The initial stages of the condition may seldom produce any symptoms. In the more advanced stages, patients experience the following signs and symptoms:

• Lower back pain
• Numbness and tingling sensation in the lower back region
• Pain radiates to the lower legs
• Pinch like sensation in the affected area
• Decreased mobility

• Pain

  In the more advanced stages, patients experience the following signs and symptoms: Lower back pain Numbness and tingling sensation in the lower back region Pain radiates to the lower legs Pinch like sensation in the affected area Decreased mobility Laboratory [symptoma.com]

  Stiffness index was associated with neither radiographic lumbar spondylosis nor low back pain. [ncbi.nlm.nih.gov]

• Inflammation

  Spondylosis deformans: bone spurs that grow around a degenerating intervertebral disk Lumbar degenerative disc disease: degeneration of the intervertebral discs Bulging discs can cause inflammation and make the spinal nerves more sensitive or pinch a [pthealth.ca]

  Bone spurs (osteophytes) develop, which can pinch a spinal nerve root and cause inflammation and pain. Bone spurs can pinch a spinal nerve root and cause inflammation and pain. Photo Source: SpineUniverse.com. [spineuniverse.com]

  Because areas of the spine and tendons can become inflamed, antiinflammatory medications (NSAIDs), such ibuprofen, can be helpful in both relieving pain and inflammation. [kmle.co.kr]

  Often, lumbar spondylosis condition is mixed up with other similar back conditions: – Lumbar Spondylitis: inflammation of one or more vertebrae, such as in ankylosing spondylitis – Lumbar Spondylolysis: defect or crack (stress fracture) of the articulating [physioclinic.sg]

  Anti-inflammatories: Medications can help with the inflammation around your arthritic joints and spine, which can ease or take away the pain. [orthopedicinstitutesf.com]

• Asymptomatic

  Many people over 30 show similar abnormalities on plain radiographs of the cervical spine, however, so the boundary between normal ageing and disease is difficult to define. w4 Even severe degenerative changes are often asymptomatic, but can lead to neck [doi.org]

  The prognostic value of imaging is confounded by the high prevalence of morphologic changes in the asymptomatic population. [atmph.org]

  Symptoms of Lumbar Spondylosis Mild cases of lumbar spondylosis may be asymptomatic. Still, in many patients there is sciatic pain which drives them to see their doctors. [ic.steadyhealth.com]

  Lumbar spondylosis is usually asymptomatic, with no diagnostic or prognostic significance. When back or sciatic pains are symptoms, lumbar spondylosis is usually an unrelated finding. Lumbar spondylosis appears to be a nonspecific aging phenomenon. [emedicine.medscape.com]

• Falling

  OBJECTIVE: There is little information on falls by sex and age strata in Japan, and few factors associated with falls have been established. However, the association between bone and joint diseases and falls remains unclear. [ncbi.nlm.nih.gov]

  Symptoms Specific conditions that fall under the umbrella term of lumbosacral spondylosis can include herniated discs, bulging discs, bone spurs and osteoarthritis, all of which are spinal abnormalities that run the risk of protruding into the spinal [charaka.org]

  Use the force of gravity to let both knees fall toward your left while continuing to look toward the right. Be sure to use only the force of gravity to pull your knees toward the ground. [livestrong.com]

  Apical aPKC phosphorylates Pins, which results in the recruitment of 14-3-3 and inhibition of binding to Gαi, so the Pins falls off the cortex. [search.chkd.cnki.net]

• Weight Loss

  Unexplained weight loss. Fever. Remember an important part of treatment for Lumbar Spondylosis are your home exercises and modifying activities. [rehabexercise.org]

  Exercising for Weight Loss Exercise is the single best predictor of keeping your weight off. If you lose weight but don't exercise, you'll almost certainly regain it. How much exercise is necessary to keep your lost weight off is not known. [emedicinehealth.com]

  Back or neck pain causes weight loss or a fever higher than 100 degrees Fahrenheit. Diagnosis of Spondylosis Your physician can diagnose you with spondylosis through the use of MRI, CT, or plain film x-rays. [chronicbodypain.net]

