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Funding The authors are grateful for the support of NIH grants R01NS039587, R01NS086423 and R01HD102071

Individuals with lumbar spinal stenosis may believe misinformation and information from non-medical sources, especially when medical providers do not spend sufficient time explaining the disease process and the reasoning behind treatment strategies

An explanation of how we came to these new recommendations can be found in Vitamin B12: Rationale for Recommendations

Generally, physicians dont recommend spinal stenosis surgery unless patients have undergone six to 12 months of non-surgical treatment without symptom improvement