Neurogenic Claudication in Manhattan, NY

Spinal stenosis and other conditions that narrow the nerve space in the lumbar spine can impact the nerves, causing pain. Neurogenic claudication, also called pseudoclaudication, is a lumbar spinal condition where the nerves are pinched or compressed when standing or walking. This can cause pain and functional issues in the lower back, buttocks, and legs. To obtain relief from neurogenic claudication, Ospina Medical offers innovative treatment options at our clinic in NYC.

Sciatica and lumbar radiculopathy are also conditions caused by nerve compression in the lower spine. While they also can cause pain and dysfunction in the lower back, buttocks, and legs due to nerve compression, they differ slightly from neurogenic claudication. Sciatica symptoms from lumbar pinched nerves can occur when sitting, standing, or resting and tend to result in tingling, burning, and nerve-related symptoms. Neurogenic claudication symptoms also arise from lumbar spine nerve compression but only occur when standing or walking.

Neurogenic claudication is more common in older adults with spinal stenosis and other degenerative spinal conditions. When the spine is straightened while standing, the lower spine compresses. If there is spinal stenosis or narrowing from bone spurs, herniated discs, thickened ligaments or spinal fractures, nerves can be pinched. Pseudoclaudication symptoms can include:

• Pain and tingling in the back, buttock and one or both legs
• Cramping in lower back, buttocks and/or legs
• Weakness or heaviness in legs
• Symptoms only occur when standing or walking – symptoms dissipate when sitting or leaning forward

Relieving pressure on the nerves in the lumbar spine when standing can offer relief from neurogenic claudication. If you suffer from symptoms indicating this condition or any other chronic back or leg pain, contact our pain specialists at Ospina Medical. We can explore treatment options to give you relief from your pain and improve function at our clinic in Midtown Manhattan.

How is neurogenic claudication diagnosed?
Diagnosis involves a physical exam and an evaluation of symptoms. At Ospina Medical, we look for specific signs such as pain relief when bending forward. Imaging tests like X-rays, CT scans, and MRIs are crucial for confirming neurogenic claudication and identifying the cause, typically spinal stenosis.

What are the main causes of neurogenic claudication?
The primary cause is spinal stenosis in the lumbar spine, which is often due to age-related degenerative changes. These changes include bulging discs, thickening ligaments, and bone spurs. Other factors, such as obesity, family history, and repetitive stress on the spine, can also contribute.

Can neurogenic claudication be prevented?
Preventing neurogenic claudication is challenging, as spinal stenosis is a natural part of aging. However, maintaining a healthy lifestyle through regular exercise, a balanced diet, and weight management can help delay its onset.