Spinal Stenosis and Claudication

Question 1

describe how this occurs

Answer 1

nerve roots can have reduced space by being compressed by osteophytes and hypertrophied ligaments in OA

Question 2

presentation

Answer 2

radiculopathy or burning leg pain on walking (neurogenic claudication)
over 60
claudication distance is inconsistent and less uphill (flexion creates more space)
pedal pulses are preserved

Question 3

diagnosis

Answer 3

myelopathy

MRI

Question 4

management

Answer 4

conservative e.g. physiotherapy, weight loss

some benefit from surgical decompression with trimming of osteophytes