What is lumbar spinal stenosis
Lumbar spinal stenosis is also known as inflammation of the nerves emanating from the spinal cord. Neurogenic means that it originates from the nerve. Claudication means cramp and originates from latin.
Patients report cramping and weakness of either 1 or both limbs. Limping can be observed and the pain reported tends to be high on the pain scale. Vascular claudication also causes similar symptoms however upon resting the patient reports that the pain reduces quickly unlike a stenosis of nerve origin.
Symptoms of this condition
- Neurogenic claudication can be bilateral or unilateral calf, buttock, or thigh discomfort, pain or weakness
- Worse for walking and prolonged standing
- Pain is classically relieved by bending forwards
- The lack of blood flow to the lower lumbar nerve roots (in some cases: compression from surrounding structures, hypertrophied facets, ligaments, osteophytes, scar tissue, and bulging discs) can create persistent pain
- Differential diagnoses for this condition are vascular claudication or a (pseudo) trochanteric bursitis
Treatments we provide for lumbar spinal stenosis
- Strengthen exercises
- Epidural steroid injections