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{{Spinal stenosis}}
{{Spinal stenosis}}


{{CMG}}; {{AE}}{{MMJ}}
,{{CMG}}; {{AE}}{{MMJ}}


==Overview==
==Overview==
Line 9: Line 9:


Physical examination of patients with spinal stenosis is usually remarkable for [finding 1], [finding 2], and [finding 3].
Physical examination of patients with spinal stenosis is usually remarkable for [finding 1], [finding 2], and [finding 3].
===Appearance of the Patient===
===Appearance of the Patient===
*Patients with spinal stenosis usually appear normal.  
*Patients with spinal stenosis usually appear normal.  
Line 21: Line 19:


===HEENT===
===HEENT===
*{{Spinal stenosis}}
{{CMG}}; {{AE}}{{MMJ}}
==Overview==
==Physical Examination==
Physical examination of patients with spinal stenosis is usually remarkable for [finding 1], [finding 2], and [finding 3].
===Appearance of the Patient===
*Patients with spinal stenosis usually appear normal.
===Vital Signs===
*Patients with spinal stenosis usually have a normal vital signs.
===Skin===
*Skin examination of patients with spinal stenosis is usually normal.
===HEENT===
*{{Spinal stenosis}}
{{CMG}}; {{AE}}{{MMJ}}
==Overview==
==Physical Examination==
Physical examination of patients with spinal stenosis is usually remarkable for [finding 1], [finding 2], and [finding 3].
===Appearance of the Patient===
*Patients with spinal stenosis usually appear normal.
===Vital Signs===
*Patients with spinal stenosis usually have a normal vital signs.
===Skin===
*Skin examination of patients with spinal stenosis is usually normal.
===HEENT===
*
===Neck===
*In patients with cervical spinal stenosis, neck physical examination may be positive for:
**Neck pain and tenderness<ref name="pmid196261743">{{cite journal| author=Meyer F, Börm W, Thomé C| title=Degenerative cervical spinal stenosis: current strategies in diagnosis and treatment. | journal=Dtsch Arztebl Int | year= 2008 | volume= 105 | issue= 20 | pages= 366-72 | pmid=19626174 | doi=10.3238/arztebl.2008.0366 | pmc=2696878 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19626174  }}</ref><ref name="pmid151950453">{{cite journal| author=Kukurin GW| title=The amelioration of symptoms in cervical spinal stenosis with spinal cord deformation through specific chiropractic manipulation: a case report with long-term follow-up. | journal=J Manipulative Physiol Ther | year= 2004 | volume= 27 | issue= 5 | pages= e7 | pmid=15195045 | doi=10.1016/j.jmpt.2004.04.009 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15195045  }}</ref>
===Lungs===
*Pulmonary examination of patients with spinal stenosis is usually normal.
===Heart===
*Cardiovascular examination of patients with spinal stenosis is usually normal.
===Abdomen===
*Abdominal examination of patients with spinal stenosis is usually normal.
===Back===
*Back examination of patients with spinal stenosis is usually positive for:
**[[Lower back pain]] and tenderness<ref name="pmid194903713">{{cite journal| author=Kuramoto A, Chang L, Graham J, Holmes S| title=Lumbar spinal stenosis with exacerbation of back pain with extension: a potential contraindication for supine MRI with sedation. | journal=J Neuroimaging | year= 2011 | volume= 21 | issue= 1 | pages= 92-4 | pmid=19490371 | doi=10.1111/j.1552-6569.2009.00382.x | pmc=3157482 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19490371  }}</ref><ref name="pmid202276463">{{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>
===Genitourinary===
*[[Genitourinary]] examination of patients with spinal stenosis is usually positive for:
