Spinal stenosis medical therapy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
Medical Therapy
- Pharmacologic medical therapy is recommended among patients with spinal stenosis.[1][2]
- Pharmacologic medical therapy is the first step in treatment of patients with spinal stenosis.[1][2]
- Pharmacologic medical therapies for spinal stenosis include Non-steroidal anti-inflammatory drugs, muscle relaxants, opioid analgesics and injectable calcitonin.[3][4][1][2][5]
- The use of epidural steroid injections is controversial and evidence of their efficacy is contradictory.[2]
- Physical therapy is recommended for all patients with spinal stenosis.[6][2]
- No conclusions could be drawn from the review regarding which physical therapy treatment is superior for spinal stenosis.[6]
References
- ↑ 1.0 1.1 1.2 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 2.2 2.3 2.4 Covaro A, Vilà-Canet G, de Frutos AG, Ubierna MT, Ciccolo F, Caceres E (2016). "Management of degenerative lumbar spinal stenosis: an evidence-based review". EFORT Open Rev. 1 (7): 267–274. doi:10.1302/2058-5241.1.000030. PMC 5367584. PMID 28461958.
- ↑ Witenko C, Moorman-Li R, Motycka C, Duane K, Hincapie-Castillo J, Leonard P; et al. (2014). "Considerations for the appropriate use of skeletal muscle relaxants for the management of acute low back pain". P T. 39 (6): 427–35. PMC 4103716. PMID 25050056.
- ↑ Tye EY, Anderson JT, Faour M, Haas AR, Percy R, Woods ST; et al. (2017). "Prolonged Preoperative Opioid Therapy in Patients With Degenerative Lumbar Stenosis in a Workers' Compensation Setting". Spine (Phila Pa 1976). 42 (19): E1140–E1146. doi:10.1097/BRS.0000000000002112. PMID 28187073.
- ↑ Eskola A, Pohjolainen T, Alaranta H, Soini J, Tallroth K, Slätis P (1992). "Calcitonin treatment in lumbar spinal stenosis: a randomized, placebo-controlled, double-blind, cross-over study with one-year follow-up". Calcif Tissue Int. 50 (5): 400–3. PMID 1596776.
- ↑ 6.0 6.1 Macedo LG, Hum A, Kuleba L, Mo J, Truong L, Yeung M; et al. (2013). "Physical therapy interventions for degenerative lumbar spinal stenosis: a systematic review". Phys Ther. 93 (12): 1646–60. doi:10.2522/ptj.20120379. PMC 3870489. PMID 23886845.