PAIN-NEUROGENIC CLAUDICATION

SUMMARY

1. The history will help clarify the diagnosis.

2. Pain is characterised by neuropathic pain which can be intermittent, associated with activity.

3. Pain relieves with rest, stooping; weakness or heaviness may also occur.

4. May involve more than 1 dermatome, ascertaining this may help localize the site of the lesion.

5. Arises from stenosis of: the central canal, recess or foramen, or a combination.

6. Multiple aetiology: degenerative changes (of the disc, facet, ligamentum hypertrophy), spondylolisthesis or space occupying lesions (malignancy, infections).

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.