**[[Scrotal]] and [[perianal]] [[claudication]]<ref name="pmid257053423">{{cite journal| author=Oh JY, Tan JH, Teo TW, Hee HT| title=Spinal stenosis presenting with scrotal and perianal claudication. | journal=Asian Spine J | year= 2015 | volume= 9 | issue= 1 | pages= 103-5 | pmid=25705342 | doi=10.4184/asj.2015.9.1.103 | pmc=4330204 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25705342  }}</ref>
===Neuromuscular===
*Neuromuscular examination of patients with spinal stenosis is usually positive for:
**Hyperreflexia<ref name="pmid264305893">{{cite journal| author=Park MS, Moon SH, Kim TH, Oh JK, Lyu HD, Lee JH et al.| title=Asymptomatic Stenosis in the Cervical and Thoracic Spines of Patients with Symptomatic Lumbar Stenosis. | journal=Global Spine J | year= 2015 | volume= 5 | issue= 5 | pages= 366-71 | pmid=26430589 | doi=10.1055/s-0035-1549031 | pmc=4577327 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26430589  }}</ref><ref name="pmid243033443">{{cite journal| author=Akhavan-Sigari R, Rohde V, Alaid A| title=Cervical spinal canal stenosis and central disc herniation c3/4 in a man with primary complaint of thigh pain. | journal=J Neurol Surg Rep | year= 2013 | volume= 74 | issue= 2 | pages= 101-4 | pmid=24303344 | doi=10.1055/s-0033-1349202 | pmc=3836946 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24303344  }}</ref><ref name="pmid216071843">{{cite journal| author=Kim KT, Ahn SW, Kwon JT, Kim YB| title=Leg weakness in a patient with lumbar stenosis and adrenal insufficiency. | journal=J Korean Neurosurg Soc | year= 2011 | volume= 49 | issue= 4 | pages= 234-6 | pmid=21607184 | doi=10.3340/jkns.2011.49.4.234 | pmc=3098429 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21607184  }}</ref>
**positive Romberg test
**Decrease in upper extremity sensation<ref name="pmid243033443">{{cite journal| author=Akhavan-Sigari R, Rohde V, Alaid A| title=Cervical spinal canal stenosis and central disc herniation c3/4 in a man with primary complaint of thigh pain. | journal=J Neurol Surg Rep | year= 2013 | volume= 74 | issue= 2 | pages= 101-4 | pmid=24303344 | doi=10.1055/s-0033-1349202 | pmc=3836946 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24303344  }} </ref><ref name="pmid216071843">{{cite journal| author=Kim KT, Ahn SW, Kwon JT, Kim YB| title=Leg weakness in a patient with lumbar stenosis and adrenal insufficiency. | journal=J Korean Neurosurg Soc | year= 2011 | volume= 49 | issue= 4 | pages= 234-6 | pmid=21607184 | doi=10.3340/jkns.2011.49.4.234 | pmc=3098429 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21607184  }} </ref>
**Weak knee and ankle reflexes<ref name="pmid216071843">{{cite journal| author=Kim KT, Ahn SW, Kwon JT, Kim YB| title=Leg weakness in a patient with lumbar stenosis and adrenal insufficiency. | journal=J Korean Neurosurg Soc | year= 2011 | volume= 49 | issue= 4 | pages= 234-6 | pmid=21607184 | doi=10.3340/jkns.2011.49.4.234 | pmc=3098429 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21607184  }} </ref>
**Leg muscle weakness bilaterally<ref name="pmid216071843">{{cite journal| author=Kim KT, Ahn SW, Kwon JT, Kim YB| title=Leg weakness in a patient with lumbar stenosis and adrenal insufficiency. | journal=J Korean Neurosurg Soc | year= 2011 | volume= 49 | issue= 4 | pages= 234-6 | pmid=21607184 | doi=10.3340/jkns.2011.49.4.234 | pmc=3098429 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21607184  }} </ref>
**Positive straight leg raise test<ref name="pmid259837673">{{cite journal| author=Tabesh H, Tabesh A, Fakharian E, Fazel M, Abrishamkar S| title=The effect of age on result of straight leg raising test in patients suffering lumbar disc herniation and sciatica. | journal=J Res Med Sci | year= 2015 | volume= 20 | issue= 2 | pages= 150-3 | pmid=25983767 | doi= | pmc=4400709 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25983767  }}</ref>
**Abnormal gait<ref name="pmid204049543">{{cite journal| author=Kim YS, Park SJ, Oh IS, Kwan JY| title=The clinical effect of gait load test in two level lumbar spinal stenosis. | journal=Asian Spine J | year= 2009 | volume= 3 | issue= 2 | pages= 96-100 | pmid=20404954 | doi=10.4184/asj.2009.3.2.96 | pmc=2852081 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20404954  }}</ref>
===Extremities===
