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18 lip 2024 · In many cases, people with spinal stenosis find that walking uphill, up a flight of stairs, or up an incline may worsen their spinal stenosis symptoms.
For the same reason, walking uphill is often easier and less painful for people with lumbar spinal stenosis (note that the trunk is flexed when walking uphill) than when walking downhill (where the trunk is extended, thus compressing the spinal canal and causing symptoms).
Lumbar spinal stenosis refers to an anatomic and pathologic condition that includes the narrowing of the lower spinal canal (central stenosis) or one or more lumbar vertebral foramina (foraminal/lateral stenosis).
13 sie 2023 · Spinal stenosis most commonly is caused by degenerative osteoarthritis of the spine or spondylosis and occurs most frequently at the L4 to L5 level, followed by L5 through S1 and L3 to L4. Additional risk factors include obesity or a family history of this condition.
The finding of increased spine loading with provocation of symptoms supports our hypothesis that spine loading plays a role in limiting walking function in patients with lumbar spinal stenosis, but additional work is needed to understand the biomechanical cause of this increase.
Often, they are more comfortable walking uphill than downhill in lordosis . In a normal spine, the cross-sectional area is reduced by 9% during extension, but the reduction increases to 67% with severe stenosis [ 18 ].
Degenerative lumbar spinal stenosis causing neurogenic claudicaton is a common condition impacting walking ability in older adults. There are other highly prevalent conditions in this patient population that have similar signs and symptoms and cause limited walking ability.