Spinal stenosis history and symptoms: Difference between revisions
No edit summary |
No edit summary |
||
Line 21: | Line 21: | ||
===Common Symptoms=== | ===Common Symptoms=== | ||
Most patients with spinal stenosis present with lower extremity pain relieved spinal [[flexion]] (e.g sitting, cycling). | Most patients with spinal stenosis present with lower extremity pain relieved spinal [[flexion]] (e.g sitting, cycling).<ref name="pmid20227646">{{cite journal| author=Genevay S, Atlas SJ| title=Lumbar spinal stenosis. | journal=Best Pract Res Clin Rheumatol | year= 2010 | volume= 24 | issue= 2 | pages= 253-65 | pmid=20227646 | doi=10.1016/j.berh.2009.11.001 | pmc=2841052 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20227646 }} </ref><ref name="pmid25202160">{{cite journal| author=Ammendolia C| title=Degenerative lumbar spinal stenosis and its imposters: three case studies. | journal=J Can Chiropr Assoc | year= 2014 | volume= 58 | issue= 3 | pages= 312-9 | pmid=25202160 | doi= | pmc=4139768 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25202160 }} </ref><ref name="pmid16566302">{{cite journal| author=Babb A, Carlson WO| title=Spinal stenosis. | journal=S D Med | year= 2006 | volume= 59 | issue= 3 | pages= 103-5 | pmid=16566302 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16566302 }} </ref> | ||
The pain of spinal stenosis is usually associated with activity and walking, as [[lumbar]] [[extension]] during activity worsens the narrowing of the [[spinal canal]]. | The pain of spinal stenosis is usually associated with activity and walking, as [[lumbar]] [[extension]] during activity worsens the narrowing of the [[spinal canal]]. <ref name="pmid20227646">{{cite journal| author=Genevay S, Atlas SJ| title=Lumbar spinal stenosis. | journal=Best Pract Res Clin Rheumatol | year= 2010 | volume= 24 | issue= 2 | pages= 253-65 | pmid=20227646 | doi=10.1016/j.berh.2009.11.001 | pmc=2841052 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20227646 }} </ref><ref name="pmid25202160">{{cite journal| author=Ammendolia C| title=Degenerative lumbar spinal stenosis and its imposters: three case studies. | journal=J Can Chiropr Assoc | year= 2014 | volume= 58 | issue= 3 | pages= 312-9 | pmid=25202160 | doi= | pmc=4139768 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25202160 }} </ref><ref name="pmid16566302">{{cite journal| author=Babb A, Carlson WO| title=Spinal stenosis. | journal=S D Med | year= 2006 | volume= 59 | issue= 3 | pages= 103-5 | pmid=16566302 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16566302 }} </ref> | ||
* Other common symptoms of spinal stenosis include: | * Other common symptoms of spinal stenosis include: | ||
** Numbness or [[tingling]] in a hand, arm, foot or leg | ** Numbness or [[tingling]] in a hand, arm, foot or leg<ref name="pmid20227646">{{cite journal| author=Genevay S, Atlas SJ| title=Lumbar spinal stenosis. | journal=Best Pract Res Clin Rheumatol | year= 2010 | volume= 24 | issue= 2 | pages= 253-65 | pmid=20227646 | doi=10.1016/j.berh.2009.11.001 | pmc=2841052 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20227646 }} </ref> | ||
** Weakness in a foot or leg | ** Weakness in a foot or leg<ref name="pmid9515130">{{cite journal| author=Guigui P, Delecourt C, Delhoume J, Lassale B, Deburge A| title=[Severe motor weakness associated with lumbar spinal stenosis. A retrospective study of a series of 61 patients]. | journal=Rev Chir Orthop Reparatrice Appar Mot | year= 1997 | volume= 83 | issue= 7 | pages= 622-8 | pmid=9515130 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9515130 }} </ref> | ||
** Back pain | ** Back pain<ref name="pmid20227646">{{cite journal| author=Genevay S, Atlas SJ| title=Lumbar spinal stenosis. | journal=Best Pract Res Clin Rheumatol | year= 2010 | volume= 24 | issue= 2 | pages= 253-65 | pmid=20227646 | doi=10.1016/j.berh.2009.11.001 | pmc=2841052 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20227646 }} </ref><ref name="pmid25202160">{{cite journal| author=Ammendolia C| title=Degenerative lumbar spinal stenosis and its imposters: three case studies. | journal=J Can Chiropr Assoc | year= 2014 | volume= 58 | issue= 3 | pages= 312-9 | pmid=25202160 | doi= | pmc=4139768 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25202160 }} </ref><ref name="pmid16566302">{{cite journal| author=Babb A, Carlson WO| title=Spinal stenosis. | journal=S D Med | year= 2006 | volume= 59 | issue= 3 | pages= 103-5 | pmid=16566302 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16566302 }} </ref> | ||
** Weakness in a hand, arm, foot or leg | ** Weakness in a hand, arm, foot or leg<ref name="pmid9515130">{{cite journal| author=Guigui P, Delecourt C, Delhoume J, Lassale B, Deburge A| title=[Severe motor weakness associated with lumbar spinal stenosis. A retrospective study of a series of 61 patients]. | journal=Rev Chir Orthop Reparatrice Appar Mot | year= 1997 | volume= 83 | issue= 7 | pages= 622-8 | pmid=9515130 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9515130 }} </ref> | ||
** Problems with walking and [[Balance disorder|balance]] | ** Problems with walking and [[Balance disorder|balance]]<ref name="pmid19856631">{{cite journal| author=Iversen MD, Kale MK, Sullivan JT| title=Pilot case control study of postural sway and balance performance in aging adults with degenerative lumbar spinal stenosis. | journal=J Geriatr Phys Ther | year= 2009 | volume= 32 | issue= 1 | pages= 15-21 | pmid=19856631 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19856631 }} </ref> | ||
** In severe cases, [[Bowel|bowe]]<nowiki/>l or [[bladder]] dysfunction | ** In severe cases, [[Bowel|bowe]]<nowiki/>l or [[bladder]] dysfunction <ref name="pmid3559621">{{cite journal| author=Foster OJ, Harrison MJ, Crockard HA| title=Exercise provoked faecal incontinence in spinal stenosis. | journal=J Neurol Neurosurg Psychiatry | year= 1987 | volume= 50 | issue= 3 | pages= 362-3 | pmid=3559621 | doi= | pmc=1031810 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3559621 }} </ref><ref name="pmid21375969">{{cite journal| author=De Riggo J, Benčo M, Kolarovszki B, Lupták J, Svihra J| title=[Urinary incontinence in degenerative spinal disease]. | journal=Acta Chir Orthop Traumatol Cech | year= 2011 | volume= 78 | issue= 1 | pages= 67-70 | pmid=21375969 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21375969 }} </ref><ref name="pmid29578476">{{cite journal| author=Truszczyńska-Baszak A, Wysocka E, Starzec M, Drzał-Grabiec J, Tarnowski A| title=Urinary incontinence due to lumbar spinal stenosis causing disability and lowering quality of life. | journal=J Back Musculoskelet Rehabil | year= 2018 | volume= | issue= | pages= | pmid=29578476 | doi=10.3233/BMR-170976 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29578476 }} </ref> | ||
{| class="wikitable" | {| class="wikitable" | ||
!Type of spinal | !Type of spinal |
Revision as of 14:25, 23 July 2018
Spinal stenosis Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Spinal stenosis history and symptoms On the Web |
American Roentgen Ray Society Images of Spinal stenosis history and symptoms |
Risk calculators and risk factors for Spinal stenosis history and symptoms |
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).[8][9][10]
The pain of spinal stenosis is usually associated with activity and walking, as lumbar extension during activity worsens the narrowing of the spinal canal. [8][9][10]
- 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.
- ↑ 8.0 8.1 8.2 8.3 Genevay S, Atlas SJ (2010). "Lumbar spinal stenosis". Best Pract Res Clin Rheumatol. 24 (2): 253–65. doi:10.1016/j.berh.2009.11.001. PMC 2841052. PMID 20227646.
- ↑ 9.0 9.1 9.2 Ammendolia C (2014). "Degenerative lumbar spinal stenosis and its imposters: three case studies". J Can Chiropr Assoc. 58 (3): 312–9. PMC 4139768. PMID 25202160.
- ↑ 10.0 10.1 10.2 Babb A, Carlson WO (2006). "Spinal stenosis". S D Med. 59 (3): 103–5. PMID 16566302.
- ↑ 11.0 11.1 Guigui P, Delecourt C, Delhoume J, Lassale B, Deburge A (1997). "[Severe motor weakness associated with lumbar spinal stenosis. A retrospective study of a series of 61 patients]". Rev Chir Orthop Reparatrice Appar Mot. 83 (7): 622–8. PMID 9515130.
- ↑ Iversen MD, Kale MK, Sullivan JT (2009). "Pilot case control study of postural sway and balance performance in aging adults with degenerative lumbar spinal stenosis". J Geriatr Phys Ther. 32 (1): 15–21. PMID 19856631.
- ↑ Foster OJ, Harrison MJ, Crockard HA (1987). "Exercise provoked faecal incontinence in spinal stenosis". J Neurol Neurosurg Psychiatry. 50 (3): 362–3. PMC 1031810. PMID 3559621.
- ↑ De Riggo J, Benčo M, Kolarovszki B, Lupták J, Svihra J (2011). "[Urinary incontinence in degenerative spinal disease]". Acta Chir Orthop Traumatol Cech. 78 (1): 67–70. PMID 21375969.
- ↑ Truszczyńska-Baszak A, Wysocka E, Starzec M, Drzał-Grabiec J, Tarnowski A (2018). "Urinary incontinence due to lumbar spinal stenosis causing disability and lowering quality of life". J Back Musculoskelet Rehabil. doi:10.3233/BMR-170976. PMID 29578476.