Why does lumbar spinal stenosis cause intermittent claudication?

Because of the stagnation of venous blood, it increases the compression of the dural sac, and the nerve root and dural sac are ischemia, and at this time they cannot walk. By changing postures, such as squatting, bending, sitting for a while, or lying down for a while, the spinal canal expands and the venous return improves, and the movement can be restored. But if you continue to walk vigorously and vigorously, you will repeat the previous venous stasis, so you will stop and go, and you will have intermittent claudication.

Lumbar spinal stenosis is a surgical condition with poor conservative results. There is a consensus among spine surgeons in North America that lumbar spinal stenosis surgery has a better effect than a conservative one. In the past, open surgery was done, but now minimally invasive surgery is performed.

The main typical symptom of lumbar spinal stenosis is intermittent claudication, which causes obvious numbness, swelling and pain in the lower limbs after a period of activity. At this time, the patient needs to rest or rest for a few minutes, after a few minutes the patient's symptoms will gradually disappear, but the symptoms will recur after walking again for a while. Once the diagnosis is of lumbar spinal stenosis, this condition proves that the patient has a long history of lumbar spine disease.

In this case, surgery is generally recommended, as lumbar spinal stenosis will not return to normal without surgery**. The cost of this operation is still relatively large, generally around 50,000-70,000. However, after surgery, patients need to rest for about 1 month, and they need to wear waist protection after leaving the bed.

The reason why lumbar spinal stenosis causes intermittent claudication is mainly related to compression of nerve roots and lumbar spine pain. It is usually necessary to select the best plan according to the severity of the lesion to prevent further aggravation of symptoms in the later stage, otherwise it may directly affect motor function.

1. Compression of nerve roots: If lumbar spinal stenosis has compressed the nerve roots of the lumbar vertebrae, it may lead to motor and sensory dysfunction of the lower limbs innervated by the nerves, and the symptoms of intermittent claudication;

2. Lumbar pain: patients with lumbar spinal stenosis may have symptoms of posterior lumbar pain, and in the process of walking, due to the increase in lumbar activity load, the pain may be aggravated, and radiate to the lower limbs, affecting the walking posture, and intermittent claudication.

Intermittent claudication is the most typical clinical symptom of lumbar spinal stenosis, intermittent claudication is walking for a period of time will appear lower limb pain, numbness, heaviness and weakness, unable to continue walking, need to rest for a while before the symptoms can continue to walk, walking will appear repeatedly, for this situation**you can choose conservative**, pay attention to rest protection, avoid sitting and standing for a long time, avoid bending over to lift heavy things, wear a waist belt to protect the lumbar spine, sleep on a hard bed, insist on hot water bottle hot compress waist every day, Topical plasters for blood circulation and blood stasis, oral non-steroidal anti-inflammatory and analgesic drugs, blood circulation and blood stasis drugs, and drugs for nerve nutrition**, combined with acupuncture, massage, traction, massage, etc.**. However, if the symptoms do not improve significantly after conservative treatment, and the reverse effect affects the normal work or life of the patient, it is necessary to actively carry out the operation, and the patient needs to pay attention to rest protection after surgery, and the wound needs to be actively changed and disinfected, and it is very important to prevent infection.

Intermittent claudication is a specific manifestation of spinal stenosis, and it is recommended that you go to the outpatient clinic of the spine specialist of a tertiary hospital to check the symptoms**.

Present lumbar spinal stenosis, followed by claudication. You can consider going to the hospital for a check-up in time and doing a CT scan to determine the extent of the condition. If the stenosis is severe, the symptoms are severe, and surgery may be considered if necessary.

The other is to avoid standing for a long time and heavy physical labor.

Control the movement of the body at any time. I want to chase and want to, and if I come down, it will cause the control of the body's movement to be unfavorable, so there will be a situation where I can't or even can't walk.

Intermittent claudication is a typical symptom of lumbar spinal stenosis, there are about 85 patients after the disease, there will be intermittent claudication, the specific manifestation of intermittent claudication is that the patient walks about one or two hundred meters, or stands for about a few minutes or more than ten minutes, and feels pain, numbness, soreness and weakness in one or both sides of the calf and foot, so that he can not continue to walk, and must squat or bend over for a while before walking again.

If the lumbar spinal canal is narrow, the gap is small, inflexible, and the blood is blocked.

Lumbar spinal stenosis is a relatively common disease in an aging society, mainly occurring in the elderly over fifty or sixty years old. It is often because of the herniation of the lumbar intervertebral disc, the hypertrophy of the posterior ligamentum flavum, and the hyperplasia of the facet articular process, which together constitute the stenosis of the nerve root canal or the stenosis of the ** canal, of which the nerve root canal stenosis is the main manifestation.

Intermittent claudication is caused by nerve root canal stenosis, which leads to edema and compression of nerve roots, causing numbness in the lower limbs, and a feeling of heaviness when walking, which can only be relieved after bending over to rest, and this symptom is called intermittent claudication.

There are two reasons for this. First, blood stasis, local tortuous swelling will be formed due to the compression of the posterior vertebral veins and arteries, and tortuous and swollen blood vessels can be found during surgery, and sometimes the veins will be swollen half the thickness of the little finger.

Long-term compression slows down local blood flow, and after stasis, the blood that provides nutrients and oxygen decreases, so the nerves in the nerve root canal will have symptoms of ischemia and hypoxia.

Secondly, the lumbar spine is a micro-moving joint, and in the case of repeated movement under compression, the upper and lower articular processes will stabilize the nerve roots, and the compression symptoms will be aggravated, and intermittent claudication will occur.

Yes, intermittent claudication is one of the common symptoms of lumbar stenosis. Lumbar stenosis refers to the narrowing of the intervertebral foramen or spinal canal, resulting in compression of nerve roots, causing symptoms such as pain, weakness, numbness, and tingling in the lower limbs, especially when walking.

Intermittent claudication usually manifests as pain, soreness, heaviness and other uncomfortable symptoms in the lower limbs after walking a distance of Zen socks, and He Sheng needs to stop and rest for a while to relieve. The occurrence of this symptom is related to compression of the nerve roots due to lumbar spondenosis. Lumbar stenosis can also lead to symptoms such as muscle atrophy and loss of reflexes in the lower limbs.

If you have symptoms such as intermittent claudication, you should seek medical attention and receive a professional diagnosis and **. The best methods include drugs, physics, surgery, etc., and the specific plan needs to be determined according to the individual situation.

For patients with lumbar spinal stenosis, the intermittent sliding orange claudication caused by the compression of the spinal cord in the lumbar spinal canal is mostly due to the spinal cord edema caused by the compression of the lumbar spinal canal, and the conduction is weakened, and the patient will gradually appear numbness, weakness, and soreness and pain in the lower limbs when carrying weights on the ground, thus affecting the normal walking activities of the patient, and must sit down and rest for 3-5 minutes, so the patient's symptoms will gradually reduce the signal lightening, and then he can gradually continue walking, so it is called intermittent claudication.

Therefore, once the patient has lumbar spinal stenosis and obvious intermittent claudication, he must be treated for surgery in time to enlarge the narrowed spinal canal, so as to relieve the compression of the spinal cord in the spinal canal, and the symptoms of intermittent claudication can be recovered.

It is mainly due to the compression of the nerve roots of the spinal cord after spinal stenosis, resulting in abnormal discharge of the nerve roots and the occurrence of sciatica.