Condition · Lumbar spine
Neurogenic Claudication
With lumbar stenosis, standing and walking can crowd the nerves further — producing leg heaviness and aching that eases with sitting or leaning forward.
Symptoms
Typical symptoms are leg heaviness, aching, numbness, or weakness with standing or walking. Relief with sitting or bending forward is common, and walking distance may steadily decrease.
Diagnosis
Evaluation compares the pattern with vascular disease, hip pathology, and other causes of limited walking. Examination, pulses, gait assessment, MRI, and standing X-rays help confirm the source.
Treatment options
A flexion-tolerant conditioning program, medication when appropriate, activity modification, and epidural injections can improve function for some patients. Walking aids may also help posture and endurance.
When surgery is considered
Decompression may be considered when function remains meaningfully restricted, symptoms are reproducible, and imaging confirms the responsible narrowing. Stability and alignment determine whether fusion is also needed.
When to seek care promptly
Seek prompt care for progressive weakness, foot drop, or new bowel or bladder difficulty.
Initial consultation or second opinion?
Meet Dr. Jihoon Choi for an initial consultation — or bring your imaging for an independent second opinion before your next step. Call (972) 817-7450 or request a visit online.