Spinal stenosis affects gait…and today they’re working with “smart
shoes” to track gait irregularities and associated
distorted walking patterns! Our Williamson chiropractic
patients experiencing spinal stenosis often comment
that they walk differently. That makes sense! Apple Country Chiropractic can help alleviate
Williamson back pain and the related effects of spinal stenosis.
SPINAL STENOSIS AND ITS SIDE EFFECTS
Older folks are affected to a greater extent by frailty and locomotive syndrome, and those
who also have lumbar spinal stenosis find themselves even more
affected. In a study of such patients who were going to undergo surgery for lumbar spinal stenosis, all but 1 of the 234
patients had locomotive syndrome while 24.8% had frailty. After surgery,
those with frailty showed improvement in locomotion.
(1) Yet surgery doesn’t necessarily improve gait
for all spinal stenosis patients. Researchers evaluated the
sagittal vertical axis using a gait motion analysis with lumbar spinal stenosis
patients before and after they underwent decompression surgery to see
if there was any improvement in spatiotemporal – how and how quickly a person walks
in terms of stride, pace, width of step, etc. - gait parameters. There wasn’t a change in sagittal vertical axis, but there
was significant difference in spatiotemporal parameters. (2) Cox®
flexion distraction treatment delivered significant improvement to
lumbar spinal stenosis patients in terms of
enhanced function, symptomatology, and performance-based
mobility. Further all of their subjective improvement outcomes were
statistically and clinically important. (3) This is beneficial!
SPINAL STENOSIS AND POSTURE
It’s also good to understand
that lumbar spinal stenosis (LSS) patient’s static spine and pelvic posture are
related to their symptoms. A recent study investigated the question of how dynamic alignment
of the spine and pelvic might be connected to lumbar spinal
function in the daily life of LSS sufferers and discovered
that weak hip or trunk extensor muscles, a greater pelvic
tilt angle, or smaller spinal flexion during gait resulted
in reduced daily-life lumbar function. (4) Apple Country Chiropractic
seeks to improve the quality of life for our Williamson
spinal stenosis patients and appreciates studies that share
what works. An up-coming study’s goal is to ascertain
a set of data that can help define and/or
alter patient treatment plans, signs for surgery, and routines
for post-surgery rehab for lumbar spinal stenosis patients who choose
to have surgery. These patients come with a unique set of
issues regarding posture, balance, ambulation biomechanics,
paraspinal muscle quality and fatigue rates, as well as symptoms. (5) All of
these play a role in a lumbar spinal stenosis
patient’s care at Apple Country Chiropractic and outcome.
SPINAL STENOSIS AND BACK PAIN AND SMART SHOES!
To ensure as
good an outcome as viable, technology may be of help. With lumbar spinal stenosis come gait
abnormalities like decreased gait velocity
and asymmetry due to muscle weakness and pain in the lower extremities. Have no fear! “Smart shoes” to
the rescue! Smart shoes are wearable sensors that can identify
gait changes quicker, easier, and cheaper. (6) In the meantime while their accuracy and cost-effectiveness are analyzed - since
smart shoes might not be for everyone - the old fashioned in-clinic
tests remain effective, and Apple Country Chiropractic knows them well!
Find out during your examination!
CONTACT Apple Country Chiropractic
Listen to this PODCAST
with Dr. Nate McKee on The
Back Doctors Podcast with Dr. Michael Johnson as he
illustrates how The Cox® Technic System of Spinal Pain
Management helps ease spinal stenosis and increase
Schedule your Williamson chiropractic
appointment soon to see us especially if you find
your gait being “off” and/or experience back pain. Spinal stenosis
may be the culprit, and Apple Country Chiropractic knows how to deal with it!