Nov 14, · The term claudication refers to inability to walk distances because of pain or tiredness in the buttocks and legs. There are two types of claudication: neurogenic and vascular. Neurogenic claudication occurs because of narrowing in the spinal canal (stenosis) causing pressure on the spinal nerves. Vascular claudication results from blood flow that cannot match increased demand Location: Marsha Sharp Fwy, Lubbock, , TX. Neurogenic claudication is a hallmark symptom of lumbar stenosis, a condition in which the column of the spinal cord or the canals that protect the nerve roots narrows at the lower back. This narrowing can also occur in the spaces between the vertebrae where the nerves leave the spine to travel to other parts of the body.
This symptom can often be confused with the similar vascular claudication, but understanding the differences in these two symptoms can help better pinpoint a diagnosis of lower back and leg pain. Put simply, neurogenic claudication is caused by damage to the neurological system, namely the spinal cord and nerves, while vascular claudication, or pain in the legs while walking, is caused by insufficient blood flow.
While the differences in these two symptoms are subtle, a closer look can help determine which case a patient is suffering. While neurogenic claudication can appear after varying amounts of exercise as well as while standing or what is meaning of radiation coughing, vascular claudication can start predictably after a fixed amount of exercise and is rarely produced at rest. Another major difference between the two is how relief from how to say thank you in mandarin pain can be achieved.
With neurogenic claudication, relieving the pain can be slow and variable and further helped by sitting or stooping. Achieving relief by simply standing is rarely achieved and can even aggravate the pain. On the other hand, vascular claudication can often be relieved by simply standing in place, often very quickly. Neurogenic claudication is a hallmark symptom of lumbar stenosis, a condition in which the column of the spinal cord or the canals that protect the nerve roots narrows at the lower back.
This narrowing can also occur in the spaces between the vertebrae where the nerves leave the spine to travel to other parts of the body. What is spinal stenosis with claudication there are a number of inherited or acquired disorders that can cause this narrowing, the majority of people suffering from lumbar stenosis are over sixty years of age, as it can be the result of simply growing older.
The ligaments of the spine and can calcify and thicken with age, as well as the bones and joints. The intervertebral discs, which are found between each of the vertebrae, can lose their water, which helps them work as cushions or what can i talk about absorbers between the vertebrae, which can put pressure on nerves and their roots.
The reason sitting and stooping can both help relieve the pain of neurogenic claudication is that the action of sitting stretches the spine, forcing the spaces between the vertebrae what is spinal stenosis with claudication open up, thus taking off some of the pressure from the nerves and their roots. If you suspect that you are suffering from Neurogenic Claudication, the best course of action is to visit your doctor so he can perform a physical examination.
In combination with your medical history and possible further tests, such as a CT scan or an MRI, a diagnosis can be easily made.
Treatments will vary depending of the severity of the disorder, but can range from simple anti-inflammatory medications to surgery to help relieve the pressure. How did you find about us? By checking this box you agree to your contact details being used so we can contact you about your enquiry.
Lumbar Spinal Stenosis and Neurogenic Claudication
Neurogenic claudication results from compression of the spinal nerves in the lumbar lower spine. It is sometimes known as pseudoclaudication. Neurogenic claudication is different from vascular claudication, sometimes simply called claudication, which is caused by impaired blood flow to the leg muscles.
The symptoms of neurogenic claudication can include pain, tingling, or cramping in the lower back and one or both legs, hips, and buttocks. Weakness or heaviness in the legs may also occur. These symptoms are especially present when standing upright or walking and usually relieved with leaning forward or sitting down. Neurogenic claudication is usually caused by spinal stenosis narrowing of the spinal canal in the lumbar spine lower back. The narrowing of the spinal canal is generally caused by wear and tear and arthritic changes in the lower spine.
These changes include bulging discs , thickening of ligaments, and overgrowth of bone spurs, especially at spinal facet joints. Stenosis can compress the nerve roots that control sensation and movement in the lower body. This compression causes the pain, tingling, or cramping. The pain is usually worse when standing and walking because in a fully upright posture, the spinal canal naturally narrows, placing additional pressure on the nerve roots.
The pain can often be temporarily relieved by sitting down or flexing forward— in these postures, the spinal canal naturally expands a bit, relieving the excess pressure on the nerve roots. A full physical exam and detailed interview will help a physician determine the type of pain and its origin.
Certain symptoms can help a physician distinguish neurogenic claudication from vascular claudication—for example, the pain of vascular claudication is often relieved simply by rest, while pain due to neurogenic claudication is best relieved by bending forward or sitting down. Various imaging studies can confirm a diagnosis of neurogenic claudication and help determine the if the cause is spinal stenosis.
These studies include:. In general, the goal of surgical treatment is to decompress remove the pressure from the nerve roots in the lumbar spine. If the compression results from a herniated disc , a microdiscectomy procedure that uses small incisions with a tiny video camera for viewing may provide relief.
In other cases, a laminectomy removal of part of a bone may be necessary. Our surgeons can determine the best treatment for each case. Paul McCormick , Peter D.
Angevine , Christopher E. Mandigo , and Patrick C. Reid are experts in treating neurogenic claudication. Each can also offer you a second opinion. Degenerative Spine Conditions. Search for:. Paul C. McCormick Dr. Peter D. Angevine Dr.
Christopher E. Mandigo Dr. Simon Morr Dr. Donald O. Quest Dr. Patrick C. Reid Dr. Neil A. Neurogenic Claudication. Symptoms The symptoms of neurogenic claudication can include pain, tingling, or cramping in the lower back and one or both legs, hips, and buttocks.
Causes and Risk Factors Neurogenic claudication is usually caused by spinal stenosis narrowing of the spinal canal in the lumbar spine lower back. Tests and Diagnosis A full physical exam and detailed interview will help a physician determine the type of pain and its origin. These studies include: X-ray also known as plain films —test that uses invisible electromagnetic energy beams X-rays to produce images of bones. Soft tissue structures such as the spinal cord, spinal nerves, the disc and ligaments are usually not seen on X-rays, nor on most tumors, vascular malformations, or cysts.
X-rays provide an overall assessment of the bone anatomy as well as the curvature and alignment of the vertebral column.
Spinal dislocation or slippage also known as spondylolisthesis , kyphosis , scoliosis , as well as local and overall spine balance can be assessed with X-rays. Specific bony abnormalities such as bone spurs, disc space narrowing, vertebral body fracture, collapse or erosion can also be identified on plain film X-rays.
Magnetic resonance MR imaging— a diagnostic procedure that uses a combination of large magnets, radiofrequencies, and a computer to produce detailed images of soft tissues and bones. MR imaging scans can reveal whether the stenosis is due to a bulging or herniated disc. Computed tomography CT scan— a diagnostic imaging procedure that uses a computer and X-rays to produce images of bones and soft tissues. Treatments In general, the goal of surgical treatment is to decompress remove the pressure from the nerve roots in the lumbar spine.
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