Neurogenic claudication is described as the classic clinical presentation of lumbar spinal stenosis, a degenerative condition of the lumbar spine normally affecting adults over the age of 50. Symptoms of neurogenic claudication are described as pain, numbness, tingling or cramping of one or both legs, brought on when walking and relieved in sitting or bending forward.
The effect of posture on symptoms is the primary distinguishing feature and are typically exacerbated when the spine is extended (in upright stance when standing or walking) and eased when the spine is flexed (stooping forwards or sitting). Clinical symptoms are believed to result from narrowing of the spinal canal, exacerbated by posture-related compression causing neural and microvascular compromise of the nerve roots.
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Dr. Ram R. Vasudevan, MD, FAANS
Austin NeuroSpine PLLC
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