Non-Operative Treatment for Lumbar Spinal Stenosis with Neurogenic Claudication – 2022 Systematic Review
- RRS Education
Lumbar spinal stenosis (LSS) leading to neurogenic claudication is a significant health challenge among older adults, leading to a reduction in their walking ability, significantly impacting their functional abilities and overall quality of life. Neurogenic claudication is a clinical diagnosis and the main syndrome of LSS, consisting of bilateral or unilateral buttock pain and/or lower extremity discomfort, pain, weakness or heaviness precipitated by walking and prolonged standing and relieved by stooping forward and sitting. LSS results from degenerative changes to the discs, facet joints and ligaments which lead to narrowing of the central and/or lateral spinal canals causing compression and/or ischemia of the spinal nerves.
Patients with LSS typically receive non-operative care as a first-line treatment (at least they should!). In 2013, this group of authors published a Cochrane review evaluating the effectiveness of non-operative management for lumbar spinal stenosis causing neurogenic claudication – this paper was reviewed on RRS at that time. The review in 2013 identified 21 RCTs with the quality of evidence rated as low or very low. The purpose of this study is to update the 2013 review and determine the current state of the literature on non-operative treatment for neurogenic claudication.
Chiropractors can play an important role in treating LSS, which I discuss more in “Older & Bolder: Chiropractic Care for Healthy Aging” - available as on-demand, online E-Seminar!
THIS WEEK'S RESEARCH REVIEW: “Non-Operative Treatment for Lumbar Spinal Stenosis with Neurogenic Claudication – 2022 Systematic Review”
This paper was published in BMJ Open (2022) and this Review is posted in Recent Reviews, Lumbar Spinal Stenosis and the 2022 Archive.