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Treatments for Mild Spinal Stenosis Mild spinal stenosis can usually be successfully managed with conservative methods, like: Heat and cold therapy to manage inflammation, stiffness, and pain Over-the-counter pain medications to limit day-to-day discomfort (in the short term) Physical therapy to improve muscle strength, enhance range of motion, and correct poor movement patterns Lifestyle changes, such as an exercise routine, quitting smoking, and limiting high-impact movements Regain your mobility with Premia Spine