Pain and neurogenic claudication control in lumbar stenosis, which is the most common cause of spinal surgery in the geriatric population

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dc.contributor.authorYüksel, Mehmet Onur
dc.contributor.authorErdoğan, Barış
dc.contributor.authorUsen, Ahmet
dc.contributor.authorTunçkale, Tamer
dc.contributor.authorÇalışkan, Tezcan
dc.date.accessioned2023-05-06T17:22:10Z
dc.date.available2023-05-06T17:22:10Z
dc.date.issued2023
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı
dc.description.abstractObjectives: The authors aim to present when to do physical therapy or surgery in geriatric patients with degenerative lumbar stenosis. Methods: The authors retrospectively analyzed 250 patients who underwent physical therapy due to lumbar degenerative stenosis between December 2014 and April 2017. The patients were divided into two groups: Central canal stenosis and lateral recess/foraminal stenosis groups. Visual analogue scale and neurological claudication values of both patient groups were evaluated before and after physical therapy. The association between comorbid diseases and the frequency of surgery was also evaluated.Results: 142 of the patients were female and 108 were male, and the mean age of these patients was 69 years. The mean onset of symptoms was 55 months. In the visual analog scale value of patients after physical therapy, the authors observed decreases of 4-6 degrees in patients with central canal stenosis and 2-3 degrees in patients with lateral recess/foraminal stenosis. In addition, the authors observed that patients with lateral recess/foraminal stenosis together with diabetes mellitus benefit less from physical therapy.Conclusion: Physical therapy and rehabilitation play an important role in the treatment of lumbar stenosis. Physical therapy is the primary treatment option for patients who do not have motor muscle strength losses and incontinence and who have pain control through medications. The authors can consider surgical interventions in patients with lateral recess/foraminal stenosis who do not benefit from physical therapy at a satisfactory level.
dc.identifier.doi10.14744/agri.2022.37605
dc.identifier.endpage34
dc.identifier.issn1300-0012
dc.identifier.issue1en_US
dc.identifier.pmid36625188
dc.identifier.scopus2-s2.0-85145956671
dc.identifier.scopusqualityQ3
dc.identifier.startpage28
dc.identifier.trdizinid1179896
dc.identifier.urihttps://doi.org/10.14744/agri.2022.37605
dc.identifier.urihttps://hdl.handle.net/20.500.11776/12088
dc.identifier.volume35
dc.identifier.wosWOS:000940895500005
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.institutionauthorTunçkale, Tamer
dc.institutionauthorÇalışkan, Tezcan
dc.language.isoen
dc.publisherKare Publ
dc.relation.ispartofAgri-The Journal Of The Turkish Society Of Algology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPain
dc.subjectpain management
dc.subjectphysical therapy modalities
dc.subjectvisual analog scale
dc.titlePain and neurogenic claudication control in lumbar stenosis, which is the most common cause of spinal surgery in the geriatric population
dc.typeArticle

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