  Self-Care and Lifestyle Changes: There are simple tips to reduce symptoms such as weight loss which reduces strain over the back. Also following alternative therapies such as acupuncture, acupressure and herbal remedies can be beneficial. [epainassist.com]

  Other potential team members include a pain psychologist for patients having difficulty coping with chronic pain secondary to this condition, as well as a nutritionist for education and assistance with weight loss, among others. [now.aapmr.org]

• Hypotension

  분류되지 않은 신경계의 처치후 장애(Postprocedural disorders of nervous system, NEC) - G97.0 척수천자에 의한 뇌척수액 누출(Cerebrospinal fluid leak from spinal puncture) G97.1 척수 및 요추천자에 대한 기타 반응(Other reaction to spinal and lumbar puncture) G97.2 뇌실단락 형성에 따른 두개강내 저혈압(Intracranial hypotension [dic.impact.pe.kr]

  Patient 47 had postoperative hypotension and was admitted to an intensive care unit for correction of this, Patient 10 had pressure sores on her breast and airway oedema from a prolonged operation in the prone position and Patient 28 had a pseudomeningocoele [esciencecentral.org]

• Prolapse

  OBJECTIVES: To collate the scientific evidence on surgical management for lumbar-disc prolapse and degenerative lumbar spondylosis. [ncbi.nlm.nih.gov]

  Conditions which may be covered by these SOPs Lumbar disc prolapse or herniation – An isolated lumbar disc prolapse is covered by the intervertebral disc prolapse SOP. [clik.dva.gov.au]

  Complications Prolapsed intervertebral disc : A prolapsed disc is also called as slipped disc which commonly affects the lumbar portion of the spine. [welcomecure.com]

  L4-L5 posteriocentral disc prolapsed with facet arthropathy causing neuroforaminal stenosis with L5 compressive radiculopathy, L3- L4 bulging disc. [practo.com]

  […] before the clinical onset of lumbar spondylosis at the level of the intervertebral disc prolapse; or (j) lifting loads of at least 25 kilograms while bearing weight through the lumbar spine to a cumulative total of at least 120 000 kilograms within any [comlaw.gov.au]

• Back Pain

  Stiffness index was associated with neither radiographic lumbar spondylosis nor low back pain. [ncbi.nlm.nih.gov]

  Although KL = 2 spondylosis was not significantly associated with low back pain compared with KL = 0 or 1, KL⩾3 spondylosis was related to the pain only in women. [ard.bmj.com]

• Osteophyte

  Growth of new bone projecting horizontally at these margins identifies osteophytes. Most osteophytes are anterior or lateral in projection. [emedicine.medscape.com]

  Studies have reported that 85% of individuals aged 45–64 years demonstrate osteophytes within the lumbar spine. [boneandspine.com]

• Low Back Pain

  Stiffness index was associated with neither radiographic lumbar spondylosis nor low back pain. [ncbi.nlm.nih.gov]

  Although KL = 2 spondylosis was not significantly associated with low back pain compared with KL = 0 or 1, KL⩾3 spondylosis was related to the pain only in women. [ard.bmj.com]

  […] level with low back pain, adjusting for age, BMI and stiffness index. [bmcmusculoskeletdisord.biomedcentral.com]

• Lordosis

  A reconstruction of the proper lordosis far outweights the other methodological factors. [dbpia.co.kr]

  Ergonomic advice  Spinal extension exercises, which increase the lordosis further are containdicated  Wrong body mechanics or excessive standing and ambulation may give rise to fracture of pars interarticularis so it should be restricted.  Regular [slideshare.net]

  Note the straightened lordosis and narrowing of disc spaces from C5 to C7 with osteophyte formation. [freeimages.com]

  Conservative treatment consists of analgesia and wearing a lumbar corset which by alleviating lumbar lordosis can lessen symptoms and increase the walking distance. [thamburaj.com]

• Spine Pain

  Spondylosis (spine arthritis) is one of the most common causes of spine pain and stiffness once you are aged over fifty. Spondylosis is further categorised depending on the region of the spine that it is present. [physioworks.com.au]

