Spinal Stenosis

Question 1

What is the aetiology of spinal stenosis?

Answer 1

Genetic + vertebral OA

Question 2

What is essentially the cause of spinal stenosis?

Answer 2

General narrowing of the spinal cord

Question 3

What is the presentation of spinal stenosis?

Answer 3

Rapid onset spinal claudication
“heavy buttocks”
Pain on walking w/w/o parasthesia

Question 4

What helps the pain caused by spinal stenosis?

Answer 4

Leaning forward

Question 5

What makes the pain of spinal stenosis worse?

Answer 5

Extension of the back

Question 6

Investigation for spinal stenosis?

Answer 6

MRI

Question 7

Conservative treatment?

Answer 7

Corset

Question 8

1st line treatment?

Answer 8

NSAIDs

Question 9

2nd line treatment?

Answer 9

Intra-spinal corticosteroids

Question 10

3rd line?

Answer 10

Cord decompression surgery