MicroTube Spine Surgery - Neurogenic Claudication

Neurogenic Claudication Surgery

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.


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.

MicroTube Spine Surgery - Neurogenic Claudication

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Our goal at Royal Spine Surgery will always be to provide honest answers and clear options for surgical and non-surgical treatments to provide ease of mind so you can make the right decision.

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.

MicroTube Spine Surgery Treatment Option for Neurogenic Claudication

Patients with neurogenic claudication often experience instant, albeit temporary, relief when they sit down or bend forward at the waist. Feelings of discomfort in the buttocks, thigh, calves, or lumbar spine are relieved when the spine is stretched. This can be attributed to the compressed nerve structures being given more space.

However, bending forward or sitting down won’t decompress an affected nerve root. This is especially true if the compression is caused by a degenerative spine condition caused by aging (i.e., arthritis of the spine or herniated disk).

As the common symptoms of neurogenic claudication can include leg pain, back pain, and low back pain, neurogenic claudication can affect a patient’s ability to walk or stand up without pain. As a result, patients may try to sit down or lean forward to alleviate their symptoms. MicoTube Spine Surgery has a minimalistic approach and access to central canal stenosis so that a partial laminectomy can widen and decompress the nerves' space. Learn more about the benefits of MicroTube Spine Surgery.