Name of the Condition

• Osseous and Subluxation Stenosis of Intervertebral Foramina of Lumbar Region
• Also known as spinal stenosis affecting the lumbar region due to bony growths or slight displacement of the spine.

Summary

This condition involves the narrowing of the intervertebral foramina in the lumbar spine region due to bone growth or slight misalignment of the spine. This can compress the nerves in the lower back, leading to pain and decreased mobility.

Causes

• Degenerative changes due to aging.
• Osteoarthritis leading to bone spur formation.
• Congenital spinal deformities.
• Past spinal injuries.

Risk Factors

• Being over 50 years of age.
• A history of spinal injuries or surgeries.
• Arthritis or other joint-related conditions.
• Genetic predisposition to spinal conditions.

Symptoms

• Lower back pain.
• Numbness or tingling in the lower extremities.
• Weakness in the legs.
• Difficulty walking or standing for long periods.

Diagnosis

• Physical examination and patient history review.
• Imaging tests such as MRI or CT scans to visualize spinal narrowing.
• X-rays to identify bony growths.

Treatment Options

• Medications: Anti-inflammatory drugs to reduce swelling and relieve pain.
• Physical Therapy: Exercises to strengthen back muscles and improve flexibility.
• Surgery: In severe cases, procedures like laminectomy to relieve pressure on the nerves.
• Lifestyle Modifications: Incorporating exercise to maintain a healthy weight and reduce strain on the lumbar spine.

Prognosis and Follow-Up

• With appropriate treatment, many patients experience relief from symptoms.
• Regular follow-up is essential to monitor the condition and adjust treatments as necessary.
• Long-term management may include ongoing physical therapy or lifestyle adjustments.

Complications

• Chronic pain and reduced mobility.
• Permanent nerve damage if the condition is not adequately managed.
• Potential for reduced quality of life due to discomfort and physical limitations.

Lifestyle & Prevention

• Engage in regular exercises that strengthen core muscles.
• Maintain a healthy weight to reduce spinal load.
• Practice good posture and ergonomic techniques.

When to Seek Professional Help

• Sudden onset of severe back pain.
• Loss of bladder or bowel control.
• Significant weakness or numbness in the legs.
• Difficulty walking that worsens over time.

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS)
• National Institute of Neurological Disorders and Stroke (NINDS)
• Support groups for individuals dealing with chronic back pain.

Tips for Medical Coders

• Always verify the specific region of the spine affected with medical documentation.
• Double-check for any notation of underlying causes like bone spurs or spondylolisthesis which may influence coding.
• Ensure documentation clearly distinguishes between osseous changes and subluxation in relation to spinal stenosis for accurate coding.