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As the spinal canal narrows, neurological symptoms of the lower extremities may develop, and typical lumbar spinal stenosis can manifest as neurogenic intermittent claudication of the lower extremities. Intermittent claudication refers to a short period of time when the patient is walking normally; However, after walking for a long time, the lower limbs may become sore, painful, heavy and unable to walk. At this time, it is necessary to squat down to rest, or stop to rest, after resting, you can continue to walk, and the walking distance will become shorter and shorter with the aggravation of the disease, until it seriously affects the patient's walking.
Nerve claudication due to lumbar spinal stenosis should be distinguished from vascular nerve claudication.
With the aggravation of nerve compression, lumbar spinal stenosis can also cause deficits in urine and urinary function, sensory loss (sensory insensitivity) in the perineum and femur, and ED dysfunction.
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Lumbar spinal stenosis often has a history of low back pain for many years, with pain in one or both lower extremities, worsening with standing or walking, and neurogenic intermittent claudication.
1. Typical symptoms.
1. Sciatica: When the spinal canal compresses the nerve roots, typical sciatica will appear, similar to lumbar disc herniation, and the pain in the lower limbs occurs gradually and is radioactive.
2. Neurogenic intermittent claudication: after the patient walks for a distance, the thigh is weak, and the patient is often forced to sit down, that is, intermittent claudication.
3. Cauda equina syndrome: When the spinal canal compresses the cauda equina nerve, perineal numbness, paresthesia in the sellar area, and some patients will have urinary and urinary disorders and sexual dysfunction.
4. Low back pain: low back pain is a symptom of most patients, patients often have low back pain for many years, and then the pain of one or both lower limbs is aggravated when standing or walking.
2. Other symptoms.
1. Pain and numbness in the lower limbs: sometimes there is pain and numbness in the lower legs.
2. Muscle atrophy: Some patients will have muscle atrophy of the lower limbs if they are unable to walk for a long time.
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Hello: The most typical symptom of lumbar spinal stenosis is low back pain accompanied by walking and not walking far, and squatting is relieved.
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Guidance: Hello, minimally invasive surgery for lumbar spinal stenosis is to use imaging positioning technology under local anesthesia to accurately remove the nerve from the lesion.
The advantages of this surgery are that minimally invasive surgery for lumbar spinal stenosis is characterized by minimal trauma and the vast majority of patients are old.
It is tolerated by patients for years, has little effect on the stability of the spine, and has few complications.
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Lumbar spinal stenosis is a relatively common disease in life, which is a disease that shortens the diameter of the spinal canal due to some reasons, resulting in some specific neurological dysfunction. In life, there are many people who think that they are suffering from lumbar spinal stenosis when they have low back pain. So, what are the symptoms of lumbar spinal stenosis?
Let's take a closer look at this.
1. Low back pain. Low back pain is one of the most common symptoms in people with lumbar spinal stenosis, but it is usually not severe. The pain is not very noticeable when the patient's lower back is bent forward, and the pain is usually felt when the patient bends backwards, and the patient can relieve this symptom with bed rest.
2. Intermittent claudication.
When the patient gets up or walks upright, the pain in the lower limbs will gradually worsen, and the pain will be accompanied by different degrees of numbness and fatigue. In this case, the patient will generally relieve the pain by resting for a while or changing the posture, although the pain will be relieved with rest, but when the patient walks again, there will be an obvious phenomenon that the patient's continuous walking time and distance are decreasing with rest, which is intermittent claudication.
3. Radiating pain.
Because lumbar spinal stenosis is a disease that compresses certain nerves, causing nerve dysfunction, patients usually experience persistent radiating pain, including soreness and numbness. The most obvious feature of these pains is that the pain is sometimes mild and severe, and the onset is bursting and coming.
4. Cauda equina nerve compression.
A small number of patients with lumbar spinal stenosis will have compression of the cauda equina nerve, resulting in symptoms of the saddle area and sphincter, and in severe cases, symptoms such as urinary and urinary disorders and sexual life disorders may occur.
Lumbar intervertebral disc herniation is easy to cause pain and discomfort in the lower back, such as compression of nerves will cause pain in the lower limbs, if there is only discomfort in the lower back, you can use physical **, such as massage, infrared irradiation, hot compresses, etc., in addition, it is necessary to pay attention to avoid cold in the waist, sitting for a long time, sleeping on a hard bed, etc.
There are many causes of lumbar spinal stenosis, which are as follows: >>>More
Lumbar spinal stenosis is a very common orthopedic condition in clinical practice, many people may have lumbar spinal stenosis, such as disc herniation, ligament hypertrophy, facet articular hyperplasia and cohesion, which may cause spinal stenosis, but many people have no symptoms after stenosis, and it will not be very serious. However, some people have more severe stenosis, which may compress the spinal nerves and produce corresponding symptoms, such as the common intermittent claudication, but the severity of intermittent claudication also varies from person to person. If the stenosis is particularly severe and the patient really can't walk far, at this time, surgery can be used to completely relieve the compression of the spinal nerves and save the function of the spinal cord. >>>More
Lumbar spinal stenosis is an orthopedic disease with a relatively high incidence around us, and its onset will lead to motor dysfunction and weakened sensory function, which seriously threatens the health of patients. So, what are the specific harms of lumbar spinal stenosis? Let's listen to the introduction of orthopedic experts from Heilongjiang Armed Police Hospital. >>>More
If the lumbar spinal canal is stenosis, you can use the intervertebral foraminoscopy technique**. Medications can relieve pain, but they can't be stenosis.