*Extremities examination of patients with spinal stenosis is usually positive for:
**Bilateral calf muscle atrophy
**Weak knee and ankle reflexes
*Muscle atrophy
*Fasciculations in the upper/lower extremity
==References==
{{Reflist|2}}{{WH}} {{WS}}
*
===Neck===
*In patients with cervical spinal stenosis, neck physical examination may be positive for:
**Neck pain and tenderness<ref name="pmid196261742">{{cite journal| author=Meyer F, Börm W, Thomé C| title=Degenerative cervical spinal stenosis: current strategies in diagnosis and treatment. | journal=Dtsch Arztebl Int | year= 2008 | volume= 105 | issue= 20 | pages= 366-72 | pmid=19626174 | doi=10.3238/arztebl.2008.0366 | pmc=2696878 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19626174  }}</ref><ref name="pmid151950452">{{cite journal| author=Kukurin GW| title=The amelioration of symptoms in cervical spinal stenosis with spinal cord deformation through specific chiropractic manipulation: a case report with long-term follow-up. | journal=J Manipulative Physiol Ther | year= 2004 | volume= 27 | issue= 5 | pages= e7 | pmid=15195045 | doi=10.1016/j.jmpt.2004.04.009 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15195045  }}</ref>
===Lungs===
*Pulmonary examination of patients with spinal stenosis is usually normal.
===Heart===
*Cardiovascular examination of patients with spinal stenosis is usually normal.
===Abdomen===
*Abdominal examination of patients with spinal stenosis is usually normal.
===Back===
*Back examination of patients with spinal stenosis is usually positive for:
**[[Lower back pain]] and tenderness<ref name="pmid194903712">{{cite journal| author=Kuramoto A, Chang L, Graham J, Holmes S| title=Lumbar spinal stenosis with exacerbation of back pain with extension: a potential contraindication for supine MRI with sedation. | journal=J Neuroimaging | year= 2011 | volume= 21 | issue= 1 | pages= 92-4 | pmid=19490371 | doi=10.1111/j.1552-6569.2009.00382.x | pmc=3157482 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19490371  }}</ref><ref name="pmid202276462">{{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>
===Genitourinary===
*[[Genitourinary]] examination of patients with spinal stenosis is usually positive for:
**[[Scrotal]] and [[perianal]] [[claudication]]<ref name="pmid257053422">{{cite journal| author=Oh JY, Tan JH, Teo TW, Hee HT| title=Spinal stenosis presenting with scrotal and perianal claudication. | journal=Asian Spine J | year= 2015 | volume= 9 | issue= 1 | pages= 103-5 | pmid=25705342 | doi=10.4184/asj.2015.9.1.103 | pmc=4330204 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25705342  }}</ref>
===Neuromuscular===
*Neuromuscular examination of patients with spinal stenosis is usually positive for:
