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Neurogenic and vascular claudication

C H Hawkes, G M Roberts

    Journal of the Neurological Sciences
    |October 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Differentiating peripheral vascular disease (PVD) and lumbar spine issues causing leg pain is key. PVD shows abnormal pulses and constant pain distance, while spine issues involve back pain and variable leg pain.

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    Area of Science:

    • Vascular Surgery
    • Orthopedic Surgery
    • Clinical Diagnostics

    Background:

    • Intermittent claudication presents diagnostic challenges.
    • Distinguishing vascular versus lumbar degenerative causes is clinically important.

    Purpose of the Study:

    • To identify key clinical and radiological differences between intermittent claudication caused by peripheral vascular disease (PVD) and lumbar degenerative disease.

    Main Methods:

    • Comparative study of 26 patients with PVD and 23 patients with lumbar degenerative disease.
    • Assessment included clinical examination and radiological evaluation.

    Main Results:

    • Peripheral vascular disease group: abnormal foot pulses, arterial bruits, symptom relief by standing, constant claudicating distance, stocking sensory loss.

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  • Lumbar degenerative disease group: discomfort with exertion (lifting, bending), pain on standing, history of back injury, variable claudicating distance, segmental sensory loss.

    • Conclusions:

    • Distinct clinical features aid in differentiating PVD-related claudication from lumbar spine-related claudication.
    • Accurate diagnosis is crucial for appropriate treatment and patient management.