Presentation
It is also found far more frequently if spondylolisthesis is present. [coxchirocare.com]
Normal L5 on S1 presentation (left) and Grade 1 spondylolisthesis of L5 on S1 (right). Fig 2. Hypermobility seen in a young gymnast. Another term that is being utilized, at present, is "Functional Instability". [spinalphysio.kornberg.net]
Its design and placement make it very effective for use on postlaminectomy patients presenting instability. [vjortho.com]
Presented at the 13th Annual Meeting of the North American Spine Society. [books.google.com]
This means that instability may be present, but the test will miss it. [regenexx.com]
Musculoskeletal
- Back Pain
Methods: In the course of this study, consecutive anteroposterior and lateral radiographs of 197 symptomatic individuals (low back pain) were analyzed between January 2012 and December 2014. [ajol.info]
Back pain is very treatable with Prolotherapy, see our main page Prolotherapy for back pain for more information. [caringmedical.com]
See How a Physical Therapist Can Help with Exercise Article continues below Examples of Exercises Learn more about hamstring stretches for back pain relief: See Specific Hamstring Stretches for Back Pain Relief Hamstring Stretch A passive exercise using [spine-health.com]
It is estimated that around 80% of people will suffer some form of pain, injury, or lack of movement due to back pain. [coloradoactivehealth.com]
[…] exercises back therapy low back pain feedforward Definition/Description Low back pain can be defined as pain or discomfort in the lumbar region. [physio-pedia.com]
- Low Back Pain
Methods: In the course of this study, consecutive anteroposterior and lateral radiographs of 197 symptomatic individuals (low back pain) were analyzed between January 2012 and December 2014. [ajol.info]
[…] exercises back therapy low back pain feedforward Definition/Description Low back pain can be defined as pain or discomfort in the lumbar region. [physio-pedia.com]
Physical therapy for low back pain Physical therapy is the major component of the conservative approach to low back pain. The Caring Medical experience is that the results are often disappointing. [caringmedical.com]
"A clinical prediction rule to identify patients with low back pain most likely to benefit from spinal manipulation: a validation study." Ann Intern Med 2004; 141: 920-928. [thestudentphysicaltherapist.com]
- Acute Low Back Pain
ACA J of Chiropractic 1991; December, pgs 21-24 The authors present a case of a 24-year-old Hispanic hyperkyphotic male with a complaint of acute low back pain as the result of a bending and pulling injury. [coxchirocare.com]
Among the top 20 was: avoiding early imaging (MRIs et al) Do not add cyclobenzaprine or oxycodone to naproxen for patients with acute low back pain encourage patients with chronic or recurrent low back pain to walk.” 2 At Caring Medical we have to agree [caringmedical.com]
Research has shown that both chronic and acute low back pain patients have benefited from some kind of active exercise (1). [elitesportstherapy.com]
Acute care to prevent back disability. Clin Orthop 1987;221:121. 8. Waddell G. A new clinical model for the treatment of low-back pain. Spine 1987;12:632. 9. Tollison C, Kreigel M. Physical exercise in the treatment of low back pain. [ijoonline.com]
[…] chronic low back pain [ 22 - 26 ]. [omicsonline.org]
- Neurogenic Claudication
the absence of neurogenic claudication makes lumbar stenosis much less likely as the explanation for the pain. [8] Causes [ edit ] Spinal stenosis may be congenital (rarely) or acquired (degenerative), overlapping changes normally seen in the aging [en.wikipedia.org]
[…] arterial insufficiency, poor blood flow to leg muscles Neurogenic claudication compression of nerve which may result in loss of blood flow to nerve tissue, associated with spinal stenosis Bicycle Test of Van Gelderen pedal against resistance, LE produced [quizlet.com]
Claudication [in the Physical Medicine and Rehabilitation section].) [emedicine.medscape.com]
Upright and positional MRI can demonstrate changes in intersegmental motion that may correlate with clinical symptoms of Low Back Pain and neurogenic claudication. As yet, however, no published studies have dealt with this topic. [omicsonline.org]
- Spine Pain
