The Ups and Downs of Footdrop | Medical and Physiotherapy Management

Foot drop is a common condition that can significantly impact an individual's walking pattern. In this article, we'll explore the possible pathologies of foot drop, delve into medical and physiotherapy management options, and shed light on how we at Physiocare can assist in your journey to recovery.

Understanding Footdrop

Foot drop is characterized by an abnormal walking pattern where the affected leg appears to be 'hanging' during forward movement, causing the individual to high-step or lift the leg excessively. This condition primarily affects the dorsiflexor muscles responsible for lifting the toes and ankle. The root cause often involves nerve interruptions, such as nerve impingement at the L5 level or damage to the peroneal nerve.

Medical Management

The first step in addressing foot drop is a thorough assessment by a Medical Doctor or a Physiotherapist. Identifying the underlying cause is crucial for formulating an effective treatment plan. However, it's important to acknowledge that foot drop may, in some cases, be permanent.

To pinpoint the exact location of nerve impingement or damage, specialized tests like localized sensory testing or nerve conduction studies are conducted. Additionally, imaging through MRI or CT scans aids in diagnosis. Timeliness is paramount, as prolonged nerve pressure (beyond 14 days) can lead to lasting effects.

Medical management assesses whether surgical intervention is necessary to preserve or regenerate nerve function. Emerging treatments, such as Botulinum toxin injections, aim to reduce spasticity and tension caused by nerve lesions, ultimately aiming for maximal patient recovery.

Physiotherapy Management

Physiotherapy plays a crucial role in helping affected muscles regain function. Functional electrical stimulation is initiated soon after diagnosis to prevent muscle wasting or atrophy, emphasizing the importance of early intervention.

Foot orthoses or splints are used to improve mobility and walking effort, although they may not restore a completely normal walking pattern. Physiotherapy also focuses on retraining a natural walking or gait pattern, aligning with the patient's ultimate goal.

How Physiocare Can Help

At Physiocare, we assess and  manage foot drop conditions. Our team of experienced professionals is dedicated to helping you regain mobility and independence. We understand the significance of a timely and comprehensive approach to your recovery.

If you or someone you know is dealing with foot drop, don't hesitate to reach out to us. Together, we can work towards a brighter, more mobile future.