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Spinal Stenosis Affects Gait and Causes Back Pain

Spinal stenosis affects gait…and today they’re working with “smart shoes” to measure gait abnormalities and connected distorted walking patterns! Our Burlington and Hamilton chiropractic patients dealing with spinal stenosis often remark that they walk differently. That makes sense! Spinal Care Clinic can help relieve Burlington and Hamilton back pain and the related effects of spinal stenosis.

SPINAL STENOSIS AND ITS SIDE EFFECTS

Older folks are more and more affected by frailty and locomotive syndrome, and those who also have lumbar spinal stenosis find themselves even more bothered by it. In a study of such patients who were going to undergo surgery for lumbar spinal stenosis, all but 1 of the 234 patients were documented to have locomotive syndrome while 24.8% had frailty. After surgery, those with frailty showed improvement in locomotion. (1) Yet surgery does not necessarily enhance gait for all spinal stenosis patients. Researchers measured the sagittal vertical axis using a gait motion analysis with lumbar spinal stenosis patients before and after they underwent decompression surgery to determine if there was any improvement in spatiotemporal – how and how quickly a person moves in terms of stride, pace, width of step, etc. - gait parameters. There wasn’t a change in sagittal vertical axis, but there was significant difference in spatiotemporal parameters. (2) Cox® flexion distraction treatment delivered significant improvement to lumbar spinal stenosis patients in terms of  improved function, symptomatology, and performance-based mobility. Further all of their subjective improvement outcomes were statistically and clinically important. (3) This is beneficial!

SPINAL STENOSIS AND POSTURE

It’s also beneficial to understand that lumbar spinal stenosis (LSS) patient’s static spine and pelvic posture are associated with their symptoms.  A recent study investigated the matter of how dynamic alignment of the spine and pelvic might be linked to lumbar spinal function in the daily life of LSS sufferers and discovered that weak hip or trunk extensor muscles, a greater pelvic tilt angle, or smaller spinal flexion during gait resulted in decreased daily-life lumbar function. (4) Spinal Care Clinic seeks to improve the quality of life for our Burlington and Hamilton spinal stenosis patients and appreciates studies that divulge what works. An up-coming study’s goal is to establish a set of data that can assist in defining and/or altering patient treatment plans, indications for surgery, and routines for post-surgery rehab for lumbar spinal stenosis patients who elect to have surgery. These patients come with a distinctive set of issues concerning posture, balance, ambulation biomechanics, paraspinal muscle quality and fatigue rates, as well as symptoms. (5) All of these have a role in a lumbar spinal stenosis patient’s care at Spinal Care Clinic and outcome.

SPINAL STENOSIS AND BACK PAIN AND SMART SHOES!

To ensure as good an outcome as viable, technology may come to the rescue. With lumbar spinal stenosis come gait abnormalities like reduced gait velocity and asymmetry due to muscle weakness and pain in the lower extremities. Have no fear! “Smart shoes” to the rescue! Smart shoes are wearable sensors that can sense gait variations quicker, easier, and cheaper. (6) In the meantime while their accuracy and cost-effectiveness are analyzed - since smart shoes might not be for everyone - the old fashioned in-clinic tests still work, and Spinal Care Clinic knows them well! Find out during your exam!

CONTACT Spinal Care Clinic

Listen to this PODCAST with Dr. Nate McKee on The Back Doctors Podcast with Dr. Michael Johnson as he illustrates how The Cox® Technic System of Spinal Pain Management helps ease spinal stenosis and increase balance.

Make your Burlington and Hamilton chiropractic appointment soon to see us especially if you find your gait being “off” and/or have back pain. Spinal stenosis may be the culprit, and Spinal Care Clinic knows how to rein it in!

 
Burlington and Hamilton back pain affects gait and walking patterns 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."