Spinal stenosis: Difference between revisions
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==Background== | ==Background== | ||
*Low back pain that gets progressively worse over time | |||
**Check ankle-brachial index (ABI) to rule out vascular claudication | |||
*Avoid alcohol and strengthen legs to prevent falls | |||
*Exercise bike or walking recommended with rest when pain comes | |||
**Pain relieved with forward flexion (walking uphill) | |||
**Pain worse with extension (walking downhill) | |||
*Decompressive laminectomy for severe persistent pain | |||
*Adding spinal fusion to decompression improves outcome | |||
*Even with surgery, symptoms may reoccur in a few years | |||
Revision as of 05:02, 29 October 2017
Background
- Low back pain that gets progressively worse over time
- Check ankle-brachial index (ABI) to rule out vascular claudication
- Avoid alcohol and strengthen legs to prevent falls
- Exercise bike or walking recommended with rest when pain comes
- Pain relieved with forward flexion (walking uphill)
- Pain worse with extension (walking downhill)
- Decompressive laminectomy for severe persistent pain
- Adding spinal fusion to decompression improves outcome
- Even with surgery, symptoms may reoccur in a few years