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Foot Drop and Steppage Gait (Footdrop Gait)

Overview

Foot drop, sometimes called drop foot, is a general term for difficulty lifting the front part of the foot. If you have foot drop, you may drag the front of your foot on the ground when you walk.



Foot drop isn't a disease. Rather, foot drop is a sign of an underlying neurological, muscular or anatomical problem.

Sometimes foot drop is temporary. In other cases, foot drop is permanent. If you have foot drop, you may need to wear a brace on your ankle and foot to hold your foot in a normal position.
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Symptoms

Signs and symptoms of foot drop may include:
  • Difficulty lifting the front part of your foot, which is sometimes the only sign of foot drop
  • Dragging your foot on the floor as you walk
  • Slapping your foot down onto the floor with each step you take
  • Raising your thigh when you walk, as if you were climbing stairs (steppage gait)
  • Pain, weakness or numbness in the foot

Foot drop typically affects only one foot. Depending on the underlying cause, however, it's possible for both feet to be affected.
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Causes

Foot drop is caused by weakness or paralysis of the muscles below the knee involved in lifting the front part of the foot. The underlying causes of foot drop are varied. Often, neurological, muscular and anatomical problems overlap.

Specific foot drop causes may include:
  • Muscle or nerve damage. An injury to the muscles that control the ankle and toes can cause foot drop. Sometimes nerve damage — from an injury to the nerves in the lower spine or leg to the long-term nerve damage of diabetes (neuropathy) — causes foot drop. In other cases, nerve damage occurs during hip or knee replacement surgery. Pressure to the nerve on the outside of the shinbone just below the knee (peroneal or fibular nerve), as you might experience if you sit with your legs crossed for too long, can trigger temporary foot drop.
  • Muscle or nerve disorders. Various forms of muscular dystrophy, an inherited disease that causes progressive muscle weakness, may contribute to foot drop. Various forms of compartment syndrome, a condition characterized by the compression of nerves and blood vessels within an enclosed space, may have the same effect.
  • Central nervous system disorders. Disorders that affect the spinal cord or brain — such as amyotrophic lateral sclerosis (ALS), multiple sclerosis or stroke — may cause foot drop.
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