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J Fam Pract. 2010 Aug;59(8 Suppl Algorithmic):S1-8.

Algorithmic approach to the management of the patient with lumbar spinal stenosis.

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The North Shore Medical Center, Salem, MA, USA.


A 71-year-old generally healthy woman presents for her first visit in 3 years. She ambulates slowly from the waiting room, with a more stooped posture than previously. She reports a 2-year history of slowly worsening buttock and leg pain when she walks any distance. She has noticed that her symptoms are much less when she leans on a shopping cart in the grocery store. Her buttock/leg pain resolves within a few minutes when she sits down. The patient exhibits signs and symptoms suggestive of lumbar spinal stenosis.

[Indexed for MEDLINE]

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