Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.
In this week’s news: We’ll Be Looking At –
- Influence of anatomical variations on lumbar foraminal stenosis pathogenesis
- And Finally, a Story about the Comparison between walking test and treadmill test for intermittent claudication associated with lumbar spinal canal stenosis
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #499 recorded March 6, 2015.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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Influence of anatomical variations on lumbar foraminal stenosis pathogenesis
Symptomatic foraminal stenosis has been observed in patients with degenerative disc disease, scoliosis, asymmetrical disc degeneration and spondylolisthesis.
Nevertheless not all patients with the above pathologies will develop symptomatic foraminal stenosis.
The authors of a recent study published in the European Spine Journal, hypothesized that symptomatic patients have anatomical predisposition to foraminal stenosis, namely a larger pedicle height (PH) to vertebral body height (VH) ratio, leaving less room below the pedicle for the exiting nerve root compared to asymptomatic patients.
The study concluded that symptomatic patients with foraminal stenosis have smaller vertebral body height leading to lesser space beneath the pedicle and putting the exiting nerve root at risk in cases of spondylolisthesis or disc degeneration.
Surf to our Show Notes for Links – http://link.springer.com/article/10.1007/s00586-014-3524-3?no-access=true
Comparison between walking test and treadmill test for intermittent claudication associated with lumbar spinal canal stenosis
Another recent European Spine Journal study was published to clarify the priorities of the walking test and the treadmill test for intermittent claudication of lumbar canal stenosis.
The study population comprised 45 subjects, with a mean age of 72.6 years. An investigator walked with the subjects during the walking test or watched the subjects walking on the treadmill machine in the treadmill test.
The pain scales became significantly worse after the walking test. Ten patients who were diagnosed as root symptom type or cauda equine symptoms were subsequently diagnosed as mixed type by the walking test.
The numbers of patients who experienced muscle weakness that was not revealed at rest were eight with the walking test and seven with the treadmill test. The numbers of patients who experienced sensory disturbance that was not observed at rest were seven with the walking test and two with the treadmill test.
The study concluded that the walking test detected significantly more symptoms that were not detected at rest than the treadmill test.
Surf to our Show Notes for Links – http://link.springer.com/article/10.1007/s00586-014-3511-8?no-access=true
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For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.