Spinal stenosis with neurogenic claudication occurs when the space around the spinal cord or nerves becomes too tight, often due to age-related changes in the spine. This restricts blood flow to the nerves, similar to a "heart attack" in your back, causing pain and weakness.

Spinal stenosis can occur with or without claudication. When claudication is present, it causes a heavy, aching sensation or pain in the back and legs, worsening with walking or standing but improving when sitting or bending forward. This is known as the "shopping cart sign." Most commonly affecting the lower back (lumbar spine), it is frequent in older adults. Risk factors include obesity, a family history of spine problems, and previous back surgeries or injuries.

Doctors use imaging tests like MRI or CT scans to diagnose structural spinal stenosis and confirm canal narrowing, but the claudication part is a clinical diagnosis.

Treatment focuses on reducing pain and improving mobility. Non-surgical options include: - Physical therapy to strengthen core and back muscles. - Medications like anti-inflammatories for pain and swelling. - Injections near the spine, such as epidural steroids, to reduce inflammation.

For severe cases not improving with conservative treatments, surgery may be recommended to relieve nerve pressure. Procedures like laminotomy or laminectomies involve removing bone parts to create more space for the spinal cord and nerves, restoring mobility.

If you're experiencing persistent leg pain, weakness, or difficulty walking, early treatment can prevent worsening symptoms and improve quality of life. Talk to our team to find the best treatment plan for you.