from: nerve root compression
neurogenic claudication
Lumbar spinal stenosis (with nerve root compression)
Radicular back/buttock pain
Radiating down legs
Worse with Walking & standing; Hyperextension/lying prone
Better with Bending forward, sitting
Numbness/paresthesias
± Focal weakness, ↓ reflexes
↓ Lumbar extension
Preserved pulses
MRI lumbar spine
CT myelogram (if no MRI)
EMG/NCS
PT (flexion exercise), NSAIDs,
epidural steroid injections (ESI)
Surgery (if other Rx fails)