Talk:Lumbar spinal stenosis

message: I have been going through the list of orthopaedic conditions listed as stubs and suggesting this template for Orthopaedic Conditions (see Talk:Orthopedic surgery) 
Name
Definition
Synonyms
Incidence
Pathogenesis and predisposing factors
Pathology
Stages
Classification
Natural History/Untreated Prognosis
Clinical Features
Investigation
Non-Operative Treatment
Risks of Non-Operative Treatment
Prognosis following Non-Operative Treatment
Operative Treatment (Note that each operations should have its own wiki entry)
Risks of Operative Treatment
Prognosis Post Operation
Complications
Management
Prevention 
History
--Mylesclough 06:31, 8 October 2005 (UTC)
thread_title: suggested template for Orthopaedic Conditions

message: Trial out today showed that surgery is better in many settings. JFW | T@lk 06:57, 21 February 2008 (UTC)
thread_title:  Surgery 

message: Fluorosis, or an excess of fluoride in the body can calcify spinal ligaments, which will compress and shorten the spine
- http://www.myspinedoctors.com/conditions.aspx?srv=spinal_stenosis
There are a few conditions that cause spinal stenosis that are neither congenital nor the result of aging. 
Tumors--- can invade any of the spinal spaces and compress nerves.
Paget’s Disease--- is a bone disorder that causes the vertebrae to thicken, obstructing the openings. 
Fluorosis--- or excessive exposure to fluoride, causes calcification of the ligaments around the spinal openings. The posterior longitudinal ligament, which runs down the back behind the spinal cord, may turn to bone and put pressure on nerves.
- http://www.stenosisadvisor.com/spinal-stenosis-causes
Spinal Stenosis. Sciatica can also be caused by pressure on the nerve due to a narrowing of the spinal canal. There are several possible conditions that lead to spinal stenosis:
Fluorosis---
Fluorosis is an excessive level of fluoride in the body. It may result from chronicinhalation of industrial dusts or gases contaminated with fluorides, prolonged ingestion of water containing large amounts of fluorides, or accidental ingestion of fluoride-containing insecticides. The condition may lead to calcified spinal ligaments or softened bones and to degenerative conditions like spinal stenosis. 
- http://www.stenosisadvisor.com/what-is-sciatica-and-what-causes-it
Concerns about fluoride use Nov 11, 2007
Symptoms of chronic end-stage poisoning may include sleep disturbance, mitral valve prolapse, cognitive difficulties, muscle pain/stiffness and spinal stenosis. Non-water sources include food contaminated with herbicides, pesticides, phosphate fertilizers, vehicle emissions, industrial wastes and Scotchgard. (La Crosse Tribune, WI) 
- http://health.surfwax.com/files/Spinal_Stenosis.html
Causes A lot of things can cause spinal stenosis. Some of them are: 
Congenital spinal stenosis--- you are born with it
Scoliosis--- or other progressive inherited conditions that narrow the spinal openings
Injury--- that results in a slipped disc, vertebral fractures or other trauma to the vertebral column
Medical conditions--- such as Paget's disease [and Fluorosis], where abnormal bone metabolism causes deformity of the vertebrae.
Toxins--- particularly excessive exposure to fluoride in insecticides, which causes abnormal bone growth.
Degenerative diseases--- such as arthritis, that are part of the aging process 
- http://www.back-ache.org/a173687-what-is-spinal-stenosis.cfm
Fluorosis - An excessive level of fluoride in the body. It may result from chronic inhalation of industrial dusts or gases contaminated with fluorides, prolonged ingestion of water containing large amounts of fluorides, or accidental ingestion of fluoride-containing insecticides. The condition may lead to calcified spinal ligaments or softened bones and to degenerative conditions like spinal stenosis. 
- http://www.drjarmain.com/SpineConditions.asp?typ=spinalstenosis
Bone sampling can be done in special cases to measure long-term exposure to fluorides.
- http://www.atsdr.cdc.gov/tfacts11.html
There is no way, short of taking a bone sample, to unequivocally determine one's cumulative exposure to fluoride. It isn't possible to remove fluoride from the body as can be done for lead and other heavy metals. But "if you stop exposure, it will very gradually come out of the bone," committee member Thomas Webster of Boston University said.
- http://www.fluoridealert.org/health/epa/nrc/wsj.html
- http://balancingcenter.com/articles/fluoride.html
It is reasonable that 99% of the fluoride in humans resides in bone and the whole body half-life, once in bone, is approximately 20 years (see Chapter 3 for more discussion of pharmacokinetic models)
-http://books.nap.edu/openbook.php?record_id=11571&page=133  —Preceding unsigned comment added by 138.163.106.71 (talk) 17:25, 2 June 2009 (UTC)
thread_title:  The Fluorosis Connection to Spinal Stenosis 

message: The Rational Clinical Examination has covered lumbar stenosis: JAMA. JFW | T@lk 08:59, 15 December 2010 (UTC)
replies: text: Case report on a single individual-- we need secondary reviews.  SandyGeorgia (Talk) 09:52, 25 December 2010 (UTC)
thread_title: RCE article

message: Multiple citations at the end of paragraphs make it difficult to determine what text is taken from what source (and VERY old sources are used here; the article should be rewritten to current secondary reviews).  SandyGeorgia (Talk) 08:32, 25 December 2010 (UTC)
thread_title:  Additional problem: multiple citations at end of paras

message: I am finding incorrect author names throughout, which is making it harder to locate sources:  one sample only; also here, Simeone and here, Szapalski. SandyGeorgia (Talk) 09:34, 25 December 2010 (UTC)
thread_title:  Also, incorrect author names 

message: Agree to improve this article it needs some major reworking. Should probably be a disambig to Cervical spinal stenosis and Lumbar spinal stenosis as they are very different conditions and this page confuses the issue. Doc James (talk · contribs · email) 14:26, 25 December 2010 (UTC)
replies: text: Have rewrote the treatment section based on recent review articles.Doc James (talk · contribs · email) 14:56, 25 December 2010 (UTC)
replies: text:  That is most helpful-- thank you for pitching in!  At times like this, I wish I had journal access :)  The distinction between lumbar and cervical spinal stenosis is what initially brought me to this article, but looking up and locating all of those citations is turning into quite a chore ... are you able to replace any of those very long strings of multiple primary sources, still in the article, with review sources, so I will have less citations to look up?  I'll continue completing citations later.  And the image layout is much improved!  Best, SandyGeorgia (Talk) 16:07, 25 December 2010 (UTC)
thread_title: Rewrite

message: Article seems to contradict itself. In one place it says 
 "The definitive diagnosis is established by either CT (computerized tomography) or MRI scanning. Identifying the presence of a narrowed canal makes the diagnosis of spinal stenosis.[14][15][16]", 
elsewhere it says 
 "...diagnosis of spinal stenosis which is based on clinical findings of radiculopathy, neurogenic claudication, weakness, bowel and bladder dysfunction, spasticity, motor weakness, hyperreflexia and muscular atrophy. These findings, taken from the history and physical examination of the patient (along with the anatomic demonstration of stenosis with an MRI or CT scan), establish the diagnosis.[24]"
Is one out of date ? - Rod57 (talk) 10:15, 18 January 2016 (UTC)
thread_title:  What establishes the diagnosis 

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