The Rational Clinical Examination
David L. Simel, Drummond Rennie
Low Back Pain, Lumbar Spinal Stenosis
Pradeep Suri, James Rainville, Leonid Kalichman, Jeffrey N. Katz
Sections:
Clinical Scenario, Why Is the Diagnosis Important?, Methods, Results, Scenario Resolution, Bottom Line, References
Topics Discussed:
low back pain, spinal stenosis, spinal stenosis of lumbar region
Excerpt:
"In the following cases, the clinician would like to know if the
patient has the clinical syndrome of lumbar spinal stenosis (LSS).A 67-year-old woman for the past year reports low lumbar pain
while she is standing or walking. She also develops dull, aching
right posterior thigh pain after ambulating for several minutes,
as well as mild tingling on the soles of both feet. Her pain is
typically relieved when she bends forward while standing. On examination,
no abnormalities are found on provocative maneuvers, sensory, motor,
reflex, or balance testing...."
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