Neurogenic Claudication

Neurogenic claudication (NC) is a common symptom of lumbar spinal stenosis, or inflammation of the nerves emanating from the spinal cord. Neurogenic means that the problem originates with a problem at a nerve, and claudication, from the Latin for limp, because the patient feels a painful cramping or weakness in the legs. NC should therefore be distinguished from vascular claudication, which is when the claudication stems from a circulatory problem, not a neural problem.

Neurogenic claudication can be bilateral or unilateral calf, buttock, or thigh discomfort, pain or weakness. In some patients, it is precipitated by walking and prolonged standing. The pain is classically relieved by a change in position or flexion of the waist and not simply relieved by rest, as in vascular claudication. Therefore, patients with neurogenic intermittent claudication have less disability in climbing steps, pushing carts and cycling. In some patients with severe compression of the nerve roots, the NC is not intermittent but painfully persistent.

The pathophysiology is thought to be ischemia of the lumbosacral nerve roots secondary to compression from surrounding structures, hypertrophied facets, ligamentum flavum, bone spurs, scar tissue, and bulging or herniated discs.

In addition to vascular claudication, pseudo-trochanteric bursitis should be considered in the differential.

Other articles related to "claudication, neurogenic claudication":

Claudication - Differential Diagnosis
... Vascular (or arterial) claudication typically occurs after activity or ambulation for a distance with resultant vascular insufficiency (lack of blood flow ... Spinal or neurogenic claudication may be differentiated from arterial claudication based on activity and position ... In neurogenic claudication, positional changes lead to increased stenosis (narrowing) of the spinal canal and compression of nerve roots and resultant lower extremity symptoms ...
Spondylolisthesis - Signs and Symptoms - Degenerative
... are similar to those with symptomatic lumbar spinal stenosis which can be either neurogenic claudication or radiculopathy (either unilateral or bilateral ... Neurogenic claudication is thought to result from central canal narrowing that is exacerbated by the listhesis (forward slip) ... The classic symptoms of neurogenic claudication are bilateral (both legs) posterior leg pain that worsens with activity, but is relieved by sitting ...