Neurogenic claudication

Neurogenic claudication is a common symptom of lumbar spinal stenosis, which is a narrowing of the spinal canal in the lower back. It is characterized by leg pain and weakness that is brought on by walking and relieved by rest, particularly when sitting.

Symptoms

The main symptom of neurogenic claudication is pain in the lower back, buttocks, thighs, or calves during walking or standing for long periods. The pain is often relieved by sitting or bending forward. Other symptoms may include numbness, tingling, or weakness in the legs.

Causes

Neurogenic claudication is caused by compression of the spinal nerves in the lumbar region. This can be due to various conditions, including lumbar spinal stenosis, herniated disc, spondylolisthesis, or spinal tumors.

Diagnosis

The diagnosis of neurogenic claudication is based on the patient's symptoms and physical examination. Imaging tests such as MRI or CT scan may be used to confirm the diagnosis and identify the cause of the nerve compression.

Treatment

Treatment for neurogenic claudication depends on the underlying cause. Non-surgical treatments include physical therapy, pain medications, and epidural steroid injections. In severe cases, surgery may be required to relieve the pressure on the spinal nerves.

See also

• Lumbar spinal stenosis
• Herniated disc
• Spondylolisthesis
• Spinal tumors

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