Lumbar Spinal Stenosis (2)

Question 1

Lumbar spinal stenosis

Answer 1

Bilateral or unilateral back, buttock, or lower extremity discomfort, pain, or weakness

Question 2

What is lumbar spinal stenosis aggravated by?

Answer 2

Walking and prolonged standing

Question 3

What is lumbar spinal stenosis relieved by?

Answer 3

Stopping forward and sitting

Question 4

What percentage of people with lumbar spinal stenosis are asymptomatic?

Answer 4

80%

Question 5

What type of pain can lumbar spinal stenosis result in?

Answer 5

Both somatic and radicular pain

Question 6

Are nerve roots always mechanically sensitive?

Answer 6

No they are mechanically tolerate

Question 7

What makes nerve roots mechanically intolerate?

Answer 7

Becoming chemically sensitized

Question 8

What factors increase likelihood of developing symptoms?

Answer 8

Severity of ischemia

Tissue health

Systemic inflammation (immune system)

Question 9

Is lumbar spinal stenosis insidious or sudden pain?

Answer 9

Insidious

Question 10

Claudication

Answer 10

Pain in the legs and lumbar spine

Question 11

Vascular claudication

Answer 11

Arteries are not getting blood to muscles in the legs

Question 12

Neurogenic claudication

Answer 12

Compressing nerves in central canal

Question 13

What is a two staged treadmill test used to test?

Answer 13

Neurogenic claudication

Question 14

What is the ankle brachial index used to test?

Answer 14

Vascular claudication

Question 15

What indicates vascular claudication on an ankle brachial index?

Answer 15

<.9 (peripheral vascular disease)

Question 16

What does flexion cause in claudication?

Answer 16

Less crowding so symptoms do not come on as quick

Question 17

What is the difference between surgical and conservative care for lumbar spinal stenosis?

Answer 17

Same outcomes but conservative care does not have risks that surgery does

Question 18

What are the treatment goals of lumbar spinal stenosis?

Answer 18

Improve blood flow to lumbar region

Increase local tissue health (deadlift)

Decrease systemic inflammation (sleep, nutrition, lifestyle changes)