Neurologic examination will aid in localizing levels. Ninety percent of disc Prolapses will respond to conservative measures within 12 weeks. The optimal time for surgical referral occurs after approximately 8 weeks of persistent symptoms. C. Stenosis 1. In central lumber stenosis, with circumferential compression of the cauda equina, the associated clinical syndrome is one of neurogenic claudication.
Patients note unilateral or bilateral lower extremity pain related to activity.
When patients sit, they are pain-free. A key differential point between neurogenic and 2. Conservative treatment revolves around epidural therapy, and flexion exercises. The response of 3. Surgical intervention consists of decompression, with appropriate stabilization should the extent of decompression so merit.