Case Report on Lumbar Spinal Stenosis (LSS)

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Ruchita S. Barhate, Ms. Bhawana Dhanvij, Shital Telrandhe, S. R. Kapse

Abstract

Lumbar Spinal Stenosis is a clinical syndrome characterised by discomfort in the buttocks or lower extremities, which may or may not be accompanied by back pain and is linked to a lack of room in the lumbar spine for neuronal and vascular elements. According to the exercise or positionally produced neurogenic claudication that is relieved by forward flexion (i.e. radiating leg soreness when walking or standing for a long time), sitting, and/or lying down is common when symptomatic, according to the North American Spine Society. Despite these distinguishing characteristics, there is no universally recognised "gold standard" for diagnosing LSS. In addition, radiographic findings frequently do not correspond to the patient's complaints. As a result, a variety of clinical, electrodiagnostic, and radiographic examinations are performed. Lumbar spinal stenosis is a narrowing of the spinal canal in the lower part of the back. The spinal cord or the nerves that go from it to your muscles might be compressed by The narrowing of the spinal canal is known as stenosis. Spinal stenosis can damage any part of your spine, although it most usually affects the lower back.


Main symptoms and important clinical findings: A 66 year old male admitted in AVBRH Hospital on date 11/07/2021 with chief complaint of weakness in foot , pain and cramping in one leg when stand for long periods and also black pain.


present case visited/ deposited in AVBRH Hospital in OPD bases on data with complaint of weakness in a foot , pain and cramping in a leg , back pain since 2 month.


The main diagnosis, therapeutic interventions and outcome: After physical examination and investigation this case was diagnosed lumbar spinal stenosis medical management was provide to the patient inj. Naproxen BD , inj. Amitriptyline OD , Tab. Lyrica, Tab. Oxycodone. Nursing perspective: Fluid replacement DNS,RL, monitored vital sign.


Conclusion: Lumbar canal stenosis is a complicated condition marked by degenerative changes in the lumbar spine. This deterioration can develop to a painful and restrictive clinical condition, which should always be explored by reviewing all imaging results thoroughly.

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