Spinal Stenosis:

Spinal Stenosis:

Symptoms/Chief complain (C/C):

1.   Usual age group 50 years and above.
2. Tiredness, weakness, numbness, Parasthesia and aching pain in the lower limb after standing or walking for 5-10 minutes.
3. Symptoms completely relived by bending forward, sitting or squatting.
4. Symptoms usually unilateral.

History of (H/O): Previous history of disc proleps or chronic backache.

Signs/On examination (O/E):

1.   Walking for 5-10 minutes causes the appearance of tiredness, weakness, numbness, parasthesia and aching pain in the lower limb.
2. Downhill/downward stairing worsen the condition.

Investigation:

X-ray showa degenerative changes. Best investigation is CT Scan.

Treatment:

1. Lumber traction.
2. UST/SWD.
3. Active flexion exercises of lumber spine.
4. Strengthening exercises of Abdominal muscles, Start as isometric exercise (Bilateral SLR)
5. Avoid extension attitude of back.
6. Gentle passive manipulaiton techique.