33-2 Lumbar Spinal Stenosis

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Letter from the Editor-in-Chief

In this issue of D.C. Tracts, we have a panel of experts outlining the diagnosis and treatment...

In this issue of D.C. Tracts, we have a panel of experts outlining the diagnosis and treatment of lumbar spinal stenosis. Scientific literature estimates a 30% prevalence of lumbar stenosis in older adults along with a significant financial burden. In addition, surgical rates are high among those with stenosis, and in the United States, lumbar stenosis is attributed to the gaining increase in lumbar surgery in older adults. Nonsurgical management options for lumbar spinal stenosis include manual therapy, exercise and medications.

Our renowned contributors for this issue emphasize the contemporary best practices for managing lumbar spinal stenosis. Dr. Carlo Ammendolia’s pragmatic feature article summarizes the clinical features and appropriate interventions for lumbar stenosis. In addition, audio lectures by Drs. Michael Schneider and Sean Mathers highlight the psychosocial implications of lumbar stenosis, including managing chronic pain, along with other similar clinical presentations. Dr. Brian Gleberzon continues his Juris-Proofing discussion of COVID-19 preparedness for chiropractors. Dr. Brad Muir rounds out this issue with an abstract review of scientific articles that outline clinical practice guidelines for chiropractors treating patients with lumbar spinal stenosis.

I trust that as the reader, you will find this issue of D.C. Tracts both informative and interesting, refining your clinical expertise and patient services.

Best Regards,
Bryan M. Bond, DC, MS, PhD

In This Issue:

  • FEATURE ARTICLE: Degenerative Lumbar Spinal Stenosis: Assessment and Management
    Carlo Ammendolia, DC, PhD
    • Lumbar Spinal Stenosis: The Biopsychosocial Perspective
      Michael Schneider, DC, PhD
    • Differential Diagnoses to Consider with Individuals Presenting with Degenerative Lumbar Spinal Stenosis
      Sean Mathers, DC, DPT
  • JURIS-PROOFING: Juris-Proofing Your Office During COVID-19, Part 2: Advertising and Vaccination
    Brian J. Gleberzon, DC, MHSc
    Brad Muir, HBSc(Kin), DC, FRCCSS(C)
    • Consensus on the Clinical Diagnosis of Lumbar Spinal Stenosis: Results of an International Delphi Study
    • Nonsurgical Interventions for Lumbar Spinal Stenosis Leading to Neurogenic Claudication: A Clinical Practice Guideline
    • Lumbar Spinal Stenosis: How Is It Classified?