Case Report of Lumbar Spinal Canal Stenosis with Lumbar Curvature Treated by Infrared Wave Therapy and Flexion-Distraction Therapy in Combination with Stretch and Strength Training

Abstract

Background: Lumbar spinal canal stenosis(ICD-M48.0) is characterized by anatomical and functional narrowing of the osseous ligamentous vertebral canal and intervertebral foramen that causes direct compression or indirect disturbance of the dural sac, caudal nerve root, and vessels, which is usually seen in elderly. Typical symptoms of lumbar spinal canal stenosis include radiation to lower extremities, intermittent claudication, and low back pain, with characteristic findings such as slow onset, different severities, repeated attacks, and severe symptoms but mild signs.  Claudication means lameness or limping. Discomfort may begin primarily in the buttocks, and spread to the posterior thigh and into the leg. Although walking most often precipitates manifestations, standing may also induce them, especially with the back in extension. Functional canal stenosis is more important than bony spinal canal stenosis in clinical presentation. Conclusion: We report a case of a 56-year-old patient with severe intermittent claudication and numbness in lower extremities due to degenerative lumbar spinal canal stenosis treated with Infrared wave and flexion-traction therapy in combination with stretch and strength training as non-operative treatments.