The MOTION Study: Changing the Game for Spinal Stenosis
https://onlinelibrary.wiley.com/doi/10.1111/papr.13293
Pain Pract. 2023 Sep 3.
doi: 10.1111/papr.13293. Online ahead of print.
The MOTION study: Two-year results of a real-world randomized controlled trial of the mild® procedure for treatment of lumbar spinal stenosisTimothy R Deer 1, Timothy B Chafin 2, Shrif J Costandi 3, Huaguang Qu 4, Christopher Kim 1, Navdeep Jassal 5, Kiran...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - September 12, 2023 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Re: Lumbar spinal stenosis
(Source: BMJ Comments)
Source: BMJ Comments - July 26, 2021 Category: General Medicine Source Type: forums
Surgical versus non-surgical treatment for lumbar spinal stenosis: we should evaluate it objectively
(Source: BMJ Comments)
Source: BMJ Comments - July 12, 2021 Category: General Medicine Source Type: forums
basic question about spinal stenosis
Stupid question. I don't quite understand how to distinguish clinically between spinal stenosis vs radiculopathy. I understand spinal stenosis refers to narrowing of the spinal canal and radiculopathy means impingement on the root. How these manifest clinically is where I get confused. I get that classically back pain with relief with forward bending/shopping cart sign point to lumbar spinal stenosis, but can't spinal canal stenosis also impinge on nerve root (e.g. at L4/5, the L5 root) and...
basic question about spinal stenosis (Source: Student Doctor Network)
Source: Student Doctor Network - July 21, 2020 Category: Universities & Medical Training Authors: thetuman Tags: Pain Medicine Source Type: forums
Spinal Stenosis with only axial pain
Hello all:
I have a few patients like this.
Severe lumbar spinal stenosis. No claudication at all.
Failed RF.
Would you send someone like this for a decompression if they have failed an ESI?
Say the axial pain is definitely worse with walking versus if it is not, does that make a difference to you on this issue?
Any surgical literature out there regarding decompression outcomes in this patient population?
Thanks in advance. (Source: Student Doctor Network)
Source: Student Doctor Network - December 20, 2019 Category: Universities & Medical Training Authors: Timeoutofmind Tags: Pain Medicine Source Type: forums
MILD CMS coverage determination expected today
Interesting to read some of the comments: https://www.cms.gov/medicare-coverage-database/details/nca-view-public-comments.aspx?NCAId=284
Commenter: Desai, SK
Title:Neurosurgeon
Organization:University of Texas
Date: 04/23/2016
Percutaneous image-guided lumbar decompression for lumbar spinal stenosis does not work. This is an example of pain practices trying to expand their scope of practice and bill for a laminectomy code to counter declining reimbursements. (Source: Student Doctor Network)
Source: Student Doctor Network - December 7, 2016 Category: Universities & Medical Training Authors: NOSfan Source Type: forums
Surgery no better than PT for Lumbar Spinal Stenosis
http://annals.org/aim/article/22141...tment-lumbar-spinal-stenosis-randomized-trial
Once again, another internal medicine journal rips to shreds back surgery as "no better than PT" after 24 months for "LSS".
Whose telling the truth?
However, another study from JAMA shows that PT doesn't have "clinically significant improvement compared to baseline" for treating back problems either:...
Surgery no better than PT for Lumbar Spinal Stenosis (Source: Student Doctor Network)
Source: Student Doctor Network - November 20, 2016 Category: Universities & Medical Training Authors: DrCommonSense Source Type: forums
Re: Fusion for lumbar spinal stenosis?
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Source: BMJ Comments - July 29, 2016 Category: Journals (General) Source Type: forums
Re: Fusion for lumbar spinal stenosis?
(Source: BMJ Comments)
Source: BMJ Comments - June 21, 2016 Category: Journals (General) Source Type: forums
Fusion or not fusion: An important clinical issue with profound impact Re: Fusion for lumbar spinal stenosis?
(Source: BMJ Comments)
Source: BMJ Comments - June 12, 2016 Category: Journals (General) Source Type: forums
Re: Fusion for lumbar spinal stenosis?
(Source: BMJ Comments)
Source: BMJ Comments - June 12, 2016 Category: Journals (General) Source Type: forums
Re: Fusion adds little value to decompression for lumbar spinal stenosis, studies show
(Source: BMJ Comments)
Source: BMJ Comments - May 10, 2016 Category: Journals (General) Source Type: forums
Re: Management of lumbar spinal stenosis
(Source: BMJ Comments)
Source: BMJ Comments - January 24, 2016 Category: Journals (General) Source Type: forums
Re: Physical therapy is as effective as surgery for lumbar spinal stenosis, study finds
(Source: BMJ Comments)
Source: BMJ Comments - April 12, 2015 Category: Journals (General) Source Type: forums
ESI's for Stenosis...
Conclusion. Despite equivalent baseline status, ESIs were associated with significantly less improvement at 4 years among all patients with spinal stenosis in SPORT. Furthermore, ESIs were associated with longer duration of surgery and longer hospital stay. There was no improvement in outcome with ESI whether patients were treated surgically or nonsurgically. (Source: Student Doctor Network Forums)
Source: Student Doctor Network Forums - February 17, 2013 Category: Universities & Medical Training Authors: 101N Tags: Pain Medicine Source Type: forums
