A 68-year-old female presents with back pain and bilateral leg pain that worsens with walking but improves when leaning forward or sitting. The pain limits her walking distance. Neurological examination reveals no sensory or motor deficits. What could be the diagnosis and the next steps?
The patient's symptoms are suggestive of neurogenic claudication, which is typically due to spinal stenosis. Spinal stenosis refers to a narrowing of the spinal canal that can compress nerve roots. The next steps would be to perform imaging studies, likely an MRI, to evaluate the spinal canal and confirm the diagnosis. Management would likely include physical therapy, pain management, and possibly surgical intervention if conservative measures fail.