Understanding Foot Drop

A Comprehensive Guide to Causes, Symptoms, and Treatment Options

Orthopedics

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Last updated: Mar 24, 2025

What is Foot Drop?

Foot drop is a neuromuscular condition characterized by difficulty lifting the front part of the foot. This results in a dragging of the toes during walking and an increased risk of tripping.

Common Causes

  • Nerve injury or compression
    • Peroneal nerve damage
    • Lower back conditions (herniated disk)
    • Multiple sclerosis
  • Muscle disorders
    • Muscular dystrophy
    • Amyotrophic lateral sclerosis (ALS)
  • Brain/spinal cord disorders
    • Stroke
    • Cerebral palsy

Symptoms

  • Inability to lift the front part of your foot
  • Dragging toes while walking
  • High-stepping gait (steppage gait)
  • Numbness or tingling in foot
  • Weakness in foot and ankle

Diagnosis

  • Physical examination
  • Neurological tests
  • Imaging studies (MRI, CT scan)
  • Electromyography (EMG)
  • Nerve conduction studies

Treatment Options

Conservative Treatments

  • Braces or ankle-foot orthoses (AFO)
  • Physical therapy exercises
  • Gait training

Medical Interventions

  • Nerve decompression surgery
  • Tendon transfer procedures
  • Functional electrical stimulation

Prevention and Management

  1. Regular exercise as prescribed
  2. Proper footwear
  3. Use of prescribed assistive devices
  4. Regular medical follow-up

When to Seek Medical Care

  • Sudden onset of symptoms
  • Worsening weakness
  • Increased difficulty walking
  • Development of new symptoms

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