**Hyperreflexia<ref name="pmid264305892">{{cite journal| author=Park MS, Moon SH, Kim TH, Oh JK, Lyu HD, Lee JH et al.| title=Asymptomatic Stenosis in the Cervical and Thoracic Spines of Patients with Symptomatic Lumbar Stenosis. | journal=Global Spine J | year= 2015 | volume= 5 | issue= 5 | pages= 366-71 | pmid=26430589 | doi=10.1055/s-0035-1549031 | pmc=4577327 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26430589  }}</ref><ref name="pmid243033442">{{cite journal| author=Akhavan-Sigari R, Rohde V, Alaid A| title=Cervical spinal canal stenosis and central disc herniation c3/4 in a man with primary complaint of thigh pain. | journal=J Neurol Surg Rep | year= 2013 | volume= 74 | issue= 2 | pages= 101-4 | pmid=24303344 | doi=10.1055/s-0033-1349202 | pmc=3836946 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24303344  }}</ref><ref name="pmid216071842">{{cite journal| author=Kim KT, Ahn SW, Kwon JT, Kim YB| title=Leg weakness in a patient with lumbar stenosis and adrenal insufficiency. | journal=J Korean Neurosurg Soc | year= 2011 | volume= 49 | issue= 4 | pages= 234-6 | pmid=21607184 | doi=10.3340/jkns.2011.49.4.234 | pmc=3098429 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21607184  }}</ref>
**positive Romberg test
**Decrease in upper extremity sensation<ref name="pmid243033442">{{cite journal| author=Akhavan-Sigari R, Rohde V, Alaid A| title=Cervical spinal canal stenosis and central disc herniation c3/4 in a man with primary complaint of thigh pain. | journal=J Neurol Surg Rep | year= 2013 | volume= 74 | issue= 2 | pages= 101-4 | pmid=24303344 | doi=10.1055/s-0033-1349202 | pmc=3836946 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24303344  }} </ref><ref name="pmid216071842">{{cite journal| author=Kim KT, Ahn SW, Kwon JT, Kim YB| title=Leg weakness in a patient with lumbar stenosis and adrenal insufficiency. | journal=J Korean Neurosurg Soc | year= 2011 | volume= 49 | issue= 4 | pages= 234-6 | pmid=21607184 | doi=10.3340/jkns.2011.49.4.234 | pmc=3098429 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21607184  }} </ref>
**Weak knee and ankle reflexes<ref name="pmid216071842">{{cite journal| author=Kim KT, Ahn SW, Kwon JT, Kim YB| title=Leg weakness in a patient with lumbar stenosis and adrenal insufficiency. | journal=J Korean Neurosurg Soc | year= 2011 | volume= 49 | issue= 4 | pages= 234-6 | pmid=21607184 | doi=10.3340/jkns.2011.49.4.234 | pmc=3098429 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21607184  }} </ref>
**Leg muscle weakness bilaterally<ref name="pmid216071842">{{cite journal| author=Kim KT, Ahn SW, Kwon JT, Kim YB| title=Leg weakness in a patient with lumbar stenosis and adrenal insufficiency. | journal=J Korean Neurosurg Soc | year= 2011 | volume= 49 | issue= 4 | pages= 234-6 | pmid=21607184 | doi=10.3340/jkns.2011.49.4.234 | pmc=3098429 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21607184  }} </ref>
**Positive straight leg raise test<ref name="pmid259837672">{{cite journal| author=Tabesh H, Tabesh A, Fakharian E, Fazel M, Abrishamkar S| title=The effect of age on result of straight leg raising test in patients suffering lumbar disc herniation and sciatica. | journal=J Res Med Sci | year= 2015 | volume= 20 | issue= 2 | pages= 150-3 | pmid=25983767 | doi= | pmc=4400709 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25983767  }}</ref>
**Abnormal gait<ref name="pmid204049542">{{cite journal| author=Kim YS, Park SJ, Oh IS, Kwan JY| title=The clinical effect of gait load test in two level lumbar spinal stenosis. | journal=Asian Spine J | year= 2009 | volume= 3 | issue= 2 | pages= 96-100 | pmid=20404954 | doi=10.4184/asj.2009.3.2.96 | pmc=2852081 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20404954  }}</ref>
===Extremities===
*Extremities examination of patients with spinal stenosis is usually positive for:
**Bilateral calf muscle atrophy
**Weak knee and ankle reflexes
*Muscle atrophy
*Fasciculations in the upper/lower extremity
==References==
{{Reflist|2}}{{WH}} {{WS}}
*
*


