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A large study of spinal stenosis from Finland found the prognostic factors for ability to work after surgery were ability to work before surgery, age under 50 years, and no prior back surgery. The very long-term outcome (mean follow-up time of 12.4 years) was excellent-to-good in 68% of patients (59% women and 73% men).
Low back pain accounts for 17% of all physician visits of people aged 65 and older. [37] From this population, a large portion of radicular pain stems not from disk pathology, but from lumbar spinal stenosis. [37] According to Kalff et al., 21% of people over the age of 60 have lumbar spinal stenosis, as confirmed by radiological screening. [38]
After age 50 or 60, osteoarthritic degeneration (spondylosis) or spinal stenosis are more likely causes of low back pain or leg pain. 4.8% of males and 2.5% of females older than 35 experience sciatica during their lifetime. Of all individuals, 60% to 80% experience back pain during their lifetime. In 14%, pain lasts more than two weeks.
Of course, the main symptom of back pain is…back pain. But there are other things to look out for. Symptoms of back pain can include: Pain in one spot or all over your back. Pain that comes and goes
Spinal decompression is the main surgical intervention and is the most common back surgery in patients over 65. [1] Other forms of surgical procedures include: laminectomy, microdiscectomy and laminoplasty. [8] [11] Patients with minor symptoms are usually advised to undergo physical therapy, such as stretching and strengthening exercises.
Dysfunction of the superior cluneal nerves lead to many different neuropathic symptoms such as burning pain, numbness, tingling, and dysesthesia around the low back and upper gluteal area. The most common symptoms are localized unilateral low back pain, though up to anywhere between 40 and 82% of patients may complain of leg symptoms – pain ...
Low back pain is the greatest contributor to lost productivity, absenteeism, disability and early retirement worldwide. [26] Difficulty with low back pain most often begins between 20 and 40 years of age. [1] Women and older people have higher estimated rates of lower back pain and also higher disability estimates. [13]
Whether a patient experiences pain or not largely depends on the location of the affected disc and the amount of pressure that is being put on the spinal column and surrounding nerve roots. Degenerative disc disease is one of the most common sources of back pain and affects approximately 30 million people every year. [3]
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