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CAUSES AND TREATMENT FOR DROP FOOT

Walking is an essential human function and comes easily for most. But for those with drop foot, this everyday activity can be very challenging, resulting in stumbling, balance issues, and loss of mobility. Whether due to nerve damage, neurological disorders, or muscle weakness, foot drop can make even simple movements feel difficult. 


What is drop foot? 


Drop foot is a condition that makes it difficult to lift the front part of your foot, often causing it to drag while walking. This can lead to balance issues, frequent tripping, and an altered gait. While drop foot is not a disease, it's usually a symptom of an underlying neurological, muscular, or structural issue. 


A close up of feet on tippy toes.

What causes drop foot? 

There are several potential causes of drop foot, including: 


  • Nerve Injuries - The peroneal nerve controls the muscles that lift the foot, and damage to this nerve can result in a drop foot.  

  • Neurological Conditions - Disorders like multiple sclerosis, stroke, or cerebral palsy can disrupt communication between the brain and foot muscles, leading to weakness or paralysis in the foot and ankle. 

  • Muscle Disorders - Conditions such as MS, Charcot Marie tooth disease or ALS can cause muscle weakness. When this occurs in the anterior tibialis, the muscle responsible for lifting the foot, it can make walking difficult. 



Symptoms of drop foot 


As the name implies, the most prominent symptom is when the foot doesn't lift appropriately during the swing phase and appears dropped. The inability to lift the front part of the foot can lead to a distinctive gait pattern known as steppage gait. This is where individuals lift their knees higher than usual to avoid dragging their toes. Other symptoms may include: 


  • Frequent tripping or difficulty walking on uneven surfaces 

  • Numbness or tingling in the foot (if caused by nerve compression) 

  • Weakness in the ankle or foot, making it hard to walk or climb stairs 


A Paris everyBODY Pedorthist cast a foot and ankle for a custom Richie Brace AFO

Treatment for drop foot 


A common solution is an ankle foot orthosis (AFO). This is a type of brace that provides stability and support while walking by lifting the foot and preventing it from dragging, reducing the risk of falls.  AFOs come in various styles, including rigid and more flexible options, depending on the individual's needs and level of mobility. There are off-the-shelf versions and custom-fitted AFOs, which can, in some cases, offer better comfort and support. 


Other mobility aids, such as walking poles, can enhance stability, making it easier for individuals to navigate their environment more effectively. .


Drop foot doesn't have to limit one's lifestyle. With the right support, individuals can regain their independence, stay active, and move more confidently.  With a variety of AFO options available, our expertly trained staff can find the right solution to fit your specific needs!





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