Value of a Grocery Cart and Walker in Identification and Management of Symptomatic Spinal Stenosis in Diabetic Patients Presenting With Peripheral Neuropathy or Claudication

Lumbar spinal stenosis (SS) may produce symptoms similar to and frequently mistaken for diabetic peripheral neuropathy (DPN). Both axial loading (1), as seen with walking, and spinal extension (2), seen in an erect position, decrease the diameter of both the central spinal canal and lateral recesses. Common extremity symptoms include neurogenic-induced claudication (of the legs) and neurogenic positional pedal neuritis (of the feet) (3), and are frequently reduced by flexion of the spine, facilitated by leaning forward …