Condition Info - BotMed Application

ConditionName

Spinal stenosis

ConditionDescription

Symptoms

Sudden onset of focal neurological deficits 
Pain with walking or standing;
Radiating pain;
Better with leaning forward;

PhysicalFindings

Hyperactive DTR;
Sensory loss BELLOW the lesion;
Vertebral tenderness;
Muscle weakness;

Pain and temp: contralateral side
Position and vibration – ipsilateral side

ClinicalTests

Request imaging! – best initial test;
With pacemaker - CT but we will need contrast
MRI (R/O herniation, cancer) – most accurate test

RiskFactors

History of cancer;
Epidural abscess;
History of trauma;
Herniation;
Hematoma (fever);

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

TreatmentOptions

Analgesics;
Physical therapy;
Epidural injections;
Surgical decompression; 
Weight loss!

PharmOptions

Decompress the cord!
Steroids, surgery, chemo, radiation;

WebLink

https://www.merckmanuals.com/en-ca/professional/musculoskeletal-and-connective-tissue-disorders/neck-and-back-pain/lumbar-spinal-stenosis