Spinal stenosis history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
*A positive history of [[trauma]], [[osteoporosis]], [[obesity]], congenital defects, [[Paget's disease]], [[achondroplasia]] and cigarette smoking is suggestive of spinal stenosis. | |||
*The most common symptoms of spinal stenosis include [symptom 1], [symptom 2], and [symptom 3]. | *The most common symptoms of spinal stenosis include [symptom 1], [symptom 2], and [symptom 3]. | ||
*Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. | *Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. | ||
===History=== | ===History=== | ||
Patients with [disease name]] may have a positive history of: | Patients with [disease name]] may have a positive history of: | ||
*[ | *[[Osteoporosis]]<ref name="pmid22719113">{{cite journal| author=Lee BH, Moon SH, Kim HJ, Lee HM, Kim TH| title=Osteoporotic profiles in elderly patients with symptomatic lumbar spinal canal stenosis. | journal=Indian J Orthop | year= 2012 | volume= 46 | issue= 3 | pages= 279-84 | pmid=22719113 | doi=10.4103/0019-5413.96379 | pmc=3377137 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22719113 }} </ref> | ||
*[ | *[[Obesity]]<ref name="pmid26165225">{{cite journal| author=Knutsson B, Sandén B, Sjödén G, Järvholm B, Michaëlsson K| title=Body Mass Index and Risk for Clinical Lumbar Spinal Stenosis: A Cohort Study. | journal=Spine (Phila Pa 1976) | year= 2015 | volume= 40 | issue= 18 | pages= 1451-6 | pmid=26165225 | doi=10.1097/BRS.0000000000001038 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26165225 }} </ref> | ||
*[ | *Cigarette smoking<ref name="pmid27781190">{{cite journal| author=Jackson KL, Devine JG| title=The Effects of Smoking and Smoking Cessation on Spine Surgery: A Systematic Review of the Literature. | journal=Global Spine J | year= 2016 | volume= 6 | issue= 7 | pages= 695-701 | pmid=27781190 | doi=10.1055/s-0036-1571285 | pmc=5077710 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27781190 }} </ref> | ||
*[[Trauma]]<ref name="pmid26191975">{{cite journal| author=Chang V, Ellingson BM, Salamon N, Holly LT| title=The Risk of Acute Spinal Cord Injury After Minor Trauma in Patients With Preexisting Cervical Stenosis. | journal=Neurosurgery | year= 2015 | volume= 77 | issue= 4 | pages= 561-5; discussion 565 | pmid=26191975 | doi=10.1227/NEU.0000000000000888 | pmc=4575254 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26191975 }} </ref> | |||
*Congenital defects<ref name="pmid25155712">{{cite journal| author=Battié MC, Ortega-Alonso A, Niemelainen R, Gill K, Levalahti E, Videman T et al.| title=Lumbar spinal stenosis is a highly genetic condition partly mediated by disc degeneration. | journal=Arthritis Rheumatol | year= 2014 | volume= 66 | issue= 12 | pages= 3505-10 | pmid=25155712 | doi=10.1002/art.38823 | pmc=4308556 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25155712 }} </ref> | |||
*[[Paget's disease]]<ref name="pmid6857391">{{cite journal| author=Weisz GM| title=Lumbar spinal canal stenosis in Paget's disease. | journal=Spine (Phila Pa 1976) | year= 1983 | volume= 8 | issue= 2 | pages= 192-8 | pmid=6857391 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6857391 }} </ref> | |||
*[[Achondroplasia]]<ref name="pmid4264583">{{cite journal| author=Nelson MA| title=Spinal stenosis in achondroplasia. | journal=Proc R Soc Med | year= 1972 | volume= 65 | issue= 11 | pages= 1028-9 | pmid=4264583 | doi= | pmc=1644724 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4264583 }} </ref> | |||
===Common Symptoms=== | ===Common Symptoms=== | ||
Most patients with spinal stenosis present with lower extremity pain relieved spinal [[flexion]] (e.g sitting, cycling). | |||
The pain of spinal stenosis is usually associated with activity and walking, as [[lumbar]] [[extension]] during activity worsens the narrowing of the [[spinal canal]]. | |||
* Other common symptoms of spinal stenosis include: | |||
** Numbness or [[tingling]] in a hand, arm, foot or leg | |||
** Weakness in a foot or leg | |||
** Back pain | |||
** Weakness in a hand, arm, foot or leg | |||
** Problems with walking and [[Balance disorder|balance]] | |||
** In severe cases, [[Bowel|bowe]]<nowiki/>l or [[bladder]] dysfunction | |||
{| class="wikitable" | {| class="wikitable" | ||
!Type of spinal | !Type of spinal | ||
Line 75: | Line 65: | ||
Decreased or absent reflexes in the legs | Decreased or absent reflexes in the legs | ||
|} | |} | ||
==References== | ==References== |
Revision as of 14:16, 23 July 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
History and Symptoms
- A positive history of trauma, osteoporosis, obesity, congenital defects, Paget's disease, achondroplasia and cigarette smoking is suggestive of spinal stenosis.
