MGM School of Physiotherapy, Aurangabad, (Maharashtra)
Online Published on 22 September, 2022.
Lumbar canal stenosis is the most common cause of lumbar spine diseases in patients over 65 years of age. This case study presents the effectiveness of prone traction, Surged Faradic current, Phonopheresis, and Core strengthening exercises on a patient with LCS (Lumbar canal stenosis). A 72-year-old male, suffering from low back pain (pain intensity -8 on Numerical pain rating scale-NPRS) and neurological claudication (symptoms appear after 2 minutes of walking was the subject of this study. Investigation revealed Ligamentum flavum (LF) hypertrophy at the lumbar level. On palpation, we found a spasm of para spinal muscles. Manual muscle testing (MMT) of the Gluteus Maximus was grade 3. A reduced range of lumbar flexion was found. The researchers gave the patient traction in the prone position. Also worked on abdominal muscle and gluteus maximus muscle strengthening, which is generally ignored. Along with that Surged Faradic (SF) current on paraspinal muscles and phonophoresis at the site of LF thickness was also given. It was found that the patient was able to walk for 15 minutes without experiencing any symptoms after following this 8-day intervention strategy, and the level of pain was reduced to a 4 on the Numeric pain rating scale (NPRS). Based on present findings it may be concluded that the prone traction, core muscle strengthening exercises, phonophoresis for LF hypertrophy, and SF for paraspinal muscle spasm all together had tremendous effects on our patient with LCS.
Lumbar canal stenosis, Prone traction, Surged faradic current, Abdominal strengthening