  Lumbar spine pain originating from vertebral osteophytes. Reg Anesth Pain Med 1999;24:347-51. 29. Jun′ichi K. Diagnosis and surgical treatment of dialysis-associated lumbar. J Joint Surg 2003;11:1420-6. [Figure 1], [Figure 2] [Table 1], [Table 2] [wajradiology.org]

  Lumbar spine pain originating from vertebral osteophytes. Reg Anesth Pain Med. 1999;24(4):347–51. [PubMed] [Google Scholar] 49. Hayden JA, Tulder MW, Malmivaara AV, et al. Meta-analysis: exercise therapy for nonspecific low back pain. [ncbi.nlm.nih.gov]

  A study comparing radiographic evidence of spine degeneration among categories of men who were without pain, with moderate pain, or with severe lower back pain found similar frequency of disk space narrowing and bone spurs among all three groups [ 22 [link.springer.com]

• Radiculopathy

  Convert to ICD-10-CM : 721.3 converts approximately to: 2015/16 ICD-10-CM M47.817 Spondylosis without myelopathy or radiculopathy, lumbosacral region Approximate Synonyms Arthritis of low back Arthritis of sacrum Arthritis, low back Arthritis, sacral [icd9data.com]

  Cervical radiculopathy. N Engl J Med. Jul 28 2005;353(4):392–399 CrossRef Google Scholar 2. Ellenberg MR, Honet JC, Treanor WJ. Cervical radiculopathy. Arch Phys Med Rehabil. Mar 1994;75(3):342–352. CrossRef Google Scholar 3. [doi.org]

  […] with a wait and see policy in the early phase of cervical radiculopathy [ 6 ]. [patient.info]

  lumbosacral region M47.819 Spondylosis without myelopathy or radiculopathy, site unspecified PREFERRED PRACTICE PATTERNS 4B: Impaired Posture 4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Format Range of Motion Associated with [accessphysiotherapy.mhmedical.com]

• Sciatica

  Similarly, if the lower back is affected, the patient may experience buttock pain and sciatica. Stiffness can occur after periods of inactivity or rest, such as waking up after a nap. [modernreflexology.com]

  Surgery is indicated only for complications (eg, for impingement-documented sciatica that is unresponsive to 2 days of absolute bed rest) of lumbar spondylosis. [emedicine.medscape.com]

  Cases with degenerative low back pain and sciatica were assessed before and after therapeutic interventions with combined movement examination and a battery of self-report pain and disability questionnaires. [ncbi.nlm.nih.gov]

• Irritability

  The pain may derive from damage, irritation or pressure upon nerves within and around the spinal area. [spinal-foundation.org]

  1. interventional methods IDET ( Intradiscal electrothermal therapy ) This method is suitable for use on herniated discs that are causing back pain but not irritating or compressing the nerves. [xn--harms-wirbelsulenchirurgie-shc.de]

  Many patients may find that their pain and other symptoms can be effectively managed without surgery Depending on the severity and irritability of the presentation, medications may be prescribed by the doctor to relieve pain and promote movement Orthopaedic [ktph.com.sg]

  The disease resulting in symptoms like numbness or weakness in muscles when caused by irritation or injuries of spinal nerves or spinal cord is known as myelopathy. [epainassist.com]

  A steroid is often combined with an anesthetic and injected into the area around the irritated spinal nerves that are causing the pain. [acsneuro.com]

• Neuralgia

  […] stenosis: a minimum 3-year follow-up study G54 신경근 및 신경총 장애(Nerve root and plexus disorders) - 제외：현재 외상성 신경근 및 신경총 장애(current traumatic nerve root and plexus disorders) - 신체부위에 의한 신경 손상을 참조 추간원판(椎間圓板) 장애(intervertebral disc disorders)(M50-M51) 신경통 및 신경염(neuralgia [dic.impact.pe.kr]

• Radiculitis

  NOS (M54.1) 요추골 신경염 또는 척수 신경근염(lumbar neuritis or radiculitis) NOS 요추천골 신경염 또는 척수 신경근염(lumbosacral neuritis or radiculitis)NOS (M54.1) 흉부 신경염 또는 척수 신경근염(thoracic neuritis or radiculitis) NOS (M54.1) 척수신경근염(radiculitis) NOS(M54.1) 신경근병증(radiculopathy [dic.impact.pe.kr]

Laboratory studies are not helpful in detection of lumbar spondylosis. Various imaging studies need to be conducted for differential diagnosis of the condition. An X-ray of the spine is done that reveals narrowing of the space between the discs. MRI studies may elucidate the spondylosis changes in static and mobile rendering [9]. A scan for the determining the bone density is also necessary.

