Spinal Stenosis Affects Gait and Causes Back Pain

January 09, 2024

Spinal stenosis affects gait…and today they’re working with “smart shoes” to track gait irregularities and connected altered walking patterns! Our Fort Wayne chiropractic patients dealing with spinal stenosis often remark that they walk differently. That makes sense! Aaron Chiropractic Clinic can help relieve Fort Wayne back pain and the related effects of spinal stenosis.

SPINAL STENOSIS AND ITS SIDE EFFECTS

Older folks are ever more affected by frailty and locomotive syndrome, and those who also have lumbar spinal stenosis find themselves even more affected. In a study of such patients who were heading for surgery for lumbar spinal stenosis, all but 1 of the 234 patients were documented to have locomotive syndrome while 24.8% had frailty. After surgery, those with frailty displayed improvement in locomotion. (1) Yet surgery does not necessarily improve gait for all spinal stenosis patients. Researchers measured the sagittal vertical axis using a gait motion analysis with lumbar spinal stenosis patients before and after they underwent decompression surgery to determine if there was any improvement in spatiotemporal – how and how quickly a person walks in terms of stride, pace, width of step, etc. - gait parameters. There was not a variation in sagittal vertical axis, but there was significant change in spatiotemporal parameters. (2) Cox® flexion distraction treatment produced significant improvement to lumbar spinal stenosis patients in terms of  improved function, symptomatology, and performance-based mobility. Further all of their subjective improvement outcomes were statistically and clinically important. (3) This is beneficial!

SPINAL STENOSIS AND POSTURE

It’s also good to know that lumbar spinal stenosis (LSS) patient’s static spine and pelvic posture are associated with their symptoms.  A recent study explored the matter of how dynamic alignment of the spine and pelvic might be related to lumbar spinal function in the everyday life of LSS sufferers and discovered that weak hip or trunk extensor muscles, a more pronounced pelvic tilt angle, or smaller spinal flexion during gait gave rise to reduced daily-life lumbar function. (4) Aaron Chiropractic Clinic seeks to improve the quality of life for our Fort Wayne spinal stenosis patients and appreciates studies that share what works. A future study’s goal is to ascertain a set of data that can assist in defining and/or altering patient treatment plans, indications for surgery, and routines for post-surgery rehab for lumbar spinal stenosis patients who choose to have surgery. These patients come with a unique set of issues concerning posture, balance, ambulation biomechanics, paraspinal muscle quality and fatigue rates, as well as symptoms. (5) All of these contribute to a lumbar spinal stenosis patient’s care at Aaron Chiropractic Clinic and outcome.

SPINAL STENOSIS AND BACK PAIN AND SMART SHOES!

To make sure that the clinical outcome is as good an outcome as viable, new tech may come to the rescue. With lumbar spinal stenosis come gait abnormalities like decreased gait speed and unevenness due to muscle weakness and pain in the lower extremities. Have no fear! “Smart shoes” to the rescue! Smart shoes are wearable sensors that can identify gait variations quicker, easier, and cheaper. (6) In the meantime while their accuracy and cost-effectiveness are explored - since smart shoes may not be for everyone - the old fashioned in-clinic tests still work, and Aaron Chiropractic Clinic knows them well! Find out during your exam!

CONTACT Aaron Chiropractic Clinic

Listen to this PODCAST with Dr. Nate McKee on The Back Doctors Podcast with Dr. Michael Johnson as he illustrates how The Cox® Technic System of Spinal Pain Management helps relieve spinal stenosis and improve balance.

Make your Fort Wayne chiropractic appointment now to visit us especially if you find your gait being “off” and/or have back pain. Spinal stenosis may be the offender, and Aaron Chiropractic Clinic knows how to deal with it!

Fort Wayne back pain affects gait and walking patterns