spinal stenosis and claudication

Question 1

defintion

Answer 1

in spondylosis which is combined with bulging discs or the bulging of the ligamentous flavum, the caudal equine has less space

Question 2

who does it mostly affect

Answer 2

those over 60

Question 3

classical presentation

Answer 3

neurogenic claudication (pain in legs on walking)

Question 4

neurogenic claudication vs vascular claudication

Answer 4

• pain is burning rather than cramping
• PAIN IS RELIEVED BY WALKING UPHILL BECAUSE YOU FLEX THE SPINE CREATING MORE SPACE FOR CAUDA EQUINA
• PEDAL PULSES ARE PRESERVED

Question 5

treatment of spinal stenosis

Answer 5

1st line= physiotherapy and analgesia

2nd line= surgical decompression