Degenerative lumbar spinal stenosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) In accordance with the diagnostic criteria for DLSS outlined in the "Guidelines for the Diagnosis and Treatment of Degenerative Lumbar Spinal Stenosis";(2) Neurogenic intermittent claudication, characterized by progressive pain, numbness, weakness, or tingling in the buttocks/lower limbs, with symptoms appearing during standing, walking, or lumbar extension, worsening with walking, and alleviating with sitting or bending forward; patients walk in a flexed or stooped posture;(3) Average pain score on the numerical pain rating scale (NRS) =4 points over the past week during walking, standing, or lumbar extension causing buttock and leg pain;(4) Total score on the Roland-Morris Disability Questionnaire (RMDQ) =7 points;(5) CT or MRI scans of the lumbar spine within the last year indicate lumbar canal segment stenosis;(6) Signed informed consent.
Exclusion criteria
Exclusion criteria: (1) Congenital bone spinal canal stenosis, surgical indications for lumbar canal stenosis (segmental muscle atrophy, bowel and bladder dysfunction), spinal instability requiring surgery, lumbar tuberculosis, metastatic cancer, or multiple vertebral compression fractures/stenosis segmental vertebral compression fractures, etc.;(2) Presents with limited lower limb movement and has serious vascular diseases, severe heart, liver, kidney, mental disorders, or coagulation dysfunction;(3) Has diseases that affect the evaluation of low back and leg pain/function status, such as fibromyalgia, chronic widespread pain, amputations, stroke, Parkinson's disease, spinal cord injury, dementia, or other neurological diseases (that affect pain evaluation or walking ability evaluation);(4) Cognitive impairment that hinders understanding of scale evaluation content;(5) History of previous lumbar lesions surgery;(6) Pregnant patients;(7) Symptoms include purely lower limb numbness, weakness, or other sensory abnormalities, rather than pain as the primary complaint.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hip and leg pain NRS score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Improved RMDQ total score; | — |
Countries
China
Contacts
Emeishan Traditional Chinese Medicine Hospital