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Symptoms are most commonly bilateral and symmetrical, but they may be unilateral; leg pain is usually more troubling than back pain. [6] Pseudoclaudication, now generally referred to as neurogenic claudication, typically worsens with standing or walking, and improves with sitting, and is often related to posture and lumbar extension. Lying on ...
[5] [11] [12] The onset of pain can vary, with some patients report sudden onset of pain with a known inciting incident. [13] These symptoms can be exacerbated by lumbar flexion, extension, and rotation. [1] Manual compression over the posterior superior iliac crest, such as with wearing tight clothing and belts, can also reproduce symptoms.
The former is the most common, causing low back pain (lumbago) and often leg pain as well, in which case it is commonly referred to as sciatica. Lumbar disc herniation occurs 15 times more often than cervical (neck) disc herniation, and it is one of the most common causes of low back pain.
However, the symptoms vary depending on the severity and cause of the condition. Lighter symptoms include pain or heaviness in the legs, hips, glutes and lower back, post-exercise. [6] [8] Mild to severe symptoms include prolonged constant pain, tiredness and discomfort in the lower half of the body.
Adopting a forward head and rounded shoulders posture places increased stress on the neck (cervical spine), mid-back (thoracic spine) and low back (lumbar spine), Dr. Halfman explains.
Weight loss, to relieve symptoms and slow the progression of the stenosis; Physical therapy to support self-care. [37] Also may give instructions on stretching and strength exercises that may lead to a decrease in pain and other symptoms. Lumbar epidural steroid or anesthetic injections have low quality evidence to support their use. [36] [38]
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