differentiating between neurogenic (spinal) claudication and vascular claudication
Last reviewed 01/2018
differentiating neurogenic from vascular claudication
|
symptom/sign |
neurogenic claudication |
vascular claudication |
|
pain |
proximal to distal |
distal to proximal |
|
relief of symptom |
relieved by sitting/forward bending |
relieved by standing |
|
walking up hill |
better |
worse |
|
wlaking down hill |
worse |
better |
|
cycling |
no symptom |
symptoms present |
|
walking distance |
variable |
fixed |
|
neurological symptom |
commonly present |
not present |
|
neurological signs |
maybe positive, especially after walking |
negative |
|
pulse |
present |
absent |
|
skin |
no changes |
atrophic signs |
Reference: