() A 71-year-old female is admitted to the hospital for severe bilateral buttock and leg pain with ambulation that has failed to improve with nonoperative management. An MRI is shown in Figure A. You plan on proceeding with lumbar decompression. What is the most powerful preoperative prognostic factor for clinical outcomes with surgical treatment of this condition. Review Topic
Doctor: Thank you for writing to to the MRI report you are having at the present time a mild lumb bar disc bulging that apparently is not causing an important narrowing of the spinal canal to produce a lumbar nerve compression. For your information, some of the major causes of acute and chronic low back pain (LBP) are associated with radiculopathy (nerve compression).However, radiculopathy is not a cause of back pain; rather, nerve root impingement, disc herniation (bulging), facet arthropathy (which you have also, but apparently is not causing problems at the moment), and other conditions are causes of back pain. In the future, you may have a chance to develop a lumbosacral radiculopathy, if the disc bulging and the facet hypertrophy become more pronounced giving as a result nerve root impingement and/or inflammation that may progress enough to cause neurologic symptoms in the areas that are supplied by the affected nerve the conservative treatment of the Lumbar Facet Arthropathy, when gets symptomatic, meaning: low back pain: is Physical Therapy aimed to recondition and stabilize the lumbar spine by re-educating and teaching you a daily stretching routine for the lumbar area, strengthening of abdominal muscles, and other important general recommendations as follows: sleeping with a pillow between the knees lying on the side, avoid activities that place additional strain on the lumbar spine (example: weight lifting). All of the above, with the objective to keep you as far as possible from episodes of acute low back pain, and also to preserve your quality of this helps you.