differentiating between neurogenic (spinal) claudication and 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