Lumbosacral Spinal Stenosis - Non-Invasive Postural Therapy for Older Adult Veterans

Inclusion Criteria: * Veterans receiving care at participating VA * Ability to read and write English and understand instructions * Agrees to comply with instructions * Symptoms for over 3 months * Diagnosis of Lumbar Spinal Stenosis as the cause of symptoms * Discomfort involving low back pain and / or neurogenic claudication of legs or thighs * Back and/or leg symptoms greater than 3/10 provoked by walking and / or standing * X ray, CT, or MRI performed within the last 12 months shows Lumbar Spinal Stenosis at 1 or 2 levels * Prior treatment for Spinal Stenosis including therapy, medication, epidural injections, but not surgery * Relief of pain (standardly within 5 minutes) by sitting down * Ability to walk 30 feet without a cane or walker * General health presents ability to increase activity level if Back and / or leg symptoms resolve * If home has stairs and patient uses multiple levels, must have steady handrail * Transportation routinely available by car or car service and not by bus * Home location allows restriction of walking to flat surfaces (lack of hills), with availability to increase ambulation on flat surfaces * Current symptoms are problematic within 7 minutes or one block of walking Exclusion Criteria: * Previous Low Back Surgery for SS including decompression or fusion * Successful Spinal Stenosis Treatment (such as injection) over the prior 3 months * X ray, CT, or MRI shows Lumbar Spinal Stenosis in 3 or 4 levels * Prior Lumbar Fracture * Scoliosis with Cobb angle over 20 degrees on weight bearing AP Views * Inflammatory arthropathy involving the Lumbar Spine, such as RA * Radiculopathy attributed to herniated disc * Suspected or confirmed moderate to severe large fiber neuropathy * Failure of relief of back or leg pain brought on by standing or walking, within 5 minutes, by sitting down * Rapid increase in symptoms with lumbar flexion such as sitting, Increase in symptoms brought on by leaning on grocery cart or walker * Reduced symptoms by lumbo-sacral extension * Vascular Claudication with ABI less than 60 or over 140 * Prior bypass or stent surgery for PAD * Current foot, ankle, leg, or thigh infection or open ulcer * Current use of a Brace for foot, ankle, or knee pathology, * Moderate to severe arthritis of the Hip, knee, ankle or foot preventing pain free ambulation greater than 1 block * Neurologic or neurodegenerative induced gait pathology such as CVA, Parkinson's, NPH, Cervical Myelopathy * Current Medico Legal issues, active substance use, SI, HI, or other factors that may interfere with completion of six-week treatment trial * Planned surgery or procedure in the 6-week study period