Diagnosis

Robert Moghim MD
Anchor Healthcare
Spinal Stenosis without Neurogenic Claudication
Diagnosis | 1750853670
Spinal stenosis without neurogenic claudication happens when the spinal canal narrows without causing typical leg pain or weakness that worsens with walking. It's most common in the cervical spine (neck) but can affect thoracic (mid-back) and lumbar (lower back) regions too.
In the cervical spine, stenosis can lead to cervical myelopathy, causing weakness, numbness, balance issues, and difficulty with fine motor skills. Unlike neurogenic claudication, which affects blood flow to the lower back nerves, cervical stenosis impacts nerve function directly, possibly leading to neurological issues if untreated.
Thoracic spine stenosis can cause stiffness and coordination problems, though it's rare.
Lumbar spine stenosis without neurogenic claudication compresses nerve roots, causing radiculopathy rather than pain linked to blood flow. Symptoms include chronic lower back pain, numbness or tingling in the legs, and fatigue with movement. Pain worsens with activity and may not ease with sitting or bending forward. The L4-L5 and L5-S1 levels are commonly affected, impacting leg movement and sensation.
Treatment begins with conservative options: - Physical therapy to enhance mobility and core strength, and bracing to reduce spine strain. - Medications like pain relievers and anti-inflammatory drugs for discomfort. - Epidural steroid injections to reduce nerve swelling and pressure.
If symptoms persist, surgery might be considered to remove pressure on the spinal cord and create space. Spinal stabilization techniques may be necessary depending on symptom severity. Treatment is tailored to the individual.
Early intervention can prevent worsening symptoms and improve mobility. Consult our team for the best treatment plan for you.