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Release Date: February 16, 2016
Lumbar spinal stenosis (LSS) refers to narrowing of the lower spinal canal or one or more lumbar vertebral foramina. This condition can cause compression of the neurological structures in the spine, leading to low back pain and radicular symptoms. The prevalence of LSS increases with age and is most commonly due to degenerative changes in older adults. Treatment options for individuals with lumbar spinal stenosis include non-operative care such as physical therapy, medication and injections, and surgery. In recent decades, the fastest growth in lumbar surgery in the United States has occurred in older patients with spinal stenosis.
A physical therapy program for LSS, including patient education, exercise and manual therapy interventions, is usually indicated for mild to moderate cases before surgical intervention is proposed. When identified early, lumbar spinal stenosis is thought to respond well to physical therapy treatment that uses flexion-based exercises and patient education to manage symptoms, potentially delaying or avoiding the need for costly surgical intervention. Physical therapy appears to be beneficial for patients with LSS, however there is a lack of clear treatment guidelines and prognostic indicators for this approach.
This basic level course provides a comprehensive overview of lumbar spinal stenosis, examining both conservative and surgical aspects of care. The course presents an overview of lumbar spinal anatomy and neurogenic pain patterns and examines the etiologies and types of lumbar spinal stenosis. In addition, the course discusses the physical therapy examination, outcome measures, and offers specific examples of physical therapy interventions thought to be essential to the management of this common disorder.
Texas PTs & PTAs - This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #1911021TX and meets continuing competence requirements for PT & PTA license renewal in Texas.
- Identify the types and etiologies of lumbar spinal stenosis.
- Describe the presentation of lumbar spinal stenosis.
- Describe the physical therapy assessment of an individual with lumbar spinal stenosis, including the patient history, physical examination, and clinical tests.
- Identify diagnostic studies used in individuals with lumbar spinal stenosis.
- Summarize appropriate treatment strategies for lumbar spinal stenosis, including medical management, physical therapy, and surgical approaches.
Marie Corkery, PT, MHS, DPT, FAAOMPT, is an associate clinical professor in the Department of Physical Therapy, Movement and Rehabilitation Sciences at Northeastern University in Boston. She completed her DPT at Northeastern University, earned her master’s degree in health science in physical therapy from the University of Indianapolis, and earned her bachelor’s degree in physiotherapy from the National University of Ireland, Dublin. Dr. Corkery also completed a fellowship in orthopedic manual physical therapy from the Institute of Orthopaedic Manual Therapy, Burlington, Massachusetts, and is a fellow of the American Academy of Orthopaedic Manual Physical Therapists. Her clinical and research interests include the exploration of manual therapy approaches and outcomes for patients with spinal dysfunction. She has published and presented nationally and internationally on physical therapy interventions and outcomes for patients with spine pain.
- Courses must be completed within one (1) year of the date of purchase
- You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion
- Through our review processes, Western Schools ensures that the course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support
- All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content
- There are no prerequisites for this course