Revision as of 15:21, 25 July 2018

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Risk calculators and risk factors for Spinal stenosis physical examination

,Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]

Overview

Physical Examination

Physical examination of patients with spinal stenosis is usually remarkable for [finding 1], [finding 2], and [finding 3].

Appearance of the Patient

  • Patients with spinal stenosis usually appear normal.

Vital Signs

  • Patients with spinal stenosis usually have a normal vital signs.

Skin

  • Skin examination of patients with spinal stenosis is usually normal.

HEENT

Spinal stenosis Microchapters

Home

Patient Information

Overview

Classification

Pathophysiology

Causes

Differentiating spinal stenosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Spinal stenosis physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Spinal stenosis physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Spinal stenosis physical examination

CDC on Spinal stenosis physical examination

Spinal stenosis physical examination in the news

Blogs on Spinal stenosis physical examination

Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Spinal stenosis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[4]

Overview

Physical Examination

Physical examination of patients with spinal stenosis is usually remarkable for [finding 1], [finding 2], and [finding 3].

Appearance of the Patient

  • Patients with spinal stenosis usually appear normal.

Vital Signs

  • Patients with spinal stenosis usually have a normal vital signs.

Skin

  • Skin examination of patients with spinal stenosis is usually normal.

HEENT

Spinal stenosis Microchapters

Home

Patient Information

Overview

Classification

Pathophysiology

Causes

Differentiating spinal stenosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Spinal stenosis physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Spinal stenosis physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Spinal stenosis physical examination

CDC on Spinal stenosis physical examination

Spinal stenosis physical examination in the news

Blogs on Spinal stenosis physical examination

Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Spinal stenosis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [5]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[6]

Overview

Physical Examination

Physical examination of patients with spinal stenosis is usually remarkable for [finding 1], [finding 2], and [finding 3].

Appearance of the Patient

  • Patients with spinal stenosis usually appear normal.

Vital Signs

  • Patients with spinal stenosis usually have a normal vital signs.

Skin

  • Skin examination of patients with spinal stenosis is usually normal.

HEENT

Neck

  • In patients with cervical spinal stenosis, neck physical examination may be positive for:
    • Neck pain and tenderness[1][2]

Lungs

  • Pulmonary examination of patients with spinal stenosis is usually normal.

Heart

  • Cardiovascular examination of patients with spinal stenosis is usually normal.

Abdomen

  • Abdominal examination of patients with spinal stenosis is usually normal.

Back

  • Back examination of patients with spinal stenosis is usually positive for:

Genitourinary

Neuromuscular

  • Neuromuscular examination of patients with spinal stenosis is usually positive for:
    • Hyperreflexia[6][7][8]
    • positive Romberg test
    • Decrease in upper extremity sensation[7][8]
    • Weak knee and ankle reflexes[8]
    • Leg muscle weakness bilaterally[8]
    • Positive straight leg raise test[9]

Extremities

  • Extremities examination of patients with spinal stenosis is usually positive for:
    • Bilateral calf muscle atrophy
    • Weak knee and ankle reflexes
  • Muscle atrophy
  • Fasciculations in the upper/lower extremity

References

  1. ↑ Meyer F, Börm W, Thomé C (2008). "Degenerative cervical spinal stenosis: current strategies in diagnosis and treatment". Dtsch Arztebl Int. 105 (20): 366–72. doi:10.3238/arztebl.2008.0366. PMC 2696878. PMID 19626174.
  2. ↑ Kukurin GW (2004). "The amelioration of symptoms in cervical spinal stenosis with spinal cord deformation through specific chiropractic manipulation: a case report with long-term follow-up". J Manipulative Physiol Ther. 27 (5): e7. doi:10.1016/j.jmpt.2004.04.009. PMID 15195045.
  3. ↑ Kuramoto A, Chang L, Graham J, Holmes S (2011). "Lumbar spinal stenosis with exacerbation of back pain with extension: a potential contraindication for supine MRI with sedation". J Neuroimaging. 21 (1): 92–4. doi:10.1111/j.1552-6569.2009.00382.x. PMC 3157482. PMID 19490371.
  4. ↑ 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.
  5. ↑ Oh JY, Tan JH, Teo TW, Hee HT (2015). "Spinal stenosis presenting with scrotal and perianal claudication". Asian Spine J. 9 (1): 103–5. doi:10.4184/asj.2015.9.1.103. PMC 4330204. PMID 25705342.
  6. ↑ Park MS, Moon SH, Kim TH, Oh JK, Lyu HD, Lee JH; et al. (2015). "Asymptomatic Stenosis in the Cervical and Thoracic Spines of Patients with Symptomatic Lumbar Stenosis". Global Spine J. 5 (5): 366–71. doi:10.1055/s-0035-1549031. PMC 4577327. PMID 26430589.
  7. ↑ 7.0 7.1 Akhavan-Sigari R, Rohde V, Alaid A (2013). "Cervical spinal canal stenosis and central disc herniation c3/4 in a man with primary complaint of thigh pain". J Neurol Surg Rep. 74 (2): 101–4. doi:10.1055/s-0033-1349202. PMC 3836946. PMID 24303344.
  8. ↑ 8.0 8.1 8.2 8.3 Kim KT, Ahn SW, Kwon JT, Kim YB (2011). "Leg weakness in a patient with lumbar stenosis and adrenal insufficiency". J Korean Neurosurg Soc. 49 (4): 234–6. doi:10.3340/jkns.2011.49.4.234. PMC 3098429. PMID 21607184.
  9. ↑ Tabesh H, Tabesh A, Fakharian E, Fazel M, Abrishamkar S (2015). "The effect of age on result of straight leg raising test in patients suffering lumbar disc herniation and sciatica". J Res Med Sci. 20 (2): 150–3. PMC 4400709. PMID 25983767.
  10. ↑ Kim YS, Park SJ, Oh IS, Kwan JY (2009). "The clinical effect of gait load test in two level lumbar spinal stenosis". Asian Spine J. 3 (2): 96–100. doi:10.4184/asj.2009.3.2.96. PMC 2852081. PMID 20404954.

