Muscle atrophy is sign of severe motor nerve lesion or damage resulting in degeneration of muscle tissue. Symptoms are observed during walking or standing for long periods of time and spread over one side or both side of lower back and leg. Treatments will vary depending of the severity of the disorder, but can range from simple anti-inflammatory medications to surgery to help relieve the pressure.
Neurogenic claudication results from compression of the spinal nerves in the lumbar (lower) spine. Leg pain and muscle weakness become predominant following extension of lower back.
There are some risk factors, which increase the risk of degenerative process and hypertrophy of bone or ligament that can cause neurogenic claudication. X-ray (also known as plain films) –test that uses invisible electromagnetic energy beams (X-rays) to produce images of bones. The spinal cord lesion is observed between twelfth thoracic and first lumbar vertebrae, similarly cauda equina lesions are observed below second lumbar vertebrae.
14. Pressure or pinch of lower spinal cord or cauda equina causes initial sensory symptoms like tingling in patients suffering from neurogenic claudication, which spreads along the dermatome supplied by the nerve. Symptoms of pain associated with neurogenic claudication is spread along the dermatome of the spinal nerve depending on pinch or irritation of the spinal nerve. The slippage in to spinal canal causes narrowing of spinal canal resulting in spinal stenosis. The nerve passes through spinal foramina and proceeds to peripheral organ and tissue. Neurogenic Claudication occurs as a result of spinal stenosis. On the other hand, vascular claudication can often be relieved by simply standing in place, often very quickly.
Prolonged lack of use of muscle or failure to contract and relax frequently results in muscle atrophy or dead muscle fibers. The intervertebral discs, which are found between each of the vertebrae, can lose their water, which helps them work as cushions or shock absorbers between the vertebrae, which can put pressure on nerves and their roots. Rest is an important part of treatment protocol for Neurogenic claudication. Martin NA, Gutin PH, Newman AB, Pickett JB. Soft tissue structures such as the spinal cord, spinal nerves, the disc and ligaments are usually not seen on X-rays, nor on most tumors, vascular malformations, or cysts. Spinal stenosis is often observed in more than one level and narrowing may be unilateral or bilateral. Restriction of joint movement eventually causes joint stiffness. MR imaging scans can reveal whether the stenosis is due to a. Computed tomography (CT) scan– a diagnostic imaging procedure that uses a computer and X-rays to produce images of bones and soft tissues. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. 1985;87(4):297-302. The narrowing of the spinal canal is generally caused by wear and tear and arthritic changes in the lower spine. Forward leaning helps to temporarily alleviate symptoms. The symptoms of neurogenic claudication can include pain, tingling, or cramping in the lower back and one or both legs, hips, and buttocks. Flexion widens the spinal canal and causes relief from symptoms. The opening of spinal canal further narrows with extension of lower back because of space being occupied by osteophytes, hypertrophied bones and ligament. Muscle weakness follows pinch, pressure or compression of motor nerve and results in weakness of the muscle that receives motor nerve, which is pinched. Facet joint enlargement and hypertrophy is observed in patient suffering with. Spinal dislocation or slippage (also known as spondylolisthesis), Magnetic resonance (MR) imaging– a diagnostic procedure that uses a combination of large magnets, radiofrequencies, and a computer to produce detailed images of soft tissues and bones.
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