Osterman Heikki
Sairaala Orton, Helsinki.
Duodecim. 2013;129(17):1820-6.
Spinal claudication refers to symptoms caused by nerve compression in the spinal canal brought on during strain. The symptoms are felt as lower limb pain, numbness or fatigue, but back pain that becomes worse under stress is also common. The symptoms are usually associated with the erect position and relieved when sitting or laying down. The underlying condition is most commonly narrowing of the spinal canal. While the diagnosis is often clear, MRI imaging is worth conducting if the symptoms are atypical or cause a clear-cut disability or functional limitation. Most patients are treated conservatively.
脊髓型间歇性跛行是指在用力时脊髓管内神经受压所引起的症状。症状表现为下肢疼痛、麻木或乏力,压力下背痛加剧也很常见。这些症状通常与直立姿势有关,坐下或躺下时可缓解。潜在病因最常见的是椎管狭窄。虽然诊断通常很明确,但如果症状不典型或导致明显的残疾或功能受限,进行磁共振成像(MRI)检查是值得的。大多数患者采用保守治疗。