|
Year |
2002 |
|---|---|
|
Question Number |
58 |
|
Category |
Spine |
Question
In distinguishing patients with vascular claudication from those with neurogenic claudication (spinal stenosis), patients with the latter condition are most likely able to
1- walk downhill better than uphill
2- stand for extended periods
3- shop without a grocery cart
4- predict their walking distance
5- ride a stationary bicycle
Figures
Answer (click for answer)
Preferred response: 5.
In spinal stenosis, symptoms are relieved by flexion (walking uphill) and worsened by extension (walking downhill). People with pain from vascular claudication find relief in standing, whereas those with neurogenic claudication find standing worsens their symptoms. Vascular claudication occurs at a constant walking distance where neurogenic claudication is more variable. Neither group should ever shop without a grocery cart.
Reference: Rothman RH, Simeone FA (eds). The Spine, ed 3. Philadelphia, PA, WB Saunders, 1992, pp 791-857.