Deconstructing chronic low back pain in the older adult—step by step evidence and expertbased recommendations for evaluation and treatment. Part VI: Lumbar spinal stenosis

Julie M. Fritz, Sean D. Rundell, Paul Dougherty, Angela Gentili, Gary Kochersberger, Natalia E. Morone, Srinivasa Naga Raja, Eric Rodriguez, Michelle I. Rossi, Joseph Shega, Gwendolyn Sowa, Debra K. Weiner

Research output: Contribution to journalArticlepeer-review

Abstract

Objective. To present the sixth in a series of articles designed to deconstruct chronic low back pain (CLBP) in older adults. This article focuses on the evaluation and management of lumbar spinal stenosis (LSS), the most common condition for which older adults undergo spinal surgery. Methods. The evaluation and treatment algorithm, a table articulating the rationale for the individual algorithm components, and stepped-care drug recommendations were developed using a modified Delphi approach. The Principal Investigator, a fivemember content expert panel and a nine-member primary care panel were involved in the iterative development of these materials. The illustrative clinical case was taken from the clinical practice of a contributor’s colleague (SR). Results. We present an algorithm and supportive materials to help guide the care of older adults with LSS, a condition that occurs not uncommonly in those with CLBP. The case illustrates the importance of function-focused management and a rational approach to conservative care. Conclusions. Lumbar spinal stenosis exists not uncommonly in older adults with CLBP and management often can be accomplished without surgery. Treatment should address all conditions in addition to LSS contributing to pain and disability.

Original languageEnglish (US)
Pages (from-to)501-510
Number of pages10
JournalPain Medicine (United States)
Volume17
Issue number3
DOIs
StatePublished - 2016

Keywords

  • Aged
  • Assessment
  • Chronic low back pain
  • Chronic pain
  • Elderly
  • Low back pain
  • Lumbar spinal stenosis
  • Primary care
  • Spinal stenosis

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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