Lumbar Spinal Stenosis My patient this week was hospitalized due to back surgery. He has DDD, which stands for degenerative disc disease, and he also has lumbar spinal stenosis. For this paper, I am going to focus on lumbar spinal stenosis. This disease is described as the narrowing of the open spaces within a patient’s spine, which can then put pressure on his/her spinal cord and the nerves that travel through the spine to his/her arms and legs (Spinal Stenosis, 2015). The most common cause of spinal stenosis is arthritis, but degenerative changes also occur in the spine as people age and this disorder often occurs in adults over sixty years of age (AAOS, 2013).
Signs and Symptoms Spinal stenosis may cause no signs or symptoms in some patients and in others extreme pain. Some signs and symptoms include back pain, burning pain in the buttocks or legs, numbness or tingling in the buttocks or legs, weakness in the legs, and “foot drop.” These symptoms are often relieved if the patient leans forward or sits down (AAOS, 2013).
Treatment
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Tests include x-rays, magnetic resonance imaging (MRI), and CT myelogram (Spinal Stenosis, 2015). After these exams, if the patient is diagnosed with the disorder treatment is then determined. There are numerous different treatment options. A main goal is to control pain so a patient can be prescribed multiple kinds of drugs including NSAIDs, muscle relaxants, antidepressants, anti-seizure drugs, and opioids. Patients can also do physical therapy that includes stretching, massage, and strengthening. Other options are steroid injections, acupuncture, and chiropractic manipulation. If these treatment options bring about no success surgery is the next option (AAOS, 2013). There are many types of surgeries that can be performed for spinal stenosis and is determined based on the specific circumstances of the patient at
This is a 51-year-old female with an 11/4/2013 date of injury, when she slipped and fell on a wet floor landing on her buttocks.
Spinal stenosis of the lumbar vertebral column is commonly found in patients with chronic lower back, in combination with lower extremity pain. Methods of treatment for the condition include: Interlaminar Epidural Injection, Transforaminal Epidural Injection and Caudal Epidural Injection. Although there is a lot of literature to be found on Caudal Epidural Injections for pain relief related to Lumbar Spinal Stenosis, Interlaminar Epidural Injections are fairly new to the world of research. Manchikanti et al., of the Pain Management Center of Paducah located in Paducah, Kentucky, tested whether or not long-lasting pain relief could be accomplished with Interlaminar Epidural Injections, and if there was a significant difference in pain relief when injections were given with lidocaine, a local anesthetic, alone versus injections given with lidocaine and steroid.
DOI: 6/1/2010. Patient is a 52-year-old male truck driver/warehouse worker who sustained injury when he was struck by a cardboard roll that a co-worker was handing down to him.
John Ryan has a history of chronic back pain correlated to spinal stenosis which was diagnosed in his early forties and has been experiencing constant significant pain in his lower back and hip. Spinal stenosis is considered one common cause of back pain in older adults and normally have an effect on lower lumber spine. Resulting density on the nerve formations which
The most common etiologies of herniated discs are trauma, expected effects of aging, and degenerative processes of the spinal column. Traumatic injuries to the spine can be caused by activities such as weight lifting solely using the back, falling on the buttocks or back, or resisting a sneeze. On the other hand, aging causes the nucleus pulposus to dry out and lose most of its elasticity, triggering it to tear and rupture out of the disc. Lastly, degenerative disease predispose individuals to malalignment and abnormal deterioration of the vertebral column (Grossman, 2013,
The kind of chiropractic treatment to be provided relies upon the reason for the patient's sciatica. A sciatica treatment might incorporate a few different treatments, for example, ice therapy, ultrasound, TENS, and spinal adjustments (spinal manipulation). The following are more subtle elements on these chiropractic treatment modalities.