- The most common symptoms of spinal stenosis include [symptom 1], [symptom 2], and [symptom 3].
- Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History
Patients with [disease name]] may have a positive history of:
- Osteoporosis[1]
- Obesity[2]
- Cigarette smoking[3]
- Trauma[4]
- Congenital defects[5]
- Paget's disease[6]
- Achondroplasia[7]
Common Symptoms
Most patients with spinal stenosis present with lower extremity pain relieved spinal flexion (e.g sitting, cycling).
The pain of spinal stenosis is usually associated with activity and walking, as lumbar extension during activity worsens the narrowing of the spinal canal.
- Other common symptoms of spinal stenosis include:
Type of spinal
involvement |
Symptoms |
---|---|
Cervical | Headache
Loss of sensation over the upper extremities Motor weakness of neck, shoulder, and arm |
Thoracic | Pain in the chest and/or back
Loss of sensation below the level of the compression Paralysis of respiratory muscles |
Lumbosacral | Low back pain that may radiate down the legs
Weakness in the legs and feet
Bladder and bowel problems Sexual dysfunction Foot drop Decreased or absent reflexes in the legs |
References
- ↑ Lee BH, Moon SH, Kim HJ, Lee HM, Kim TH (2012). "Osteoporotic profiles in elderly patients with symptomatic lumbar spinal canal stenosis". Indian J Orthop. 46 (3): 279–84. doi:10.4103/0019-5413.96379. PMC 3377137. PMID 22719113.
- ↑ Knutsson B, Sandén B, Sjödén G, Järvholm B, Michaëlsson K (2015). "Body Mass Index and Risk for Clinical Lumbar Spinal Stenosis: A Cohort Study". Spine (Phila Pa 1976). 40 (18): 1451–6. doi:10.1097/BRS.0000000000001038. PMID 26165225.
- ↑ Jackson KL, Devine JG (2016). "The Effects of Smoking and Smoking Cessation on Spine Surgery: A Systematic Review of the Literature". Global Spine J. 6 (7): 695–701. doi:10.1055/s-0036-1571285. PMC 5077710. PMID 27781190.
- ↑ Chang V, Ellingson BM, Salamon N, Holly LT (2015). "The Risk of Acute Spinal Cord Injury After Minor Trauma in Patients With Preexisting Cervical Stenosis". Neurosurgery. 77 (4): 561–5, discussion 565. doi:10.1227/NEU.0000000000000888. PMC 4575254. PMID 26191975.
- ↑ Battié MC, Ortega-Alonso A, Niemelainen R, Gill K, Levalahti E, Videman T; et al. (2014). "Lumbar spinal stenosis is a highly genetic condition partly mediated by disc degeneration". Arthritis Rheumatol. 66 (12): 3505–10. doi:10.1002/art.38823. PMC 4308556. PMID 25155712.
- ↑ Weisz GM (1983). "Lumbar spinal canal stenosis in Paget's disease". Spine (Phila Pa 1976). 8 (2): 192–8. PMID 6857391.
- ↑ Nelson MA (1972). "Spinal stenosis in achondroplasia". Proc R Soc Med. 65 (11): 1028–9. PMC 1644724. PMID 4264583.