Скачать или смотреть Lumbar Spinal Stenosis Exercises & Stretches | neurogenic claudication | Reduce Leg Pain & Cramps

Explore the clinical presentation and management of lumbar spinal stenosis, a prevalent condition among older adults. We delve into the characteristic symptoms of neurogenic claudication—namely, buttock and leg pain exacerbated by walking and relieved by sitting or leaning forward—and discuss spinal canal narrowing and nerve root compression.

Recognizing hallmark symptoms such as leg heaviness, paresthesia (pins and needles), and nocturnal cramps that differentiate LSS.

An in-depth explanation of how spinal posture influences the lumbar spinal canal dimension, with extension exacerbating narrowing and flexion providing relief.

Non-Surgical Management Principles: Practical strategies rooted in biomechanical principles to alleviate symptoms and improve functional mobility.

These include:
Targeted Stretching Regimen: Demonstrations of flexion-based stretches designed to increase lumbar canal space.

Therapeutic Exercise (Pelvic Tilts): A progressive approach to pelvic tilt exercises in various positions to encourage lumbar flexion and core engagement.

Activity Modification & Ergonomic Strategies: Guidance on planning activity breaks, utilizing assistive devices (e.g., walking poles, shopping trolleys), and adapting exercise modalities (e.g., incline treadmill, recumbent bike/rower) to maintain activity levels within pain tolerance.

Referenced Research: Buser Z, Ortega B, D'Oro A, Pannell W, Cohen JR, Wang J, Golish R, Reed M, Wang JC. Spine Degenerative Conditions and Their Treatments: National Trends in the United States of America. Global Spine J. 2018 Feb;8(1):57-67.Walter KL, O’Toole JE. Lumbar Spinal Stenosis. JAMA. 2022;328(3):310. doi:10.1001/jama.2022.6137

Disclaimer: This video is intended for general educational purposes for healthcare professionals and does not constitute medical advice or a substitute for individualized patient assessment, diagnosis, or treatment. Always exercise clinical judgment and refer to current evidence-based guidelines.