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May 23, 2008Practical Neurology308 citations

Foot drop: where, why and what to do?

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JSJohn Stewart

Key Points

  • To explore the causes of foot drop and effective management strategies for this condition.
  • Conducted a thorough neurological evaluation to identify the site of nerve lesions.
  • Utilized nerve conduction and electromyographic studies to assess nerve damage and recovery prognosis.
  • Applied various imaging techniques, including ultrasonography, CT, and MR imaging, to determine the underlying causes.
  • Peroneal neuropathy is the most common cause of foot drop, often due to habitual leg crossing.
  • Imaging studies help clarify potential causes at spinal or nerve locations, improving diagnosis.
  • Ankle foot orthosis significantly aids mobility in patients with severe foot drop.

Abstract

Foot drop is a common and distressing problem that can lead to falls and injury. Although the most frequent cause is a (common) peroneal neuropathy at the neck of the fibula, other causes include anterior horn cell disease, lumbar plexopathies, L5 radiculopathy and partial sciatic neuropathy. And even when the nerve lesion is clearly at the fibular neck there are a variety of causes that may not be immediately obvious; habitual leg crossing may well be the most frequent cause and most patients improve when they stop this habit. A meticulous neurological evaluation goes a long way to ascertain the site of the lesion. Nerve conduction and electromyographic studies are useful adjuncts in localising the site of injury, establishing the degree of damage and predicting the degree of recovery. Imaging is important in establishing the cause of foot drop be it at the level of the spine, along the course of the sciatic nerve or in the popliteal fossa; ultrasonography, CT and MR imaging are all useful. For patients with a severe foot drop of any cause, an ankle foot orthosis is a helpful device that enables them to walk better and more safely.

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Cite This Study

John Stewart (2008) studied this question.

synapsesocial.com/papers/69dd547a2b3cda120c40c497https://doi.org/10.1136/jnnp.2008.149393
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