<h5>Introduction</h5> Low back pain is a common malady that affects individuals of all age groups. The problem is second only to respiratory illness as a reason for an office visit. Despite the fact that it is usually a self-limiting symptom, its treatment costs billions of dollars a year and it is a leading cause of work-related disability. 1 There are many causes of low back pain, one of which is spinal stenosis.</P><h5>Definitions</h5> Lumbar spinal stenosis has been defined as a condition involving any narrowing of the spinal canal, nerve root canals, or tunnels of the intervertebral foramina. 2 This narrowing can cause pressure on, or compression of, the neural elements. Patients may be symptomatic despite minimal compression and conversely those with high degrees of compression may be asymptomatic. The symptoms of spinal stenosis can be divided into two main categories: neurogenic intermittent claudication, and radiculopathy with or without radicular pain. 3 Neurogenic intermittent claudication is a clinical diagnosis. Symptoms include buttock pain; pain radiating into the thighs or legs; numbness, tingling, or cramping of the legs; difficulty standing or walking; and low back pain. Unlike vascular claudication, the symptoms of neurogenic claudication improve with leaning forward, crouching, or
Disease-a-Month – Elsevier
Published: Jan 1, 2005
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