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Lumbar Spinal Stenosis Decision Tool
Dec 21, 2024
•
Mark Morgan
categories:
rheumatology
This is a back pain diagnostic tool.
Lumbar Spinal Stenosis Decision Tool
Less than 60 (0 points)
60 to 70 (2 points)
Greater than 70 (3 points)
<-- Age
6 months ago or less (0 points)
More than 6 months ago (1 point)
<-- Onset of symptoms
Yes (2 points)
No (0 points)
<-- Do symptoms improve when bending forward?
Yes (-2 points)
No (0 points)
<-- Do symptoms improve when bending backward?
Yes (2 points)
No (0 points)
<-- Do symptoms worsen when standing up?
Yes (1 point)
No (0 points)
<-- Is intermittent claudication present?
Intermittent claudication: pain in the calf, thigh or buttock that is elicited by exertion and relieved with a few minutes of rest (like worsening pain with walking)
Yes (1 point)
No (0 points)
<-- Is urinary incontinence present?
Score -->
Score
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)
out of 10 points.
Interpretation
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7);score>6?'74.8%':score>4?'51.7%':score>2?'29.2%':'16.7%'
probability of lumbar spinal stenosis.
display/hide references
reference:
#1
Ebell (2009) Am Fam Phys 80(10):1145-7
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