5 doctors weighed in:
How do you make the diagnosis of lumbar spinal stenosis?
5 doctors weighed in

Dr. Loren Lewis
Occupational Medicine
2 doctors agree
In brief: Imaging
There are some clues on history (worse with walking, standing, and/or maintaining certain postures, and relieved with sitting or lying) but the presentation is often similar to peripheral vascular disease- unilateral or bilateral pain with sensory loss, weakness, with symptoms worse with activity.
The diagnosis is made by typical symptoms and neuroimaging- some debate between ct vs. Mri.

In brief: Imaging
There are some clues on history (worse with walking, standing, and/or maintaining certain postures, and relieved with sitting or lying) but the presentation is often similar to peripheral vascular disease- unilateral or bilateral pain with sensory loss, weakness, with symptoms worse with activity.
The diagnosis is made by typical symptoms and neuroimaging- some debate between ct vs. Mri.
Dr. Loren Lewis
Dr. Loren Lewis
Thank
Dr. Kevin Vaught
Neurosurgery
In brief: MRI
Mri is the most common study.
Check out spine-health.Com.

In brief: MRI
Mri is the most common study.
Check out spine-health.Com.
Dr. Kevin Vaught
Dr. Kevin Vaught
Thank
Dr. Thomas Dowling
Orthopedic Surgery - Spine
In brief: By history & imaging
The history giving symptoms of pain in back and/or legs standing and walking relieved by sitting or bending over is classic.
If a vascular reason, same symptoms occur but one can stand in place and not sit or bend for relief. A MRI or ct will diagnose the stenosis.

In brief: By history & imaging
The history giving symptoms of pain in back and/or legs standing and walking relieved by sitting or bending over is classic.
If a vascular reason, same symptoms occur but one can stand in place and not sit or bend for relief. A MRI or ct will diagnose the stenosis.
Dr. Thomas Dowling
Dr. Thomas Dowling
Thank
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