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Exercises for neurogenic claudication
My mother has been diagnosed with L4 L5 posterior annular tear causing lumbar spinal stenosis.Due to this she is suffering from neurogenic claudication with symptoms like posterior leg tingling on both legs especially in mornings evenings, tingling on top of both feet .She cannot descend steps or slopes nor can't walk on footwear .Any exercises for this condition in physiotherapy? Kindly help
Answers (13)
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This needs medical management along with physiotherapy. For medical management, gabapentin or pregabalin should be started along with painkillers.
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Book an online consultation for the same
Health Tips
Avoid spine extension exercises as it may further narrow the canal and increase the symptoms. If slippage of footwear is there, kindly consult a neurosurgeon without any delay
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Hi This is the personal preference cáse
Do straching exercise for your back
Avoid Prolong stting
Avoid House holde work
Next Steps
contact nera by physiotherapist
Health Tips
walk 20 minutes a day
hot pack for 10 minutes
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Hi...look your mother needs a guidance on the way to get up from bed and sit ...so that there will be less pressure on her backbone...then she has to learn what to avoid...and what to do...to protect her spine from getting worse..for which patient education is most...and somewhat as a family attendant...family members should also be concerned...by knowing pros and cons..
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Yes there are so many easy and simple streching exercises by which she will be cured with no more such tingling and she can wear any comfortable wear too...
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Avoid carrying too much load ....like lifting bucket while bending down or any heavy weight...then never let her sit in same position for long period..then while sitting..make sure her back should be supported...consult me ...for complete treatment protocol...thanku
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Your mother’s symptoms are due to nerve compression from lumbar spinal stenosis. Physiotherapy can help reduce pain and improve function through specific decompression exercises, nerve gliding, and posture correction.
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It's essential to get a personalized assessment.
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Please visit me or a physiotherapist for a tailored treatment and home program.
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I need to check the MRI and do a proper assessment to rule out the extent of the problem, after which an appropriate plan for exercise can be done, personalised exercise planning will help to reduce pain by avoiding undue exercise in a pre-set exercise plan.
Next Steps
connect for consultation
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In the morning do not get up as soon as u get up, first slowly roll on both the sides start with small movement the complete side roll. after that slowly come to sitting positions from one side try to get up with less pain full side. then in sitting move your body do -5-8 min it will help you to start your morning good
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The symptoms of posterior leg tingling, foot discomfort, and difficulty with steps, slopes, and footwear suggest nerve compression that worsens with certain positions or activities
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Knee-to-chest stretches to relieve pressure on the spinal nerves. Hold for 15-20 seconds, 5-10 reps.
Short, frequent walks with a walker or cane, avoiding slopes or stairs initially. Start with 5-10 minutes, increasing gradually.
Seated forward bends or hamstring stretches to improve flexibility without aggravating symptoms.
Gentle pelvic tilts or isometric abdominal contractions to support the lower back.
Health Tips
Avoid extension-based activities as they may worsen stenosis.
Stop if tingling or leg weakness increases.
Use flat, supportive footwear.
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Please consult online for detailed assessment n treatment plan accordingly
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This would require a detailed assessment and history. Later a program need to be planned according to her strength, sensations, mobility and other factors. This will need a physical consult. Please contact a physiotherapist nearby and get a thorough assessment done. You may continue the treatment later offline/online.
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There is a treatment for her with advance technique and this has good results with no side effects as she is suffering with annular tear and stenosis, this technique will help her in recovering.
Contact in private chat for details and course of treatment.
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Hi please take an online consultation for best diagnosis and treatment.
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I need more information about the patient and to check some clinical movements.
Health Tips
Rest.
physiotherapy treatment.
Postural care.
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Heat therapy
Core Stabilization Exercises do pain free
Single knee-to-chest stretch.
Position Supine with pillows under knees
For better treatment kindly consult online
Health Tips
Avoid
Excessive lumbar extension (arching backward).
High-impact activities.
Prolonged standing without breaks.
Walking uphill/slopes without support.
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From how many days she has pain
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Dr. Anjali Rathore (PT)
Physiotherapist
5 yrs exp
Jaipur
Pls don’t perform exercises anyone suggest on YouTube or without checking reports
Book online session
Or see any nearby physio for fast recovery
Because discogenic pain is not same for all
Health Tips
Exercise acc. To MRI or other findings
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.