We engaged in discussions about LSS with a number of older adults at community centers in the Pittsburgh metropolitan area, as well as patients with LSS in treatment at local chiropractic and physical therapy clinics. They expressed frustration with the ways in which LSS impacted their daily routines, especially with respect to interference with their ability to perform specific physical activities that involved walking or standing. Many of them had joined community-based exercise programs to help them stay physically fit and active. Several health insurance companies have begun to cover the costs of group exercise programs for their Medicare Advantage subscribers. These group exercise and healthy aging classes are aimed at helping older adults become and/or stay physically fit. These programs are offered at varying levels of difficulty, commensurate with the baseline level of fitness activity of the participant. In general, all of these group exercise classes focus on light non-impact aerobics, overall flexibility and low intensity strength training.