Spinal stenosis differential diagnosis: Difference between revisions
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== Differentiating [Disease name] from other Diseases == | == Differentiating [Disease name] from other Diseases == | ||
Spinal stenosis must be differentiated from other diseases that cause [[lower extremity]] pain and [[back pain]] , such as [ | *Spinal stenosis must be differentiated from other diseases that cause [[lower extremity]] pain and [[back pain]] , such as: Intervertebral [[disk herniation]], [[metastatic]] disease of the spine, vertebral [[osteomyelitis]] or [[discitis]], [[degenerative disk sisease]], [[compression fracture]], [[spondylolysis]], [[spondylolisthesis]], Mechanical [[low back pain]], [[Rheumatoid arthritis]] and primary spinal, [[intradural]], or [[intramedullary]] [[tumor]]. | ||
*The relieving of the pain by spinal [[flexion]] (e.g sitting, cycling) is specific for spinal stenosis and is the key point for differentiation ofspinal stenosis from other common causes of [[lower extremity]] pain and [[back pain]].<ref name="pmid20227646">{{cite journal| author=Genevay S, Atlas SJ| title=Lumbar spinal stenosis. | journal=Best Pract Res Clin Rheumatol | year= 2010 | volume= 24 | issue= 2 | pages= 253-65 | pmid=20227646 | doi=10.1016/j.berh.2009.11.001 | pmc=2841052 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20227646 }} </ref><ref name="pmid25202160">{{cite journal| author=Ammendolia C| title=Degenerative lumbar spinal stenosis and its imposters: three case studies. | journal=J Can Chiropr Assoc | year= 2014 | volume= 58 | issue= 3 | pages= 312-9 | pmid=25202160 | doi= | pmc=4139768 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25202160 }} </ref><ref name="pmid16566302">{{cite journal| author=Babb A, Carlson WO| title=Spinal stenosis. | journal=S D Med | year= 2006 | volume= 59 | issue= 3 | pages= 103-5 | pmid=16566302 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16566302 }} </ref> | |||
The pain of spinal stenosis is usually associated with activity and walking, as [[lumbar]] [[extension]] during activity worsens the narrowing of the [[spinal canal]]. <ref name="pmid20227646">{{cite journal| author=Genevay S, Atlas SJ| title=Lumbar spinal stenosis. | journal=Best Pract Res Clin Rheumatol | year= 2010 | volume= 24 | issue= 2 | pages= 253-65 | pmid=20227646 | doi=10.1016/j.berh.2009.11.001 | pmc=2841052 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20227646 }} </ref><ref name="pmid25202160">{{cite journal| author=Ammendolia C| title=Degenerative lumbar spinal stenosis and its imposters: three case studies. | journal=J Can Chiropr Assoc | year= 2014 | volume= 58 | issue= 3 | pages= 312-9 | pmid=25202160 | doi= | pmc=4139768 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25202160 }} </ref><ref name="pmid16566302">{{cite journal| author=Babb A, Carlson WO| title=Spinal stenosis. | journal=S D Med | year= 2006 | volume= 59 | issue= 3 | pages= 103-5 | pmid=16566302 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16566302 }} </ref> | |||
==References== | ==References== | ||
Revision as of 13:26, 30 July 2018
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Spinal stenosis Microchapters |
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Spinal stenosis differential diagnosis On the Web |
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American Roentgen Ray Society Images of Spinal stenosis differential diagnosis |
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Risk calculators and risk factors for Spinal stenosis differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
Differentiating [Disease name] from other Diseases
- Spinal stenosis must be differentiated from other diseases that cause lower extremity pain and back pain , such as: Intervertebral disk herniation, metastatic disease of the spine, vertebral osteomyelitis or discitis, degenerative disk sisease, compression fracture, spondylolysis, spondylolisthesis, Mechanical low back pain, Rheumatoid arthritis and primary spinal, intradural, or intramedullary tumor.
- The relieving of the pain by spinal flexion (e.g sitting, cycling) is specific for spinal stenosis and is the key point for differentiation ofspinal stenosis from other common causes of lower extremity pain and back pain.[1][2][3]
The pain of spinal stenosis is usually associated with activity and walking, as lumbar extension during activity worsens the narrowing of the spinal canal. [1][2][3]
References
- ↑ 1.0 1.1 Genevay S, Atlas SJ (2010). "Lumbar spinal stenosis". Best Pract Res Clin Rheumatol. 24 (2): 253–65. doi:10.1016/j.berh.2009.11.001. PMC 2841052. PMID 20227646.
- ↑ 2.0 2.1 Ammendolia C (2014). "Degenerative lumbar spinal stenosis and its imposters: three case studies". J Can Chiropr Assoc. 58 (3): 312–9. PMC 4139768. PMID 25202160.
- ↑ 3.0 3.1 Babb A, Carlson WO (2006). "Spinal stenosis". S D Med. 59 (3): 103–5. PMID 16566302.