What is Lumbar spondylosis?
Lumbar spondylosis is a lumbar spine degenerative condition. Disc herniation, facet joint osteoarthritis, disc prolapse or bulging, and bone spurs are all symptoms of this degenerative disease. It is a kind of low back pain that affects the global population at clinical, social, economic, and public health levels. It is a condition with several etiologies and classifications.
- The earliest and most noticeable sign of lumbar spondylosis is lower back discomfort caused by nerve root compression caused by disc herniation, bone spurs, or thicker ligaments.
A prolonged time of bending forward when sitting aggravates the lower back discomfort of lumbar spondylosis caused by intervertebral disc herniation. Facet joint osteoarthritis causes this, which causes back discomfort that is greater while standing and eased by sitting or leaning forward.
Pain in the legs may be a sign of lumbar spondylosis; it arises as a result of nerve compression in the lumbar region of the spine. It can also cause weakness, numbness, and cramping in the buttocks, legs, or feet.
In severe cases, It can cause compression of the spinal cord and the development of lumbar myelopathy. This condition can cause problems with coordination & balance.
In addition to neurological and neurodynamic evaluation, the objective examination should include unique provocative tests such as straight leg raise, Faber test, Ely’s test, Mennell test, Stork test, and femoral nerve tension test.
PHYSIOTHERAPY TREATMENTS FOR LUMBAR SPONDYLOSIS ARE:
Firstly, Manual therapy.
Then, the Mckenzie method.
Myofascial release/soft tissue mobilization.
Lumbar rotation exercises.
Stretching exercise- hamstring stretching, supine knee to chest stretch, piriformis stretch.
Strengthening exercise- strengthening exercise includes supine posterior pelvic tilt and spinal extension exercises.
Core strengthening exercise.
Step & reach exercise-
Cat & camel exercise.
In addition, Dry needling.
Also, Home advice- the patient can use lumbar back support, it occurs to limit spine motion, stabilize, correct deformity & reduce mechanical forces.