Understanding Vascular Claudication in Spinal Stenosis | It's Not Always Neurogenic!

[@lernmor2137]

Check for venous reflux, which is the inability of your veins to push blood back up to your heart properly.

[@BunnyTree]

He should also look into nutcracker syndrome and May Thurner syndrome…. If hes looking to be a vascular patient.

[@shvonned.burkemsncrnpagpcn619]

Check uric acid and cortisol/ stress levels. Look at endo contributors. Sometimes the issue is in the journey to these sites or the environment of these sites. Whats the level of inflammation in the body?

[@Singinchicsnana]

I'm going through the exact same symptoms right now and my GP just ordered that I go to a Neurologist for tests. It's very frustrating just trying to do normal things. I recently went to a Nascar Race and had to go in a wheelchair because my leg weakness has gotten so bad.

[@dawnaustin4556]

Had a similar situation with leg heaviness. I found electrolytes without sugar which was a game changer. Could he be diabetic?

[@rachael1572]

Most of mine was the same way but I found it be my hips seriously my hips showing things that I never thought of for real...

[@BestPracticeHealth]

Interesting. Have you had an xray of your hips?

[@rachael1572]

@@BestPracticeHealth Yes I have two labrum tairs in both hips and I have had four back surgeries and when the hips started I had severe pain in my back and my NEUROUSPINE SURGEON. SAID IT WAS IN MY HIPS.. I had the ladicain injections and I it took the pain away immediately....so labrum tairs are worse than hip replacement...it VERY painful VERY..

[@rachael1572]

I had a MRI on my hips.

[@rachael1572]

It has caused major issues with my knee replacement as well when my knee got straight I had really bad issues.. popping unable to stand up from chairs without hips popping walking with my foot turned out...needing arthroscopic of the hip for labrum tairs... Because they said because I'm only fifty-five that they didn't want to do a total hip replacement... All of my issues have come from being in three deadly which I was told I would never walk again... After having foot surgery for a condition called tarsal tunnel syndrome...

[@rachael1572]

@@BestPracticeHealth the right hip is way up in the joint..

[@luzvargas1063]

difficulty walking , in an absense of vascular obstructive issue Got to be stenosis in early stages. The Doctor probably has not enough expetirnce in looking at the MRI . THe walking ialso as long as he does not have ANY autoinmne issue will place him back to diagnosis of stenosis.

[@Lannie74]

Doctor I need your opinion/advice. I have May Thurners Syndrome which is a vascular disease. I have horrible horrible low back pain and can only stand or walk for 5 minutes maybe less before I have to sit. I am miserable because it has debilitated my life hugely! I’ve also gained a lot of weight because of not being able to walk very much. I started having pain in the lower back before I was diagnosed with an extensive dvt in the left leg but it is even worse now. I am wondering if it is caused from the facet joints because I went to an orthopedic doctor and he did an adjustment on me and I was pain free for a few hours.

[@dargischris]

Since he experiences symptoms standing (not supine) is it possible an upright MRI would show something different?

[@BestPracticeHealth]

Good question. It's a trade off. MRI int the position of symptoms makes sense, but the quality is typically much lower.

[@supernova44]

Stenosis feels like walking in water with heaviness and numbness. I feel better hunched over on a cart, otherwise walking around gets difficult. Feet always feel numb and I’ve had a caudal injection but it doesn’t go away. Also get muscle spasms as well.

[@willroche6691]

My symptoms exactly except for calf cramps. My pulse at my feet is good? Had epidural which helped 30%

[@BestPracticeHealth]

Hmm. Have you seen a neurologist who specializes in neuromuscular junction? That's usually the best place to start. If you have and the EMG was negative, then a vascular neurologist is next.

[@luzvargas1063]

For sure those herniations will cause him ISSUES FROM HELL I KNOW SO