What are the Symptoms of Neurogenic Claudication?

What are the Symptoms of Neurogenic Claudication?

Neurogenic claudication is a condition associated with spinal stenosis, where the spinal canal narrows and compresses the spinal nerves, typically in the lower back (lumbar spine). This compression can cause specific symptoms related to walking and standing. Common symptoms of neurogenic claudication include:

  • Leg Pain: Pain or discomfort in one or both legs, usually in the buttocks, thighs, or calves. The pain tends to be bilateral and may be described as aching, burning, or cramping.
  • Pain During Walking or Standing: Pain, numbness, tingling, or weakness that worsens when walking or standing and typically improves when sitting or leaning forward.
  • Relieved by Bending Forward or Sitting: The symptoms are often alleviated or significantly improved by bending forward, sitting, or leaning on something.
  • Radiating Pain: Pain that radiates down the leg, following the path of the affected nerve, often described as shooting or sharp pain.
  • Intermittent Claudication: Pain that comes and goes, typically in response to physical activity, especially walking, and is relieved with rest or changes in posture.
  • Numbness or Tingling: A sensation of numbness, tingling, or pins-and-needles in the affected leg or legs.
  • Weakness or Fatigue: Muscle weakness or a feeling of leg fatigue during walking or standing.
  • Loss of Balance or Coordination: Difficulty maintaining balance or coordination, especially during physical activity.
  • Shortened Walking Distance: Decreased ability to walk for extended periods or cover long distances without experiencing pain or discomfort.
  • Gait Abnormalities: Changes in gait or walking pattern due to pain or muscle weakness.
  • Back Pain: Lower back pain may also be present, often related to the underlying spinal stenosis.

The symptoms of neurogenic claudication can vary in severity and may progressively worsen over time, limiting mobility and affecting daily activities. It’s important to seek medical attention for a thorough evaluation and diagnosis if you experience persistent or worsening symptoms associated with neurogenic claudication. Treatment may involve physical therapy, exercise programs, pain management, anti-inflammatory medications, epidural injections, or in severe cases, surgical intervention to relieve pressure on the affected nerves and improve symptoms.

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