Lumbar Spinal Stenosis and Seniors

The most common indication for surgery in persons aged over 60 in the United States is Lumbar Spinal Stenosis (LSS). Currently, it is estimated that as many as 400,000 Americans, most over the age of 60, may already be suffering from the symptoms of lumbar spinal stenosis [The American Association of Neurological Surgeons (AANS) and The Congress of Neurological Surgeons (CNS)] and this number is expected to grow as members of the baby boom generation begin to reach their 60s over the next decade.

According to the U.S. Census Bureau, people over 60 will account for 18.7% of the domestic population in 2010 versus 16.6% in 1999.

According to the United Nations' Population Division, Department of Economic and Social Affairs, the trend is global with the number of persons aged 60 years or older estimated to be nearly 600 million in 1999 and is projected to grow to almost 2 billion by 2050, at which time the population of older persons will be larger than the population of children (0-14 years) for the first time in human history. The majority of the world's older persons reside in Asia (53 per cent), while Europe has the next largest share (25%).

The prevalence of musculo-skeletal disorders and the cost to treat them led the World Health Organization and the United Nations to declare 2000-2010 be the Decade committed to improving quality of life to people with bone and joint disease and injuries throughout the world.

Physical Therapy for Spinal Stenosis

Physical therapy consisted of exercises, soft tissue manipulation, and other treatment modalities, such as hot and cold packs. The purpose of exercises is to strengthen the abdominal muscles and promote mobility of the lumbar paraspinal muscles, thus minimizing lordosis.

Lordosis can be reduced by up to 7%, which is sufficient to relieve pain. 50 Trunk strengthening exercises were also prescribed to build up the abdominal and lumbar muscles, “thereby creating a corset of muscles to support the lumbar spine” and to build conditioning and increase walking distance. 

Exercises that encourage lumbar flexion and flattening of the lumbar lordotic curve can be of a clinical benefit to patients suffering from lumbar spinal stenosis. An exercise program must be used 4 to 5 times a week to be beneficial, and any early signs of improvement are observed 4 to 6 weeks after the program has begun.

Original article: http://www.spinalstenosis.org/
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