Lumbar Spinal Stenosis

The underlying causes of back and leg related symptoms are many. However spinal stenosis is one of the readily identifiable reasons for such symptoms and reportedly accounts for a three-fold increase in back and leg pain (Kalichman et al; 2009). Fortunately, these symptoms are amenable to a disciplined and concerted rehabilitation approach.

Narrowing of the spinal foramen may be congenital, but most often it occurs as a part of the cascade of events that accompany degeneration of the spine. Typically, these patients are in the 50’s and older age group with enlarged facets joints, narrowed lumbar discs and spurs that may narrow the foramen through which the spinal nerve exits. The resulting stenosis results in symptoms that mimic vascular insufficiency in the lower limbs thus limiting the patient’s level of physical activity.

Recent approaches using client education, intense physical training and spinal manual therapy have demonstrated significant improvement in symptoms and functional ability over an 8-week program. These programs (Amendolia et al; 2017), referred to as “Bootcamp programs” for spinal stenosis are having superior results compared to other approaches in enhancing the functional outcomes of these patients.

Rejuvenation Health Services Inc will be starting these programs at our Terwillegar clinic this fall. Please contact Hercules Grant PhD PT at this location for further information. hercules.grant@rejuvenationhealth.ca

About Hercules Grant

Hercules Grant, Phd Rehabilitation Science, Physiotherapist at Rejuvenation Health Services. Hercules completed his training with a Bachelor of Physical Therapy at the University of Alberta in 1984 and also completed a Masters in Educational Psychology at the same university. He provides mentor-ship to physical therapy students and physical therapy managers and has lectured on the spine and chronic pain. Hercules is also a past president of the College of Physical Therapists of Alberta and has an abiding interest in professional growth in rehabilitation in general. He holds a PhD in Rehabilitation Science from the University of Alberta. His interest is in the area of the impact of chronic diseases, with an emphasis on hypertension.