Chiropractic Distraction Spinal Manipulation- Lumbar Stenosis Study

Inclusion Criteria: * Age greater than 48 years old * Patient has leg or buttock pain while walking * Patient feels relief of symptoms with bending (flexing) forward * Patient feels relief when using a shopping cart of bicycle * Patient has motor or sensory disturbance while walking * Patient has normal and symmetrical foot pulses * Patient has lower extremity weakness * Patient has low back pain * Duration of symptoms and signs for more than 1 month * Able to stand and walk without assistive devices for at least 20 minutes * Able to give written informed consent and complete interviews and questionnaires in English Exclusion Criteria: * Complicated spinal pain due to fracture, tumor, infection, or severe spondyloarthropathy * Has other severe co-morbidities, including progressive neurological deficit * Other serious pathologies of the locomotor system * No correspondence availability through email * Inability to read/ comprehend English * Compensation or seeking compensation from a third-party liability or workers' compensation * Previous spinal manipulation within the past month