Symptoms
- Weakness of buttock / thigh / shin / calf, aggravated by exercise / walking / twisting. Slow but accelerating onset often associated with easement stooping or crouching
- Weakness ± wasting of both buttocks / thighs / shins / calves. Weakness aggravated by exercise / walking / lifting. Slow but accelerating onset often associated with easement stooping or crouching
Diagnosis
| Presentation | Diagnosis | Options |
|---|---|---|
| Gradual onset of weakness of buttock or knee power / foot push off / increasing foot drop | Lateral Recess Stenosis (narrowing of the exit foramen / pathway for the nerve root. Often under diagnosed | Endoscopic Lumbar Decompression & Foraminoplasty / Open decompression ± medial facetectomy / Fusion / Interspinous spacer |
| Gradual onset of weakness ± wasting of buttock or thigh / foot push off / increasing foot drop |
