Spinal Stenosis Pain: Primary Management Spinal Stenosis: Primary Management

  • Mastrogianni P
  • Benetos IS
  • Pneumaticos S
  • Vlamis J
Keywords: spinal stenosis, pain, primary management

Abstract

As spinal stenosis affects a large number of patients compromising their quality of life, pain management is of vital importance. The purpose of this study is to review the methods of pain management in patients with spinal stenosis, in hospital, in doctor’s office and at home.

A thorough search was performed at the online PUBMED database using the following keywords: “conservative treatment” OR “non-surgical treatment” OR “conservative management” OR “non-surgical management” AND “pain” AND “spinal stenosis”. The search results showed 253 posts. After checking titles and summaries, 131 articles were rejected as not relevant with pain management in spinal stenosis. Of the 122 publications that remained and were evaluated, 29 were rejected for specific reasons. Thus there were 93 studies left for the current review.

Pain management of patients with spinal stenosis is initially conservative, especially if the symptoms are simply numbness and pain. Conservative treatment includes analgesic drugs, physical therapy, steroid injections and acupuncture. However, there is little high quality evidence for the evaluation of non-operative treatment of pain due to spinal stenosis. When conservative management is inefficient, operative treatment displays satisfactory results.

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Author Biographies

Mastrogianni P

3RD Department of Orthopaedic Surgery, University of Athens, KAT Hospital, Athens, Greece

Benetos IS

3RD Department of Orthopaedic Surgery, University of Athens, KAT Hospital, Athens, Greece

Pneumaticos S

3RD Department of Orthopaedic Surgery, University of Athens, KAT Hospital, Athens, Greece

Vlamis J

3RD Department of Orthopaedic Surgery, University of Athens, KAT Hospital, Athens, Greece

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Published
2021-08-20