Lumbar canal stenosis: start with nonsurgical therapy.
Although surgery is widely viewed as the definitive therapy for lumbar spinal stenosis, no randomized trials have compared surgical vs medical treatment. One study found that 60% of surgically treated patients improved, compared with 30% of those treated nonsurgically. We believe an initial nonsurgical approach is advisable for most patients.
Mazanec
Daniel J
DJ
Spine Center, Department of Rheumatic and Immunologic Disease, The Cleveland Clinic Foundation, Ohio 44195, USA. mazaned@ccf.org
Podichetty
Vinod K
VK
Hsia
Augusto
A
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000367:Age Factors; D000700:Analgesics / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002116:Calcitonin / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006801:Humans; D007268:Injections, Epidural; D026741:Physical Therapy Modalities; D013130:Spinal Stenosis / Q000145:classification / Q000175:diagnosis* / Q000628:therapy*
D000305:Adrenal Cortex Hormones; D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal; D002116:Calcitonin