question-icon

Suggest Treatment For Neurgenic Claudication

default
Posted on Sat, 11 Apr 2015
Question: hI I HAD A DISCECTOMY AND FORAMINTOMOMY AND LAMINECTOMY IN DECEMBER. sINCE THEN I HAVE ALL THE SYMPTOMS OF NEUROGENIC CLAUDICATION BUT MY EMG IS NEGATIVE. aNY THOOUGHTS
doctor
Answered by Dr. Dr. Erion Spaho (2 hours later)
Brief Answer:
Probably lumbar stenosis.

Detailed Answer:
Hi, I had gone through your question and understand your concerns.

Neurgenic claudication is caused by lumbar spine canal stenosis.

If you had laminectomy and foraminotomy, then a possibility is worsening of lumbar column stability ( spondylolysthesis). This needs to be checked with dynamic x-ray films of lumbar column ( flexed and extended position).

Another possibility of your symptoms may be inadequate neural decomprression.
This needs to be checked with a lumbar MRI.

EMG is positive when there is prolonged nerve suffering.

Neurogenic claudication worsens in standing and walking and improves at or after rest.

I suggest you to discuss with your treating Doctor above mentioned possibilities about your concerns.

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4500 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Neurologist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Suggest Treatment For Neurgenic Claudication

Brief Answer: Probably lumbar stenosis. Detailed Answer: Hi, I had gone through your question and understand your concerns. Neurgenic claudication is caused by lumbar spine canal stenosis. If you had laminectomy and foraminotomy, then a possibility is worsening of lumbar column stability ( spondylolysthesis). This needs to be checked with dynamic x-ray films of lumbar column ( flexed and extended position). Another possibility of your symptoms may be inadequate neural decomprression. This needs to be checked with a lumbar MRI. EMG is positive when there is prolonged nerve suffering. Neurogenic claudication worsens in standing and walking and improves at or after rest. I suggest you to discuss with your treating Doctor above mentioned possibilities about your concerns. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.