- The prevalence of lumbar spinal canal stenosis increases with age.
- The condition may be asymptomatic or lead to symptoms of neurogenic claudication.
- Neurogenic claudication is characterised by pain and discomfort in the buttocks and legs, worse with activity and improved with rest.
- Neurogenic claudication is posture-dependent and improves with flexion.
- The main differential diagnosis for neurogenic claudication is vascular claudication.
- Neurogenic claudication typically has a favourable prognosis and is initially managed non-operatively.
- Patients with symptoms refractory to non-operative management often do well with decompressive surgery.
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Clinical AuditView all
1 in 20 Australians aged 45 and over reported having chronic obstructive pulmonary disease (COPD) in 2014-20151.
To assist GPs in ongoing management of COPD, guidelines recommend regular assessment of disease severity, based on lung function, symptoms and exacerbation history. The COPD-X guidelines advise a stepwise approach to pharmacological treatment, incorporated with relevant non-pharmacological interventions to maintain good patient quality of life2.
By engaging and completing this education a GP will improve their recommendations for patient care and learn practical strategies for selecting treatments to improve outcomes in patients with moderate to severe COPD.
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