Anthony Lombardi – Assessment & Treatment of Lumbar Spinal Stenosis Using Electro-Acupuncture

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Anthony Lombardi – Assessment & Treatment of Lumbar Spinal Stenosis Using Electro-Acupuncture

Lumbar spinal stenosis (LSS) is a common condition in patients aged 50 and older that causes pain and neurological compromise of the low back and legs. This condition can be very debilitating and makes walking upright very difficult. As it worsens, any walking at all may become impossible due to the high degree of pain. Causes of lumbar spinal stenosis includes narrowing of the spinal canal in the lumbar region, typically caused by degenerative changes in the spine such as osteoarthritis or herniated discs, as well as congenital conditions, tumors, or injuries. This condition is manageable with particular tehcniques using electroacupuncture, manual therapy, and exercises. In this webinar you will learn the anatomy and neurology involved in LSS as well as how to assess and treat this condition.

Class outline:

A. Anatomy & Biomechanics of the lumbar spine

-vertebral joint
-zygapophyseal joints
-intervertebral foramen & spinal nerves/vasculature
-key musculature

B. Pathogenesis of Lumbar Stenosis

-causes
-process of pathology/arthritis
-mechanics

C. Neurogenic Claudication vs Vascular Claudication

-causes
-process of pathology
-differentiation

D. Assessment & Treatment of Lumbar Spinal Stenosis

-visual inspection, physical assessment, radiology
-medium to high frequency electroacupuncture based on research
-adjunctive exercises
-manual soft tissue techniques

E.

-Multifidii release:  A modification on a technique Anthony learned some time ago, and he modified based on his clinical experience.  This technique helps treat ongoing low back pain and stenosis and differentiates pain from disc vs non-disc when the SLR is below 20 degrees.  By releasing the multifidus muscles more space is created within the spinal column because it is attached to the ligamentum flavum.  This is a new addition to the soft tissue courses in 2020, and will be taught in the NYC and Chicago seminars.

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