Spine J. 2023 Dec 14:S1529-9430(23)03563-5. doi: 10.1016/j.spinee.2023.12.002. Online ahead of print. Ian Young Abstract Background context: Nonoperative management of lumbar spinal stenosis (LSS) includes activity modification, medication, injections, and physical therapy. Conventional physical therapy includes a multimodal approach of exercise, manual therapy, and electro-thermal modalities. There is a paucity of evidence supporting the use of […]
Ammendolia C, Hofkirchner C, Plener J, et al. Non-operative treatment for lumbar spinal stenosis with neurogenic claudication: an updated systematic review. BMJ Open 2022;12:e057724. doi: 10.1136/bmjopen-2021-057724 Abstract Objectives Neurogenic claudication due to lumbar spinal stenosis (LSS) is a growing health problem in older adults. We updated our previous Cochrane review (2013) to determine the effectiveness […]
Petersen, Tom PhDa; Juhl, Carsten B. PhDb,c; Fournier, Gilles L. MDdAuthor Information SPINE: April 1, 2020 – Volume 45 – Issue 7 – p 483-490 doi: 10.1097/BRS.0000000000003304 Study Design. Prospective cohort study. Objective. The aims of this study were to evaluate the outcome of surgical and nonsurgical treatment for patients with lumbar herniated disc (LHD) […]
Clinical Spine Surgery. Publish Ahead of Print():, JUN 2018 DOI: 10.1097/BSD.0000000000000681 , PMID: 29939845 Issn Print: 2380-0186 Publication Date: 2018/06/22 Tereza Andrasinova Abstract Study Design: This was an observational cross-sectional study. Objective: The purpose of this study was to evaluate whether the degree of stenosis on magnetic resonance imaging (MRI) relates to the severity of […]
Arch Phys Med Rehabil. 2018 Jun 20. pii: S0003-9993(18)30362-9. doi: 10.1016/j.apmr.2018.05.014. [Epub ahead of print] Ammendolia C1, Côté P2, Southerst D3, Schneider M4, Budgell B3, Bombardier C5, Hawker G5, Rampersaud YR6. Highlights Effective non-surgical treatments for lumbar spinal stenosis are unknown. Limited walking ability is the dominant impairment in this population. We conducted a randomized […]
Clinical Spine Surgery. Publish Ahead of Print():, JUN 2018 DOI: 10.1097/BSD.0000000000000681 , PMID: 29939845 Issn Print: 2380-0186 Publication Date: 2018/06/22 Tereza Andrasinova Abstract Study Design: This was an observational cross-sectional study. Objective: The purpose of this study was to evaluate whether the degree of stenosis on magnetic resonance imaging (MRI) relates to the severity of […]
Cushnie, Duncan, MD Spine: May 15, 2018 – Volume 43 – Issue 10 – p E574–E579 doi: 10.1097/BRS.0000000000002429 Study Design. A prospective cohort study of consecutive patients. Objective. Determination of the quality of life (QoL) and prevalence of slip progression in patients with degenerative lumbar spondylolisthesis managed nonoperatively. Summary of Background Data. Lumbar spinal stenosis […]
Spine (Phila Pa 1976). 2016 Feb 1. [Epub ahead of print] Consensus on the Clinical Diagnosis of Lumbar Spinal Stenosis: Results of an International Delphi Study. Tomkins-Lane C1, Melloh M, Lurie J, Smuck M, Freeman B, Samartzis D, Hu R, Barz T, Stuber K, Schneider M, Haig A, Schizas C, Cheung J, Mannion AF, Staub […]
Review question: We reviewed the evidence that compares surgery versus non-surgical treatment for a condition called lumbar spinal stenosis. This condition occurs when the area surrounding the spinal cord and nerves becomes smaller. Background: People with lumbar spinal stenosis experience a range of symptoms including back pain, leg pain, numbness and tingling in the legs and reduced physical […]
Fabio Zaina Published Online: 29 JAN 2016 Assessed as up-to-date: 11 FEB 2015 DOI: 10.1002/14651858.CD010264.pub2 Copyright © 2016 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Abstract Background Lumbar spinal stenosis (LSS) is a debilitating condition associated with degeneration of the spine with aging. Objectives To evaluate the effectiveness of different types of […]