Neurological examinations form an important part of diagnostic procedures. This test is done to assess any damage to the spinal canal. In case of any secondary complications, other tests such as electromyography and nerve conduction velocity are also required.

• Schmorl's Nodes

  nodes) M51.8 기타 명시된 추간판 장애(Other specified intervertebral disc disorders) M51.9 상세불명의 추간판 장애(Intervertebral disc disorder, unspecified) M54 배(背)통(Dorsalgia)(557쪽의 부위별 분류번호 참조) - 제외:심인성 배통(psychogenic dorsalgia)(F45.4) M54.0 목 또는 등을 침범하는 지방층염(Panniculitis [dic.impact.pe.kr]

Treatment regime greatly depends on the extent of damage to the discs and the severity of the symptoms as well as age of the affected individual. In the preliminary stages, when mild symptoms are present, medications are administered to help relieve the pain. In addition, physiotherapy along with medications has proved to be extremely beneficial for patients suffering from lumbar spondylosis. Physiotherapy is known to improve the flexibility and strength of the spine.

In situations of nerve root impingement the patient is put on complete bed rest for at least 2 days. If the symptoms subside then the bed rest is extended for few more days. However, if no relief is experienced then surgical intervention becomes inevitable. Surgery is carried out to correct the nerve impingement and relieve the spinal canal by lumbar spine fusion procedures [10].

Lumbar supports are also given to patients suffering from lumbar spondylosis. For this, supports are designed in a manner that would restrict spine movement, provide stability and correct the deformity.

With prompt initiation of treatment, the prognosis is usually favorable. However, when lumbar spondylosis is allowed to progress, it can cause the vertebrae to gradually stiffen paving way for development of various other conditions.

Complications

Complications of lumbar spondylosis arise when treatment is not initiated in the initial stages. When the disease progresses to more advanced stages, the following complications develop:

• Onset of severe neurological problems
• Poor bladder control
• Unsteady gait
• Reduced flexibility due to severe back pain [6]
• Osteoporosis [7]
• Height reduction [8]

Lumbar spondylosis is a degenerative disease that adversely affects the spine causing narrowing of the space in between the spinal discs. Age is thought to be the greatest risk factor for this condition. As individual ages, the space between the discs narrows down. In addition, there is significant amount of degeneration taking place in the cartilage and disc which in turn contributes to narrowing down of the space.

Such events cause the vertebrae to gradually undergo wear and tear thereby exposing the nerves causing them to inflame and cause pain and discomfort. No relation so far has been noted between smoking, alcohol consumption, physical activity, height or weight of the individual [1].

It has been estimated that about 80% of US population develop lumbar spondylosis after the age of 40 years. However, this condition is also known to affect individuals in the age group of 20 to 29 years.

There is a strong correlation between the transforming growth factor beta 1 and lumbar spondylosis among postmenopausal Japanese women [2]. There is a higher incidence of lumbar spondylosis grade KL>2 (Kellgren-Lawrence grading) among men while grade KL>3 is equal in both sexes [3].

Lumbar spondylosis is a resultant reaction of narrowing of the space between the discs. Another theory which explains development of such a kind of condition is formation of new bone growth (osteophytes) in the areas where the anular ligament is under stress [4]. Such an event exerts pressure on the neighboring nerves giving rise to an array of associated complications. There is an associated disc space narrowing with spondylosis in degenerative bone disease of the spine [5]. If lumbar spondylosis is not treated on time it can lead to secondary complications.

Adopting certain lifestyle factors can in some way help in prevention of lumbar spondylosis. These include:

• Individuals are advised to take a careful note about their sitting posture and the lying position. It is also necessary that the bed and the chairs that are used on regular basis should not be too hard or flat.
• It is also necessary to stay healthy by exercising regularly and eating a well-balanced diet.
• Lastly, individuals who have developed lumbar spondylosis are advised against participating in sports or activities such as aerobics, basketball or jogging to avoid aggravating the condition.

