Lumbar Stenosis With Neurogenic Claudication
Neurogenic claudication pain while walking if the spinal cord gets compressed. It presents clinically with a variety of symptoms though neurogenic claudication is the hallmark.
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Lumbar stenosis with neurogenic claudication. Pain relief is typically experienced when you bend forward. Degenerative lumbar stenosis is a common source of pain and disability in the elderly. O Assess dermatomes myotomes reflexes o Central canal stenosis neurogenic claudication o cauda equina higher grades spondylolisthesis bowel and bladder changes neural tension o Special tests. Claudication is the term used to describe weakness of the legs that becomes worse specifically on walking. 4 This is a result of an increase in the cross sectional area of the lumbar spine with lumbar flexion which reduces compression to the spinal nerves. Lumbar spinal stenosis LSS may cause pain a pinched nerve radiculopathy or symptoms of pain numbness heaviness or tingling in the upper legs or buttocks while walking also known as neurogenic claudication.
Claudication is caused either by narrowing of the blood vessels suppplying the leg or because of spinal stenosis. Spinal stenosis affecting the cervical spine may also cause pain and weakness in the shoulders and arms. Lumbar radiculopathy irritation stretching compression of the nerve root foramen. The dynamic nature of neurogenic claudication refers to the reduction or elimination of lower extremity symptoms with sitting or leaning forward during walking or standing. Leg Numbness tingling weakness. Read more about Degenerative Spondylolisthesis Symptoms.
There is a multifactorial pathogenesis to lumbar stenosis and its symptoms and thus there are multiple management approaches available.
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