Vascular claudication and neurogenic claudication are common causes of pain in the lower extremities in the ever-growing elderly population. It is important for all healthcare providers to understand the disease states and the pertinent history that needs to be elucidated to identify one disease state as being the cause of lower extremity pain. Treatment of neurogenic claudication by interventional pain specialists goes way beyond just the performance of a lumbar epidural steroid injection. New percutaneous treatment options for lumbar spinal stenosis with neurogenic claudication provide interventional specialists with the tools needed to deliver a mechanical fix for patients.
Learning Objectives:
Distinguish the differences on history and physical exam between neurogenic and vascular claudication
Cite appropriate studies to order for vascular vs neurogenic claudication
Review causes of neurogenic claudication
Describe new treatment options for patients with lumbar spinal stenosis with neurogenic claudication