Lumbar spondylosis is a condition characterized by development of bony growths in the lower spinal region. It is a degenerative disease of the spine. The condition is also known as spinal osteoarthritis.

Lumbar spondylosis is usually asymptomatic in nature; however some patients have reported that they experience back pain and morning stiffness as the preliminary signs of the disease. Significant number of individuals fall prey to this disease. Such a condition can strike any individual above the age of 20 years. Males and females are at an equal risk of contracting this disease condition.

Definition

Lumbar spondylosis is a degenerative disorder of the spine that narrows down the space between the discs. It is a common condition, affecting about 80% of the individuals of United States. Such a disorder commonly strikes adults as the spine degeneration takes place when the individual ages.

Cause

Age is known to be the major factor contributing to lumbar spondylosis. With advancing age, spine degeneration takes place paving for development of lumbar spondylosis. Physical stature and smoking or alcohol consumption have no relation to such degenerative spine disease.

Symptoms

Development of lower back pain is the most common sign of lumbar spondylosis. In addition, majority of the individuals also complain of stiffness in the lower back when they get up in the morning. All these give rise to decreased mobility and sensation of pinch like feeling in the lower back and legs. In some cases, pain in the lower back region can also radiate to the legs.

Diagnosis

Diagnosis of lumbar spondylosis can be made by X-ray examination of the spinal canal. In addition, imaging studies such as MRI and CT scan are also carried out. Bone density tests also form an important part of diagnostic procedure.

Treatment

Mild cases of lumbar spondylosis can be treated with medications to relieve pain and physiotherapy to improve mobility by strengthening the spinal column. In severe cases of nerve impingement, the individuals are advised complete bed rest for 2 days. When the symptoms don’t resolve by bed rest then surgical intervention becomes inevitable.

1. Yoshimura N, Dennison E, Wilman C, et al. Epidemiology of chronic disc degeneration and osteoarthritis of the lumbar spine in Britain and Japan: a comparative study. J Rheumatol. Feb 2000; 27(2):429-33.
2. Yamada Y, Okuizumi H, Miyauchi A, et al. Association of transforming growth factor beta1 genotype with spinal osteophytosis in Japanese women. Arthritis Rheum. Feb 2000; 43(2):452-60.
3. Muraki S, Yoshimura N, Akune T. Prevalence, incidence and progression of lumbar spondylosis by gender and age strata. Mod Rheumatol. 2014; 24(4):657-61 
4. O'Neill TW, McCloskey EV, Kanis JA, et al. The distribution, determinants, and clinical correlates of vertebral osteophytosis: a population based survey. J Rheumatol. Apr 1999; 26(4):842-8.
5. Kramer PA, Newell-Morris LL, Simkin PA. Spinal degenerative disk disease (DDD) in female macaque monkeys: epidemiology and comparison with women. J Orthop Res. May 2002; 20(3):399-408.
6. Pahl MA, Brislin B, Boden S, et al. The impact of four common lumbar spine diagnoses upon overall health status. Spine J. Mar-Apr 2006; 6(2):125-30.
7. Miyakoshi N, Itoi E, Murai H. Inverse relation between osteoporosis and spondylosis in postmenopausal women as evaluated by bone mineral density and semiquantitative scoring of spinal degeneration. Spine. Mar 1 2003; 28(5):492-5.
8. Nathan H. Compression of the sympathetic trunk by osteophytes of the vertebral column in the abdomen: an anatomical study with pathological and clinical considerations. Surgery. Apr 1968; 63(4):609-25.
9. Tan Y, Aghdasi BG, Montgomery SR, Inoue H. Kinetic magnetic resonance imaging analysis of lumbar segmental mobility in patients without significant spondylosis. Eur Spine J. 2012; 21(12):2673-9
10. Umeta RS, Avanzi O. Techniques of lumbar-sacral spine fusion in spondylosis: systematic literature review and meta-analysis of randomized clinical trials. Spine J. 2011; 11(7):668-76