PMID: 9553588Apr 29, 1998Paper

Conservative management of lumbar spinal stenosis. Identifying patients likely to do well without surgery

Postgraduate Medicine
W Nagler, H S Hausen

Abstract

Lumbar spinal stenosis is a painful condition that often leads to irreversible neurologic damage and functional disability. Thus, early diagnosis and management are important. Conservative therapy, which is appropriate for many patients, minimizes invasive intervention and decreases the risks of morbidity. As more people live to older ages, the incidence of lumbar spinal stenosis will likely increase. If results of a thorough history and physical examination suggest the disorder, a course of appropriate physical therapy should be started promptly; more expensive tests and treatments are reserved for patients whose pain is refractory to early conservative intervention. However, if pain is severe, if the origin is not clear, or if neurologic deficits quickly become worse, immediate neuroradiologic studies should be considered, including timely EMG. Strong guidance by the primary care physician is of paramount importance because the therapeutic program is lengthy. Additional help from a physiatrist, neurologist, or orthopedic surgeon may be indicated as treatment progresses.

References

Nov 1, 1992·Journal of Neurosurgery·A J Caputy, A J Luessenhop
Oct 1, 1989·Seminars in Arthritis and Rheumatism·L W MorelandG S Alarcón
Apr 1, 1988·Seminars in Roentgenology·C W Pleatman, R R Lukin
Jan 1, 1986·Journal of Neurosurgery·R Watanabe, W W Parke
Apr 1, 1973·Radiology·G H RobersonJ M Taveras
Jan 1, 1982·Journal of Neurosurgery·N EpsteinV Benjamin

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Citations

Nov 14, 2003·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Zeev ArinzonReuven Gepstein
Mar 8, 2003·Physical Medicine and Rehabilitation Clinics of North America·Julie M WhitmanJulie M Fritz
Mar 1, 2012·Folia medica·Konstantine C BalakatounisPanayiotis J Papagelopoulos
Mar 12, 2005·Archives of Physical Medicine and Rehabilitation·Andrew N VoRobert J Kaplan
Mar 18, 2003·Journal of Women's Health·Susan S WuWillibald Nagler
Mar 12, 2002·Acta Neurologica Scandinavica·B ZileliN Yünten
Jan 11, 2007·Current Sports Medicine Reports·Jon Englund
Mar 16, 2001·Clinical Orthopaedics and Related Research·M P Bodack, M Monteiro
Apr 5, 2008·Clinics in Geriatric Medicine·John D Markman, Kristina G Gaud

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