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:
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