done by ligning up your spine (by the way you stand): if your weight is centered over your heels, your shoulders are back, not hunched forward, and your head is erect and looking forward, not looking down, then that's a good start. Esther Gokhale explains the curve of your lower spine using this posture, and it's the important point. When posture is correctly aligned then lifting each foot to take a step forward feels weightless. This method takes a lot of stress off of the knee joints. It made all the difference to me. It also generated power to your stride, and strengthens leg muscles. Read Gokhale's book for the fine points. If you are interested, it's cheap on Amazon. She also has a website...just Google her name. Hope this is helpful.

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Profile picture for dsonderhouse @dsonderhouse

@sbcarcht any specifics on how it helps stabalize spine. Especially when one level is sliding under another? Thanks.

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@dsonderhouse I can’t provide a medical explanation but my guess is it’s because the more upright spine, with less curvature, evens out stresses and sliding tendencies.

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