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Neck

  • In patients with cervical spinal stenosis, neck physical examination may be positive for:
    • Neck pain and tenderness[1][2]

Lungs

  • Pulmonary examination of patients with spinal stenosis is usually normal.

Heart

  • Cardiovascular examination of patients with spinal stenosis is usually normal.

Abdomen

  • Abdominal examination of patients with spinal stenosis is usually normal.

Back

  • Back examination of patients with spinal stenosis is usually positive for:

Genitourinary

Neuromuscular

  • Neuromuscular examination of patients with spinal stenosis is usually positive for:
    • Hyperreflexia[6][7][8]
    • positive Romberg test
    • Decrease in upper extremity sensation[7][8]
    • Weak knee and ankle reflexes[8]
    • Leg muscle weakness bilaterally[8]
    • Positive straight leg raise test[9]

Extremities

  • Extremities examination of patients with spinal stenosis is usually positive for:
    • Bilateral calf muscle atrophy
    • Weak knee and ankle reflexes
  • Muscle atrophy
  • Fasciculations in the upper/lower extremity

References

  1. ↑ Meyer F, Börm W, Thomé C (2008). "Degenerative cervical spinal stenosis: current strategies in diagnosis and treatment". Dtsch Arztebl Int. 105 (20): 366–72. doi:10.3238/arztebl.2008.0366. PMC 2696878. PMID 19626174.
  2. ↑ Kukurin GW (2004). "The amelioration of symptoms in cervical spinal stenosis with spinal cord deformation through specific chiropractic manipulation: a case report with long-term follow-up". J Manipulative Physiol Ther. 27 (5): e7. doi:10.1016/j.jmpt.2004.04.009. PMID 15195045.
  3. ↑ Kuramoto A, Chang L, Graham J, Holmes S (2011). "Lumbar spinal stenosis with exacerbation of back pain with extension: a potential contraindication for supine MRI with sedation". J Neuroimaging. 21 (1): 92–4. doi:10.1111/j.1552-6569.2009.00382.x. PMC 3157482. PMID 19490371.
  4. ↑ 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.
  5. ↑ Oh JY, Tan JH, Teo TW, Hee HT (2015). "Spinal stenosis presenting with scrotal and perianal claudication". Asian Spine J. 9 (1): 103–5. doi:10.4184/asj.2015.9.1.103. PMC 4330204. PMID 25705342.
  6. ↑ Park MS, Moon SH, Kim TH, Oh JK, Lyu HD, Lee JH; et al. (2015). "Asymptomatic Stenosis in the Cervical and Thoracic Spines of Patients with Symptomatic Lumbar Stenosis". Global Spine J. 5 (5): 366–71. doi:10.1055/s-0035-1549031. PMC 4577327. PMID 26430589.
  7. ↑ 7.0 7.1 Akhavan-Sigari R, Rohde V, Alaid A (2013). "Cervical spinal canal stenosis and central disc herniation c3/4 in a man with primary complaint of thigh pain". J Neurol Surg Rep. 74 (2): 101–4. doi:10.1055/s-0033-1349202. PMC 3836946. PMID 24303344.
  8. ↑ 8.0 8.1 8.2 8.3 Kim KT, Ahn SW, Kwon JT, Kim YB (2011). "Leg weakness in a patient with lumbar stenosis and adrenal insufficiency". J Korean Neurosurg Soc. 49 (4): 234–6. doi:10.3340/jkns.2011.49.4.234. PMC 3098429. PMID 21607184.
  9. ↑ Tabesh H, Tabesh A, Fakharian E, Fazel M, Abrishamkar S (2015). "The effect of age on result of straight leg raising test in patients suffering lumbar disc herniation and sciatica". J Res Med Sci. 20 (2): 150–3. PMC 4400709. PMID 25983767.
  10. ↑ Kim YS, Park SJ, Oh IS, Kwan JY (2009). "The clinical effect of gait load test in two level lumbar spinal stenosis". Asian Spine J. 3 (2): 96–100. doi:10.4184/asj.2009.3.2.96. PMC 2852081. PMID 20404954.