Int J Spine Surg. 2015 Dec 2;9:68. doi: 10.14444/2068. eCollection 2015. Makirov SK, Yuz AA, Jahaf MT, Nikulina AA. Abstract GOAL OF THE STUDY: This study intends to develop a method of quantitative sagittal balance parameters assessment, based on a geometrical model of lumbar spine and sacrum. METHODS: One hundred eight patients were divided into […]
Am Fam Physician. 2015 May 15;91(10):708-14. Common questions about chronic low back pain. Herndon CM, Zoberi KS, Gardner BJ. Abstract More than 30% of U.S. adults report having experienced low back pain within the preceding three months. Although most low back pain is nonspecific and self-limiting, a subset of patients develop chronic low back pain, […]
Markman, John D. MD Spine15 May 2015Vol. 40 – Issue 10: p 684–691Abstract Study Design. Randomized, double-blind, placebo-controlled, single-dose crossover study. Objective. To test the analgesic efficacy of oxymorphone hydrochloride (OH) and propoxyphene/acetaminophen (PA) for patients with neurogenic claudication associated with lumbar spinal stenosis. Summary of Background Data. Although opioids are often prescribed for neurogenic […]
~ But surgery remains a popular option among patients. 04.06.2015 Patients with lumbar spinal stenosis who underwent surgical decompression showed similar improvements in physical function after 2 years compared with those who participated in physical therapy, researchers reported. The study is the first to compare surgery and a standardized physical therapy program directly, wrote Anthony […]
Long-term Outcomes of Lumbar Spinal Stenosis: Eight-Year Results of the Spine Patient Outcomes Research Trial (SPORT) Lurie, Jon D. MD, MS; Tosteson, Tor D. ScD; Tosteson, Anna ScD; Abdu, William A. MD, MS; Zhao, Wenyan PhD; Morgan, Tamara S. MA; Weinstein, James N. DO, MS Spine 15 January 2015 Vol. 40 – Issue 2: p […]
Commonly Prescribed Drug for Lower Back Pain Not Effective December 10, 2014 A new study out today in the journal Neurology shows that pregabalin is not effective in controlling the pain associated with lumbar spinal stenosis, the most common type of chronic lower back pain in older adults. “Chronic low back pain is one of the most […]
The Spine Journal Volume 14, Issue 8, 1 August 2014, Pages 1611-1621 Author links open overlay panelJulie M.FritzPhD, PT, ATC Abstract Background context A period of nonsurgical management is advocated before surgical treatment for most patients with lumbar spinal stenosis. Currently, little evidence is available to define optimal nonsurgical management. Physical therapy is often used, […]
Written by Laura Dyrda | Friday, 01 August 2014 An article recently published in the Journal of Neurosurgery: Spine examines the medical management of lumbar spine disease to find cost and quality value two years after surgery. The researchers examined 50 patients with lumbar spondylolisthesis, 50 patients with stenosis and 50 patients with disc herniation. […]
July 3, 2014 N Engl J Med 2014; 371:11-21 DOI: 10.1056/NEJMoa1313265 Abstract BACKGROUND Epidural glucocorticoid injections are widely used to treat symptoms of lumbar spinal stenosis, a common cause of pain and disability in older adults. However, rigorous data are lacking regarding the effectiveness and safety of these injections. METHODS In a double-blind, multisite trial, […]
The New York Times By PAM BELLUCK JULY 2, 2014 Story Source A widely used method of treating a common cause of back and leg pain — steroid injections for spinal stenosis — may provide little benefit for many patients, according to a new study that experts said should make doctors and patients think twice […]