Pain Physician. 2005 Apr;8(2):167-73. [ Pubmed ] [ Google Scholar Injection therapy for enthesopathies causing axial spine pain and the “failed back syndrome” ] 9. Hauser RA, Hauser MA. [caringmedical.com]
Treatment
Both diagnoses require some level of treatment so the patient can return to normal activity levels quickly. [coloradoactivehealth.com]
PY - 2001 Y1 - 2001 N2 - Lumbosacral circumferential fusion, a method which is widely adopted for the treatment of the different causes of lumbar pain, may be carried out in a single stage by posterior approach, associating interbody fusion with cages [moh-it.pure.elsevier.com]
Abstract Lumbosacral circumferential fusion, a method which is widely adopted for the treatment of the different causes of lumbar pain, may be carried out in a single stage by posterior approach, associating interbody fusion with cages with posterolateral [ncbi.nlm.nih.gov]
What treatments are available? If your doctor determines that lumbar spinal stenosis is causing your pain, he or she will usually try nonsurgical treatments at first. [spine.org]
LUMBAR STENOSIS TREATMENT • CONSERVATIVE • OPERATIVE 16. Conservative treatment • NSAIDS • Injections - Facet’s Block • Epidural - Caudal injection • Brace • Psychological support • Social support 17. Operative treatment 18. [slideshare.net]
Prognosis
[…] cases. [7] Another procedure using an interspinous distraction device known as X-STOP was less effective and more expensive when more than one spinal levels are repaired. [26] Both surgical procedures are more expensive than medical management. [26] Prognosis [en.wikipedia.org]
Etiology
The degeneration is a natural result of aging, and the etiology of the very common symptom, back and leg pain. Problems of diagnosis, indications and the type of surgery are still discussed. [books.google.com]
ETIOLOGY OF THE LUMBAR STENOSIS 7. Lumbar Stenosis - Developmental 8. Lumbar Stenosis - Degenerative Spondylolisthesis 9. Lumbar Stenosis - Isthmic Spondylolisthesis 10. Lumbar Stenosis - Congenital 11. [slideshare.net]
Spinal instability has its greatest etiology from the intervertebral disc itself. When the disc degenerates, it loses its elastic properties and allows excessive motion of one vertebra on its adjacent one. [coxchirocare.com]
RELEVANCE TO CLINICAL PRACTICE The pathophysiology of instability is highly variable depending on the etiology. [now.aapmr.org]
Over time, radiographic signs become visible (see etiology). Influenced by non-functional factors (psychosocial factors), functional elements of the spine (ligaments, muscles) allow a compensation of degeneration. [physio-pedia.com]
Epidemiology
"Lumbar spinal stenosis: an update on the epidemiology, diagnosis and treatment". [en.wikipedia.org]
Spinal injury in sport: epidemiologic considerations. Clin Sports Med. 1993 Jul. 12(3):441-8. [Medline]. Wilkerson GB, Giles JL, Seibel DK. [emedicine.medscape.com]
The elastic zone starts at the end of the neutral zone and stops at the end of physiologic range of motion. [4], [3] Epidemiology /Etiology Lumbar spinal instability may be caused by [7] : • degenerative disease • facet joint hypertrophy • postoperative [physio-pedia.com]
Pathophysiology
RELEVANCE TO CLINICAL PRACTICE The pathophysiology of instability is highly variable depending on the etiology. [now.aapmr.org]
Prevention
The result of the realignment is decompression of the cauda equine and prevention of the degenerative consequences of lumbosacral instability. [kreupeldier.nl]
The lumbar corset is also used after most lumbar spinal surgeries to provide additional low back support, thus preventing muscles from rapidly fatiguing during recovery. [coloradospineinstitute.com]
Once acute pain improves, your doctor or a therapist can design a rehabilitation program to help prevent recurrent injuries. [acsneuro.com]
This is why you want to guard your spine from becoming further unstable or staying unstable longer than can be prevented. You ask what the chiropractor might do to correct or prevent your spinal instability from advancing further. [drlumbago.com]
Active bending may also present as a 'circular trunk movement' as if the body is rolling around the rim of the vertebra below as a means of preventing shear. Instability is the final stage of breakdown of a spinal segment. [simplebackpain.com]