Exercise or acupuncture? Which alternative treatment works best for patients with lumbar spinal stenosis?

(Natural News) Lumbar spinal stenosis (LSS) causes chronic back pain, which is relieved through a variety of treatment methods. In a study published in the journal BMC Complementary and Alternative Medicine, Japanese researchers compared the effectiveness of medication, exercise, and acupuncture – the three most commonly prescribed approaches – for relieving pain caused by LSS....
Source: NaturalNews.com - Category: Consumer Health News Source Type: news

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Lumbar spinal stenosis (LSS) is a common and often debilitating condition in older people. It is characterized by neurogenic claudication, consisting of lower limb pain and neurological symptoms exacerbated by walking [1]. Patients with LSS often avoid walking because of neurogenic claudication, and have reduced walking distance and physical activity [2,3]. Inadequate physical activity is linked to the development of many chronic diseases such as cardiovascular diseases, type 2 diabetes, neurodegenerative diseases, and certain cancers [4].
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Clinical Study Source Type: research
Treating chronic low back pain (CLBP) with spine-focused interventions is common, potentially dangerous, and often ineffective. We posit that CLBP in older adults is a geriatric syndrome – a final common pathway for the expression of multiple contributors. We have published evidence and expert consensus-based algorithms to guide evaluation and treatment of key biopsychosocial CLBP contributors in older adults – hip osteoarthritis, myofascial pain, fibromyalgia, sacroiliac joint syndrome, lumbar spinal stenosis, leg length inequality, lateral hip/thigh pain, anxiety, depression, insomnia, and maladaptive coping....
Source: The Journal of Pain - Category: Materials Science Authors: Source Type: research
Objectives: Assessment of neuropathic pain in chronic low back syndromes is important. However, there is currently no gold standard for its diagnosis. The aim of this observational cross-sectional study was to assess the neuropathic component of pain in various chronic low back pain syndromes using a range of diagnostic tests. Materials and Methods: Included in this study were 63 patients with chronic axial low back pain (ALBP), 48 patients with chronic radicular syndromes (CRS) comprising 23 with discogenic compression (CDRS) and 25 with lumbar spinal stenosis (LSS), and 74 controls. PainDETECT questionnaire (PDQ), q...
Source: The Clinical Journal of Pain - Category: Anesthesiology Tags: Original Articles Source Type: research
A previous study showed that transforaminal balloon adhesiolysis via the safe triangle was effective in lumbar spinal stenosis. However, retrodiscal pathology is difficult to treat with this method. Therefore we attempted retrodiscal balloon adhesiolysis via Kambin's triangle. The design of our study is a retrospective analysis. The setting of our study is a tertiary, interventional pain management practice, speciality referral center. The primary indication for this procedure is radicular pain arising from ipsilateral retrodiscal pathology. Medical records were reviewed of patients who received retrodiscal decompression ...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Conclusions MILD showed excellent long-term durability, and there was no evidence of spinal instability through 2-year follow-up. Reoperation and spinal fracture rates are lower, and safety is higher for MILD versus other lumbar spine interventions, including interspinous spacers, surgical decompression, and spinal fusion. Given the minimally invasive nature of this procedure, its robust success rate, and durability of outcomes, MILD is an excellent choice for first-line therapy for select patients with central spinal stenosis suffering from neurogenic claudication symptoms with hypertrophic ligamentum flavum. Clinical ...
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: Chronic and Interventional Pain: Original Articles Source Type: research
ConclusionIn the current study we report HRQoL for two degenerative spine presentations; lumbar spinal stenosis with and without significant back pain with two treatments; decompression with and without fusion. Owning to the complexity of degenerative spine, the current paper proposes reporting treatment effectiveness and outcome for 6 TBC groups surgically treated patient's subgroups with the aim of building a database from reported outcome studies that can use the TBC subgrouping model for guiding therapeutic selection for each individual patient.
Source: Interdisciplinary Neurosurgery - Category: Neurosurgery Source Type: research
Title: Lumbar Spinal StenosisCategory: Diseases and ConditionsCreated: 10/30/2007 12:00:00 AMLast Editorial Review: 7/25/2018 12:00:00 AM
Source: MedicineNet Chronic Pain General - Category: Anesthesiology Source Type: news
Publication date: May 2018Source: Annals of Physical and Rehabilitation Medicine, Volume 61, Issue 3Author(s): Charlotte Pauwels, Alexandra Roren, Adrien Gautier, Jonathan Linières, François Rannou, Serge Poiraudeau, Christelle NguyenAbstractBackgroundLumbar-flexion-based endurance training, namely cycling, could be effective in reducing pain and improving function and health-related quality of life in older people with chronic low back pain.ObjectivesTo assess barriers and facilitators to home-based cycling in older patients with lumbar spinal stenosis (LSS).MethodsWe conducted a retrospective mixed-method s...
Source: Annals of Physical and Rehabilitation Medicine - Category: Rehabilitation Source Type: research
ConclusionsThe 30-degreed endoscopy had the advantages of obtaining a wider view. Full endoscopic decompression using 30-degreed endoscopy allowed satisfactory result clinically and reduction of surgical infection. It could be alternative method of microscopic laminectomy.
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research
Publication date: May 2018Source: Annals of Physical and Rehabilitation Medicine, Volume 61, Issue 3Author(s): Charlotte Pauwels, Alexandra Roren, Adrien Gautier, Jonathan Linières, François Rannou, Serge Poiraudeau, Christelle NguyenAbstractBackgroundLumbar-flexion-based endurance training, namely cycling, could be effective in reducing pain and improving function and health-related quality of life in older people with chronic low back pain.ObjectivesTo assess barriers and facilitators to home-based cycling in older patients with lumbar spinal stenosis (LSS).MethodsWe conducted a retrospective mixed-method s...
Source: Annals of Physical and Rehabilitation Medicine - Category: Rehabilitation Source Type: research
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