Neurogenic Claudication

Lumbar Spinal Stenosis and Neurogenic Claudication

Neurogenic claudication is primarily caused by spinal stenosis, a condition characterized by spinal canal compression.

Degenerative lumbar spinal stenosis can develop over time or as part of aging. Over the years, the openings where the spinal nerves pass can become constricted, placing pressure on the nerves and causing neurogenic claudication.

Spinal stenosis can result in neurogenic claudication if the adjacent nerves are irritated. When there is an interruption of the neural function around or in the lower spine, the following symptoms may manifest:

• Cramping or mild pain in the buttocks and lower back that can worsen over time.
• Pins and needles and tingling sensation that travel from the lower back down to the buttocks and the thigh.
• Weakness affecting specific muscle groups that are innervated by the nerve or nerves affected.
• Bladder or bowel problems if the cauda equina is affected by the nerve compression.

Other Conditions that Can Lead to Neurogenic Claudication

Individuals with neurogenic claudication will have trouble standing or walking for extended periods. Symptoms of the condition can start as mild but will typically become more severe once the underlying condition worsens. Some of the possible conditions that can cause neurogenic claudication include:

Disk Herniation / Degeneration

Over time, intervertebral discs can lose water content and elasticity. This can reduce the disk’s height and diminish the space available for the nerve roots. It can also become possible for some of the bony elements of the spinal anatomy to come into contact with one another.

Injury

Trauma secondary to collision or fall can potentially disrupt the spinal anatomy. Injury can either exacerbate existing degenerative conditions or directly produce symptoms.

Arthritis of the Spine

The facet joints tend to wear down as you age. The joint degeneration can minimize the space available for adjacent nerve roots and may cause the vertebrae to rub against each other.

Common Symptoms of Neurogenic Claudication

Symptoms of neurogenic claudication can include the following:

• Tingling, cramping, and pain in the lower back
• Tingling, cramping, and pain in one or both legs
• Tingling, cramping, and pain in the buttocks or hips
• Leg weakness
• Discomfort
• Tired feeling

The symptoms are more pronounced when walking or standing upright. It is typically relieved when sitting down or leaning forward.

Treatment for Neurogenic Claudication

If you experience unexplained tingling or pain in the buttocks, legs, or lower back, it is recommended that you visit your doctor for a diagnosis. If you are diagnosed with neurogenic claudication, there is a huge possibility the symptoms can be managed using pain medication, exercise, and other conservative treatment options. Many patients find short-term relief during the early stages when they stoop, sit, or bend forward at the waist.

Before considering surgery, doctors often recommend conservative treatments to manage neurogenic claudication. These may include:

• Physical Therapy: Exercises and stretches can help improve flexibility and reduce symptoms.
• Medications: Pain relievers and anti-inflammatories can provide temporary relief.
• Lifestyle Modifications: Lifestyle changes like avoiding activities that worsen symptoms and maintaining a healthy weight can be beneficial.

If weakness, tingling, and chronic pain persist after several months of conservative treatment, surgical treatment options like nerve decompression surgery may be considered.