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Neurogenic claudication from wikipedia, the free encyclopedia jump to: navigation, search     neurogenic claudication (nc) is a common symptom of lumbar spinal stenosis, [1] [2] or inflammation of the nerves emanating from the spinal cord. viagra online Neurogenic means that the problem originates with a problem at a nerve, and claudication, from the latin for limp, because the patient feels a painful cramping or weakness in the legs. Nc should therefore be distinguished from vascular claudication, which is when the claudication stems from a circulatory problem, not a neural problem. buy viagra online Neurogenic claudication can be bilateral or unilateral calf, buttock, or thigh discomfort, pain or weakness. In some patients, it is precipitated by walking and prolonged standing. The pain is classically relieved by a change in position or flexion of the waist and not simply relieved by rest, as in vascular claudication. [3] therefore, patients with neurogenic intermittent claudication have less disability in climbing steps, pushing carts and cycling. [3] [4] in some patients with severe compression of the nerve roots, the nc is not intermittent but painfully persistent. The pathophysiology is thought to be ischemia of the lumbosacral nerve roots secondary to compression from surrounding structures, hypertrophied facets, ligamentum flavum, bone spurs, scar tissue, and bulging or herniated discs. In addition to vascular claudication, pseudo-trochanteric bursitis should be considered in the differential. [edit] references ^ comer cm, redmond ac, bird ha, conaghan pg (2009). buy viagra "assessment and management of neurogenic claudication associated with lumbar spinal stenosis in a uk primary care musculoskeletal service: a survey of current practice among physiotherapists". cheap generic viagra Bmc musculoskelet disord 10: 121. viagra next day delivery uk Doi:10. do women like men use viagra 1186/1471-2474-10-121. Do girls use viagra Pmc 2762954. Pmid 19796387. //www. Ncbi. Nlm. can you get viagra over the counter in usa Nih. generic 36 hour viagra Gov/pmc/articles/pmc2762954/. tesco viagra jokes   ^ harrast ma (march 2008). "epidural steroid injections for lumbar spinal stenosis". generic 36 hour viagra Curr rev musculoskelet med 1 (1): 32–8. viagra online Doi:10. buy cheap viagra 1007/s12178-007-9003-2. Pmc 2684150. viagra over the counter dubai Pmid 19468896. //www. Ncbi. cheap viagra online Nlm. Nih. Gov/pmc/articles/pmc2684150/.   ^ a b genevay s, atlas sj (april 2010). "lumbar spinal stenosis". buy generic viagra Best pract res clin rheumatol 24 (2): 253–65. cheap generic viagra india Doi:10. 1016/j. buy cheap viagra Berh. Is it legal to get viagra online 2009. Viagra canada address 11. 001.  SUPPLIERS AND INSTALLERS OF PLC'S, HMI'S, VSD'S, SWITCHGEAR AND ALL AUTOMATION PRODUCTS OF VARIOUS BRANDS (SEE PRODUCTS PAGE)

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