Foot drop
(Redirected from Footdrop)
Condition characterized by difficulty lifting the front part of the foot
Gait abnormality
Foot drop | |
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Synonyms | N/A |
Pronounce | /fʊt drɒp/ |
Field | N/A |
Symptoms | Difficulty lifting the front part of the foot, dragging of the toes while walking, high-stepping gait |
Complications | Falls, muscle atrophy, gait abnormalities |
Onset | Sudden or gradual, depending on cause |
Duration | Variable; may be temporary or permanent |
Types | Unilateral or bilateral |
Causes | Injury to the common peroneal nerve, stroke, multiple sclerosis, herniated disc, muscular or neurological disorders |
Risks | Prolonged leg crossing, knee surgery, prolonged squatting, trauma |
Diagnosis | Physical examination, electromyography (EMG), nerve conduction studies, MRI |
Differential diagnosis | Charcot–Marie–Tooth disease, ALS, spinal cord injury |
Prevention | Avoid nerve compression, protective footwear, manage underlying conditions |
Treatment | Physical therapy, orthotic devices, nerve decompression surgery |
Medication | Anti-inflammatory drugs, corticosteroids (if inflammation is the cause) |
Prognosis | Depends on cause; may resolve spontaneously or require long-term therapy |
Frequency | Relatively uncommon; exact prevalence unknown |
Deaths | Rare; usually not fatal on its own |
Foot drop is a medical condition characterized by difficulty in lifting the front part of the foot. This condition can cause the foot to drag along the ground while walking. It is not a disease in itself but rather a sign of an underlying neurological, muscular, or anatomical problem.
Causes[edit | edit source]
Foot drop can result from a variety of causes, including:
- Nerve injury: Damage to the peroneal nerve, which controls the muscles that lift the foot, is a common cause of foot drop. This nerve can be injured due to trauma, surgery, or prolonged pressure on the nerve.
- Muscle disorders: Conditions such as muscular dystrophy, amyotrophic lateral sclerosis (ALS), and other muscle diseases can lead to foot drop.
- Neurological disorders: Disorders affecting the brain or spinal cord, such as stroke, multiple sclerosis, or cerebral palsy, can result in foot drop.
- Anatomical abnormalities: Structural issues in the foot or leg, such as charcot-marie-tooth disease, can also cause foot drop.
Symptoms[edit | edit source]
The primary symptom of foot drop is the inability to lift the front part of the foot, leading to a characteristic "steppage" gait. Individuals with foot drop may:
- Drag the foot on the ground while walking
- Lift the knee higher than usual to prevent the foot from dragging
- Experience numbness or tingling in the foot or leg
- Have muscle weakness in the foot or leg
Diagnosis[edit | edit source]
Diagnosing foot drop involves a thorough physical examination and medical history review. Additional tests may include:
- Electromyography (EMG) to assess the electrical activity of muscles
- Nerve conduction studies to evaluate the function of the nerves
- Imaging studies such as MRI or CT scan to identify structural causes
Treatment[edit | edit source]
Treatment for foot drop depends on the underlying cause and may include:
- Physical therapy: Exercises to strengthen the muscles and improve range of motion
- Orthotic devices: An ankle-foot orthosis (AFO) can help support the foot and improve walking
- Surgery: In some cases, surgical intervention may be necessary to repair damaged nerves or tendons
- Medications: To manage pain or underlying conditions contributing to foot drop
Prognosis[edit | edit source]
The prognosis for foot drop varies depending on the cause. In some cases, foot drop may be temporary and improve with treatment, while in others, it may be permanent. Early diagnosis and treatment are crucial for the best outcomes.
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Contributors: Prab R. Tumpati, MD