Dave and Rob are joined again by specialist back pain physiotherapist, Adam Dobson and are discussing spinal stenosis
They talk about what lumber spinal stenosis is and why for some it creates no problems and for others, it will mean treatment to alleviate symptoms and improve quality of life
Adam shares great information and advice on what to do if it does cause you problems and explains how exercise therapy and surgical decompression are used based on clinical assessment. This is a must-listen with great answers for people with lumbar spinal stenosis
 
KEY TAKEAWAYS

Lumbar spinal stenosis refers to the lower back. The symptoms are defined as being positionally influenced or exertionally influenced
Three-quarters of people over the age of forty are expected to have some degree of spinal space narrowing
11% of the population present with these problems but it’s not a sign of the body wearing out
Some masquerading problems may not be related to the back at all
Walking even with a degree of leg pain is not harmful if it's tolerable
Bending the back for therapeutic effect should be encouraged
There can be forms of general exercise, sleep and weight management that can help
For most people, lumbar spinal stenosis is a long term problem
The focus should be on quality of life function and exercise is a good first-line treatment
It’s not about trying to change the tunnel narrowing it's about influencing the biology, how things feel and inflammation around the nerve roots.
If the pain is acceptable then it’s fine to continue and working with a clinician can help to establish your personal baseline
Surgery is often reserved for those with high degrees of disability and those who have already been through physiotherapy, it's rarely essential so preference plays an important role

 
BEST MOMENTS
‘There will be softer signs for spinal stenosis’
‘Narrowing doesn’t mean you will have problems’
‘I’m a big advocate of getting the back bending’
‘We are trying to make things feel better and improve the condition’
 
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RESOURCES FROM THIS EPISODE
Spinal Stenosis Booklet 
https://www.southtees.nhs.uk/content/uploads/Lumbar-Spinal-Stenosis-Booklet.pdf
 
South Tees NHS patient information booklets
https://www.southtees.nhs.uk/services/back-pain-triage-and-treat/patient-information-educational-resources/
 
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com   if you have any questions for him.
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Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
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