Neurogenic claudication

Common presentation of spinal stenosis and should be distinguished from vascular claudication. NC can be bilateral or unilateral lateral buttock, thigh, or leg discomfort that is precipitated by walking and prolonged standing. The pain is classically relieved by a change in position or flexion of the waist (anthropoid position) and not simply relieved by rest, as in vascular claudication. The pathophysiology is thought to be ischemia of the lumbosacral nerve roots secondary to compression from surrounding structures, hypertrophied facets, ligamentum flavum, and buldging discs. In addition to vascular claudication, trochanteric bursitis should be considered in the differential.

Additional recommended knowledge

Essential Laboratory Skills Guide

Weighing the right way

How to ensure accurate weighing results every day?

References

• Greenberg MS, ed. Handbook of neurosurgery. 6th ed. Lakeland, FL: Greenberg Graphics, 2006:326.