A Spinal cord injury is a harm to one or all parts of the spinal cord. A spinal cord injury can affect many aspects of a person’s life such as making him weak and unable to perform daily activities. There are two factors that matter when it comes to spinal cord injury: the part of the spinal cord that is affected and the seriousness of the injury. Moreover, the seriousness of a spinal cord disease is distinguished by two terns: complete and incomplete. A spinal cord injury is complete, when it’s hard or become impossible to move the lowest part of the injured spinal cord. On the other hand, a spinal cord injury is incomplete, when it still possible to move the lowest part of your spinal cord even after an injury. Furthermore,
The exercises will be catered toward your specific pain areas so that your comfort is maximized. You can also take OTC or prescription painkillers in addition to taking part in these exercises, or your doctor may recommend epidural steroid injections. Furthermore, if you experience little to no relief from your symptoms, there are also surgical options for lumbar spinal stenosis. Based on the qualifications for SSDI, if you and your doctor are considering surgery, you likely have such restricted movement that you would be considered disabled. Luckily, the laminectomy, one of the more common surgeries for lumbar stenosis, has a high success rate in improving functioning. The above mentioned hospitals can also administer all of these treatments - use their websites to find a treatment center near
Once doctors have diagnosed a patient with scoliosis and have determined the severity, they will begin treatment. There are three main categories of treatment: observation, bracing, and surgery (Davis, 2017). Nonstructural scoliosis can be treated with indirect treatment of the spine. An example of this may be putting a wedge in the shoe of a patient in hopes of evening their leg length, thus causing the spine to correct itself. The majority of people with structural scoliosis, which is incurable, will need surgery in order to lessen the curvature of their spine since observation and bracing is usually insufficient (Davis,
Intervertebral disc degeneration is a common disorder that is characterized by the progressive degeneration of the intervertebral discs, resulting in deformity and dysfunction. The structural and functional integrity of the spine in essence is compromised due to several issues, including inflammation, diminished oxygen, and deficiency of essential water and sugars, which are key components of intervertebral discs balance and proper function. In the United States, roughly 5% of the population experience chronic lower back pain problems, much of which is associated with the disorder. Intervertebral disc degeneration develops with age, and tends to be more prevalent in people who have problems with
Spinal decompression is the process in which the spine is stretched using a traction table with the ultimate goal being to relieve back pain and even leg pain. The procedure is non-surgical and it can even help you with herniated, bulging and even degenerating discs. It works by creating a negative pressure and this retracts and repositions the herniated disc. It also creates a pressure in the disc and this will cause an influx in nutrients and other various substances. We are experts in the field when it comes to spinal decompression and we are very proud to say that we are some of the best in the business.
The main goal for treating chronic back pain is to get rid of the pain (Weiner & Nordin, 2010) and increase physical and social functions of the body (Jackson & Simpson, 2006). There are different ways of treating chronic back pain, which includes medication, physical therapies, interventional treatment, spinal cord stimulation, acupuncture or surgery, depending on the severity of pain that is experienced (Jackson & Simpson, 2006).
Intense Lower Back Pain is a standout amongst the most well-known conditions that we as Physiotherapists see. It can happen from even the most minor of occasions, for example, hanging over to pick something little off the floor, or sniffling. The agony experienced can run from being sensibly mellow to the point of being not able move. The zone in which the agony is felt can likewise differ - from being packed in the Lower Back to being felt into the leg. The Lumbar Spine (lower back) has various structures in it that can be influenced when a harm is maintained. The real ones include: - the circles between vertebrae - the Facet joints (the joints joining vertebrae together) - and/or the muscles in the lower
Degenerative Disc Disease (DDD) is not a disease as much as it is the normal changes in your spines discs as you age. This can be speed up by other primary issues such as continued trauma from carrying heavy packs on your pack such as going to college, or even more so when carrying 60 pound backpacks on force marches in the military. Spinal discs are soft compressible discs that separate the vertebrae that make up the spine.
Spinal stenosis treatment options have evolved over time and with surgical advancements. Treating spinal stenosis envisages several factors like soothing pained nerve fibers as these are impinged by the narrowed vertebral foramina by following.