Template:WH Template:WS

Neck

  • In patients with cervical spinal stenosis, neck physical examination may be positive for:
    • Neck pain and tenderness[1][2]

Lungs

  • Pulmonary examination of patients with spinal stenosis is usually normal.

Heart

  • Cardiovascular examination of patients with spinal stenosis is usually normal.

Abdomen

  • Abdominal examination of patients with spinal stenosis is usually normal.

Back

  • Back examination of patients with spinal stenosis is usually positive for:

Genitourinary


Neuromuscular

  • Neuromuscular examination of patients with spinal stenosis is usually positive for:
    • Hyperreflexia[6][7][8]
    • positive Romberg test
    • Decrease in upper extremity sensation[7][8]
    • Weak knee and ankle reflexes[8]
    • Leg muscle weakness bilaterally[8]
    • Positive straight leg raise test[9]


Extremities

  • Extremities examination of patients with spinal stenosis is usually positive for:
    • Bilateral calf muscle atrophy
    • Weak knee and ankle reflexes
  • Muscle atrophy
  • Fasciculations in the upper/lower extremity

References

  1. ↑ Meyer F, Börm W, Thomé C (2008). "Degenerative cervical spinal stenosis: current strategies in diagnosis and treatment". Dtsch Arztebl Int. 105 (20): 366–72. doi:10.3238/arztebl.2008.0366. PMC 2696878. PMID 19626174.
  2. ↑ Kukurin GW (2004). "The amelioration of symptoms in cervical spinal stenosis with spinal cord deformation through specific chiropractic manipulation: a case report with long-term follow-up". J Manipulative Physiol Ther. 27 (5): e7. doi:10.1016/j.jmpt.2004.04.009. PMID 15195045.
  3. ↑ Kuramoto A, Chang L, Graham J, Holmes S (2011). "Lumbar spinal stenosis with exacerbation of back pain with extension: a potential contraindication for supine MRI with sedation". J Neuroimaging. 21 (1): 92–4. doi:10.1111/j.1552-6569.2009.00382.x. PMC 3157482. PMID 19490371.
  4. ↑ 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.
  5. ↑ Oh JY, Tan JH, Teo TW, Hee HT (2015). "Spinal stenosis presenting with scrotal and perianal claudication". Asian Spine J. 9 (1): 103–5. doi:10.4184/asj.2015.9.1.103. PMC 4330204. PMID 25705342.
  6. ↑ Park MS, Moon SH, Kim TH, Oh JK, Lyu HD, Lee JH; et al. (2015). "Asymptomatic Stenosis in the Cervical and Thoracic Spines of Patients with Symptomatic Lumbar Stenosis". Global Spine J. 5 (5): 366–71. doi:10.1055/s-0035-1549031. PMC 4577327. PMID 26430589.
  7. ↑ 7.0 7.1 Akhavan-Sigari R, Rohde V, Alaid A (2013). "Cervical spinal canal stenosis and central disc herniation c3/4 in a man with primary complaint of thigh pain". J Neurol Surg Rep. 74 (2): 101–4. doi:10.1055/s-0033-1349202. PMC 3836946. PMID 24303344.
  8. ↑ 8.0 8.1 8.2 8.3 Kim KT, Ahn SW, Kwon JT, Kim YB (2011). "Leg weakness in a patient with lumbar stenosis and adrenal insufficiency". J Korean Neurosurg Soc. 49 (4): 234–6. doi:10.3340/jkns.2011.49.4.234. PMC 3098429. PMID 21607184.
  9. ↑ Tabesh H, Tabesh A, Fakharian E, Fazel M, Abrishamkar S (2015). "The effect of age on result of straight leg raising test in patients suffering lumbar disc herniation and sciatica". J Res Med Sci. 20 (2): 150–3. PMC 4400709. PMID 25983767.
  10. ↑ Kim YS, Park SJ, Oh IS, Kwan JY (2009). "The clinical effect of gait load test in two level lumbar spinal stenosis". Asian Spine J. 3 (2): 96–100. doi:10.4184/asj.2009.3.2.96. PMC 2852081. PMID 20404954.

Template:WH Template:WS

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