How does a neurosurgeon recognise lumbar spinal stenosis?
In addition to listening to the patient’s complaints and performing a thorough neurological examination, the neurosurgeon will carry out a medical imaging procedure. MRI of the lumbar spine is the first examination of choice and generally shows the abnormality in great detail. Additionally, a CT scan may be performed to obtain a better understanding of the patient’s bone structures.
Person suffering from lumbar spinal stenosis
Finally, the surgeon will have to rule out the possibility that the patient’s discomfort and other symptoms are caused by a vascular disorder in the patient’s leg, since such a disorder presents with the same symptoms. This is easy to determine in a physical examination, by palpating the legs and feet. If it is hard to feel a pulse in the legs and feet, an additional peripheral vascular examination will have to be performed first.