Introduction: Lumbar Canal Stenosis is developmental or congenital narrowing of the spinal canal that produces compression of the neural elements before their exit from the neural foramen. The narrowing may be limited to a single motion segment or it may be more diffuse spanning two motion segments or more. The spinal canal demonstrates narrowing, attributed most frequently to acquired degenerative or arthritic changes such as hypertrophy of the articulations surrounding the canal, intervertebral disc herniation or bulges, hypertrophy of the ligamentum flavum, osteophytes formation and degenerative spondylolisthesis. The classic presentation of Lumbar Canal Stenosis is neurogenic claudication. Aims and Objectives: To study the outcome of microdecompression by unilateral laminotomy in lumbar canal stenosis Methodology: This is institutional based prospective study of 36 patients, aged 20 to 80 years, with diagnosed lumbar canal stenosis treated with bilateral microdecompression of lumbar canal stenosis by unilateral laminotomy using microscope, surgical magnifying loops and microsurgery tools at Dr. Shankarrao Chavan Govt. Medical College Vishnupuri, Nanded. Statistical analysis done by chi-square test. Result: There was an rapid decrease in the leg pain scores from 8.94 In the pre-operative period to 1.36(SD±1.13) one month after operation. At 1 month follow up patients with no pain (VAS + 0) were 9 (25.00%). Conclusion: Unilateral laminotomy with bilateral micro decompression method is one of the excellent method for decompression of lumbar canal stenosis with early functional outcome as unilateral laminotomy preserves posterior midline structures with sparing of spinous process, opposite side lamina and paraspinal muscles.

Background: Lateral epicondylitis (LE) of the elbow is a frequently encountered condition in general practice. The aim of the study was to assess efficacy of local corticosteroid injection in treatment of lateral epicondylitis. Materials & methods: In this study, we included 60 patients treated with local steroid injections in lateral Epicondylitis and regular follow up was done. Pain intensity and functional outcomes were measured using Visual Analogue Scale (VAS). Patients with lateral epicondylitis of at least 6 weeks' duration were included whereas patients with bilateral involvement, Infection, tumours of upper extremity, Pregnancy and Uncontrolled Diabetes were excluded. Regular follow up was taken at 2, 8 & 24 weeks. Results: in this study, 60 patients were included out of which 18 were male and 42 were female patients with 30-50 years was major age group affected. Corticosteroid injections revealed improvement in pain and functional status in first 4 weeks and further improvement up to 6 weeks which then remained constant up to 6 months without any complications. Recurrence of symptoms was noticed in 16 patients at 10-12 weeks post injection. Conclusion:Corticosteroid injections have a short-term beneficial effect combined with rehabilitation.

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