78 year young man bilateral foot pain worse with walking for 8 years. He does not have back or leg pain with walking. There is no discoloration of his feet with walking. The foot pain takes a long time to resolve - 30 minutes or more once he sits down. He has been to many doctors to no avail. He said it feels like stabbing pain.
He had intact neurological examination and strong pedal pulse.
EMG and nerve conduction study showed evidence for lumbar radiculopathy and peripheral neuropathy.
MRI showed lumbar degenerative disc disease.
Management: pain medication such as Gabapentin to start.