23 February 2023: Review Articles
Presentation, Diagnosis, and Management of Lower Back Pain Associated with Spinal Stenosis: A Narrative Review
Dawid Sobański 12ADEF* , Rafał Staszkiewicz 13ADEF , Magdalena Stachura 24EF , Marcin Gadzieliński 3EF , Beniamin Oskar Grabarek 13AEFDOI: 10.12659/MSM.939237
Med Sci Monit 2023; 29:e939237
Background
Causes of Pain Syndromes of the Lumbar Spine
General Characteristics of Degenerative Stenosis of the Lumbar Region of the Spine
Pathomechanism of Pain Syndromes of the Spine
Clinical Symptoms for Patients with Stenosis of the Lumbar Region of the Spine
Differentiation in Degenerative Stenosis of the Lumbar Spine
Radiological Diagnosis of Patients with Degenerative Lumbar Stenosis of the Spine
Pharmacotherapy, Rehabilitation, and Surgical Treatment of Patients with Degenerative Lumbar Spine Stenosis
Rehabilitation Treatment of Patients with Degenerative Lumbar Spine Stenosis
Future Directions
Conclusions
References
Table 4 Sources of pain in degenerative spine disease.
| Tissue | Number of patients | Pain significance (%) | Location of pain |
|---|---|---|---|
| Lumbar fascia | 193 | 0.50 | Back |
| Paraspinal muscles | 193 | 0.00 | Back |
| Supraspinous ligament | 193 | 0.00 | Back |
| Interspinous ligament | 157 | 0.50 | Back |
| Spinous process | 193 | 0.00 | |
| Joint capsule | 192 | 2.50 | Back, buttock |
| Synovial membrane of the joint | 186 | 0.00 | |
| Yellow ligament | 167 | 0.00 | |
| Epidural fat | 193 | 0.00 | |
| Back part of the dura mater | 92 | 6.00 | Buttock, leg |
| Front part of the dura mater | 64 | 5.00 | Back, buttock |
| Compressed nerve root | 167 | 90.00 | Whole lower limb |
| Uncompressed nerve root | 55 | 9.00 | Buttock, leg |
| Central part of the fibrous ring | 183 | 15.00 | Back |
| Centro-lateral part of the fibrous ring | 144 | 30.00 | Back |
| Vertebral pulp | 176 | 0.00 | |
| Endplate | 109 | 9.00 | Back |