September 5 th – 8 th 2013 Nottingham Conference Centre, United Kingdom www.nspine.co.uk. Osteopathic Management of Patients with Spinal Stenosis. Spinal Stenosis. Abnormal narrowing of the spinal canal, causing compression of the spinal cord and/or spinal nerve roots. Causes of Stenosis.
Nottingham Conference Centre, United Kingdom
Abnormal narrowing of the spinal canal, causing compression of the spinal cord and/or spinal nerve roots.
3 categories of spinal stenosis according to pathogenesis:
- Bilateral leg symptoms which are vague & often described as heaviness, soreness or weakness.
- Claudication – presents as numbness, weakness or discomfort in legs: may come on with walking or prolonged standing & is relieved by sitting or rest. Patients can walk further if leaning on a shopping trolley or uphill.
- CES if severe.
Unilateral radicular symptoms of leg pain with numbness, paraesthesia or burning in a dermatomal distribution.
*Johnsson KE, Rosen I, Uden A. The natural course of lumbar spinal stenosis. Clin Orthop. 1992; 279: 82-86.
Decompression with or without fusion
Self-perpetuating cycle: adapted posture causes pain, then they flex to relieve the pain which causes worsening of the contractures.