Lumbar spondylosis Flashcards
1
Q
Typical profile
A
>50 yrs: ↑ with age
Dull nagging LBP
Stiffness, esp. in mornings (main feature)
Aggravated by heavy activity, bending (e.g. gardening)
Relief by gentle exercise, hydrotherapy
All movements restricted
Tends to cause spinal canal stenosis with neurogenic claudication, which responds well to surgical decompression.
2
Q
Management
next to do P 59
A
Basic analgesics (depending on patient response and tolerance)
NSAIDs (judicious intermittent use)
Appropriate balance between light activity and rest
Exercise program and hydrotherapy (if available)
Regular mobilisation therapy may help
Consider trials of electrotherapy, such as TENS and acupuncture
