Presentation, Diagnosis, and Management of Lower Back Pain Associated with Spinal Stenosis: A Narrative Review

23 February 2023 : Review article

Dawid Sobański^12ADEF*, Rafał Staszkiewicz^13ADEF, Magdalena Stachura^24EF, Marcin Gadzieliński^3EF, Beniamin Oskar Grabarek^13AEF

DOI: 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

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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

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