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This article is a literature review that discusses the management of pain associated with lumbar spinal stenosis (LSS). LSS is characterized by the narrowing of the space within the vertebral canal and/or intervertebral foramina, leading to compression of the spinal cord and spinal nerves. Lower back pain and neurogenic claudication are the main symptoms of LSS. The review examines various methods of pain management, including non-invasive techniques such as physical exercises, epidural corticosteroid injections, and oral analgesics, as well as surgical interventions like decompression and fusion surgeries. It also explores newer surgical techniques like interspinous spacer devices and minimally invasive lumbar decompression. The majority of comparative studies suggest that surgical interventions are more effective in managing pain associated with LSS
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised treatment clinic on Harley Street UK
Published article
Lumbar spinal stenosis (LSS) occurs due to the narrowing of the space within the vertebral canal and or intervertebral foramina. This results in the compression of the spinal cord and possibly the roots of the spinal nerves. Lower back pain and neurogenic claudication (NC) are major symptoms of spinal stenosis. This is a literature review that summarizes the important findings pertaining to pain management of spinal stenosis. Twenty-four original articles were assessed. Pain can be treated…
Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
Cureus. 2023 Aug 25;15(8):e44116. doi: 10.7759/cureus.44116. eCollection 2023 Aug.ABSTRACTLumbar spinal stenosis (LSS) occurs due to the narrowing of the space within the vertebral canal and or intervertebral foramina. This results in the compression of the spinal cord and possibly the roots of the spinal nerves. Lower back pain and neurogenic claudication (NC) are major symptoms,
Cureus. 2023 Aug 25;15(8):e44116. doi: 10.7759/cureus.44116. eCollection 2023 Aug.
ABSTRACT
Lumbar spinal stenosis (LSS) occurs due to the narrowing of the space within the vertebral canal and or intervertebral foramina. This results in the compression of the spinal cord and possibly the roots of the spinal nerves. Lower back pain and neurogenic claudication (NC) are major symptoms of spinal stenosis. This is a literature review that summarizes the important findings pertaining to pain management of spinal stenosis. Twenty-four original articles were assessed. Pain can be treated through non-invasive or surgical methods. Conservative techniques include physical exercises, epidural corticosteroid injection, local anesthetic injection therapy, and oral analgesics. Surgical intervention deals with the decompression of the affected spinal region, with or without vertebral fusion surgery. Other novel surgical techniques include implantation of specific equipment, known as interspinous spacer devices and minimally invasive lumbar decompression (MILD). Most studies offering a comparative analysis have demonstrated that surgical intervention is more efficacious than non-surgical interventions to manage pain associated with spinal stenosis.
PMID:37753034 | PMC:PMC10518428 | DOI:10.7759/cureus.44116
The London Spine Unit : most specialised treatment clinic on Harley Street UK
Read the original publication:
Pain Management Interventions in Lumbar Spinal Stenosis: A Literature Review
