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PHYS THER
Vol. 76, No. 2, February 1996, pp. 187-190
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Article

Lumbar spinal stenosis

P Nowakowski, A Delitto, and RE Erhard

Department of Physical Therapy, Western New York Physical Therapy Group at Weinberg Campus, Amherst, NY 14068, USA.

Symptoms for spinal stenosis apparently result from an incongruity between the capacity and contents of the spinal nerve passages. These symptoms are most frequently seen in men in their fifth or sixth decade of life. Spinal extension generally exacerbates the claudication-type symptoms (lower-extremity pain and paresthesia), whereas spinal flexion diminishes these symptoms. Differential diagnosis is needed to rule out vascular claudication due to atherosclerosis. Decisions regarding surgery should be made based not only on diagnostic imaging but also on a thorough history and clinical examination.


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M. J Mueller and K. S Maluf
Tissue Adaptation to Physical Stress: A Proposed "Physical Stress Theory" to Guide Physical Therapist Practice, Education, and Research
Physical Therapy, April 1, 2002; 82(4): 383 - 403.
[Abstract] [Full Text] [PDF]


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Copyright © 1996 by the American Physical Therapy Association.