Treating back pain in Geriatric population (TCS-2)

LUMBAR CANAL STENOSIS: Most difficult form of back pain to address, because of multiple factors such as discs, facet joints, ligamentum flavum, sacroiliac joint, segmental instability & wear and tear of prolonged use can leads to low backache, with or without radiation. Sometime neurogenic claudication (pain while walking) also occurs, along with other symptoms like tingling, burning, numbness of the leg. At such age even weakening spine bone along with weak muscles leads to aggravation in such pain.

An interesting case on ex-serviceman from the army, his main complaints were back pain while standing and walking, with no other neurological deficit.

Our clinical & radiological assessment confirmed the diagnosis of lumbar canal stenosis with a mild reduction in power & with peripheral neuropathy. Him being diabetic didn’t help either his cause.

We did single level Endoscopic disc decompression surgery with an incision of less than 8 mm. The patient was all conscious during the case. After surgery, he was very happy & started walking pain-free. In hurry, he started bending forward within 2 days of surgery (this bending is to be avoided completely for 2-3 weeks, as chances of re-herniation are there).

The patient followed up with grim & painful look as he knew he did something which was supposed to be avoided for 2-3 weeks.  We calmed him down & got fresh MRI, which showed narrowing of the spinal canal.

revision endoscopic decompression

Here old answer would have been to send the patient for open spine surgery, but we didn’t & assured him of getting it treated again with minimally invasive endoscopic spine surgery.

Sharing excellent results of the same patient after revision endoscopic spine procedure. Today he is living actively & don’t even bend forward when we ask him to do it.

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