History:
The patient presented with chronic and progressively worsening low back pain, which had severely limited her day-to-day functioning. She reported being unable to bend forward or stand for prolonged periods, and even routine tasks like cooking meals had become unbearable due to constant pain and fatigue.
To manage her daily chores, especially in the kitchen, she had to sit—often on the floor or a chair—just to reduce the strain on her back. This not only disrupted her routine but also caused significant emotional distress. She described her mindset as being constantly preoccupied with thoughts of where and when she could sit down next, highlighting the psychological burden of chronic spinal pain.
Clinical Evaluation & Diagnosis:
A detailed neurological examination was followed by an MRI scan of the lumbar spine, which revealed:
Lumbar canal stenosis – narrowing of the spinal canal causing compression of the nerve roots
Associated disc prolapse (slip-disc) at one or more levels
Nerve impingement contributing to neurogenic claudication, lower back stiffness, and functional limitations.
Diagnosis: Lumbar Canal Stenosis with Intervertebral Disc Prolapse
This condition is commonly seen in middle-aged and elderly patients due to degenerative changes in the spine, including thickening of ligamentum flavum, facet joint hypertrophy, and disc bulging, all contributing to spinal canal narrowing.
Postoperative Recovery & Discharge Condition:
The patient had an excellent postoperative recovery. At the time of discharge, she was:
- Completely pain-free
- Able to stand and walk without assistance
- Demonstrating improved posture and range of movement
- Regaining confidence and emotional well-being
From struggling to walk two minutes pre-surgery to now walking for over two hours without discomfort
Able to stand and cook for extended periods, even preparing meals for up to 10 people with ease
Described herself as happier, more energetic, and no longer limited by her pain