This is a prospective, randomized,

This is a prospective, randomized, controlled single-center trial to compare three non-surgical treatment approaches for patients with LSS. We will recruit 180 community dwelling older adults (age 60 years and older) from the Pittsburgh metropolitan area to participate in this study. The study began in November 2013 and will continue for three years until October 2016. Recruitment strategies will include: direct mailings, advertisements on city busses, informational brochures at the offices of spine surgeons and primary care offices, information articles about our study in senior newspapers and other publications, and informational lectures given at community senior centers and health fairs.