Mel, even with the spinal cyst causing spinal stenosis and significant disability, I NEVER had back pain. I had pain in my leg. So that's not an indicator. There are some top spine guys in NY, guys who do not need to operate to support themselves anymore, and who have long waiting lists. If Alan has significant spinal stenosis, it might be worth his being followed by one of these guys. The bottom line is that he has continued pressure on nerves to his legs. It probably has nothing to do with peripheral neuropathy, which is about 15 years old, if I remember correctly, but it's still worth following. Everyone who ages gets spinal stenosis to some degree. We just outlive our spines.

As for the infection in his foot. This is the domain of a vascular surgeon. Perhaps the neurologist can recommend someone? I'd think a consultation there would be worthwhile, too.