Difficulty In Walking

Difficulty walking or abnormal gait can be due to a simple localized sprain to a serious underlying neurologic disease. Some of the causes are osteoarthritis and rheumatoid arthritis of leg or hip joint, fracture of the leg or hip, less flexible leg muscles, muscular dystrophy, local injury to the leg, pain due to overuse, obesity, vascular diseases, pinched nerve, spinal stenosis, multiple sclerosis, stroke, Parkinson's disease, other brain lesions, foot corn, ill-fitting shoes, diabetic foot, myopathies, etc. Medical correction of the underlying condition, along with physiotherapy, can help overcome the difficulty.

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Kindly go through the blood report and give your opinion.

Query: Hello doctor, From the past few weeks, I have had severe pain and inflammation in both the legs, from my knees to the foot. I limp while walking, and have no injuries or accident. Also, I feel very lazy, weak, and sometimes feel feverish in the evenings. My concentration at work is also going down. ...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). There is nothing serious, no need to worry. The central problem associated with you is obesity. Obesity has lead to excess fat deposition in the liver, leading to mild elevation of AST (aspartat...  Read Full »

I have short term memory loss with paresthesia on my face. Why?

Query: Hello doctor, I am a 27 year old female, and I have severe short-term memory loss (8/30 MMSE). I have paresthesia bilaterally on my face, which has spread from the upper part to around my mouth. I also have startle myoclonus and muscle stiffness. My walking speed has slowed, and the muscles in my...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. Copper deficiency is a known cause for non-compressive myelopathy, which can explain your muscle stiffness, slowed walking, and clonus in legs. But startle myoclonus is a different thing. It might be a flexor spasm in legs, which someone interpreted as startle myoclonu...  Read Full »

I got a sprain in my ankle while playing soccer. Kindly help.

Query: Hi, I sprained my ankle while playing soccer. The ball hit the outside of my foot, causing my ankle to turn inward, and it popped few times. I also landed on it sideways in the same position. They took me to the hospital, where they told it was a moderate sprain. At first, it hurt to walk, but it di...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. It is very unlikely to be dislocated. The ankle joint is a very stable joint, and it will not be dislocated. And, the major fracture would have been much painful, and there would have been an inability to walk. So do not worry, I think it is just a feeling, not an ac...  Read Full »

Will spinocerebellar ataxia cause limping while walking and voice cut off?

Query: Hi doctor, I am a 51-years-old male of height 6.1 and weight 98 kg. For the last five to six years, I have been experiencing unsteadiness and imbalance while standing or walking. This happens mainly while starting to walk, taking small steps, or turning. I also often feel lightheaded. I also have so...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. As per your description and attached details (attachments removed to protect the patient's identity), you have severe sensory neuropathy in bilateral legs and cervical cord compression, for which surgery was suggested. These two abnormalities themselves can also cau...  Read Full »

Are burning pain and difficulty in walking indicative of rheumatoid arthritis?

Query: Hello doctor, I am 53 years old with no significant medical history. I have been trying to lose weight and recently increase my level of activity by practicing yoga for 20 minutes a day. I am 5'2,'' and my weight is 141 pounds. Around last week I noticed some edema on my left upper knee that made w...  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. Yes, there is a visible difference in the circumference of the left thigh (attachments removed to protect the patient's identity). It is difficult to be precise as the history and examination findings are limited. There is no history of injury. You are not at risk of...  Read Full »

How long does it take for a patient to recover from a stroke?

Query: Hi doctor, My wife has diabetes and hypertension. She suffered a CVA (left basal ganglia ICH) with right hemiparesis some months back. She is on Insulin (Novorapid and Lantus), Galvus Met 50 mg/500 mg (last 20 years), Telma 40 mg, Liofen, Statin 10 mg, and Felicita. Of late, she feels difficulty in...  Read Full »


Dr. Hitesh Kumar

Answer: Hi, Welcome to icliniq.com. Please tell me a few details. After ICH (intracerebral hemorrhage), did her power in the right leg improve to some extent in the last three months? Is it the same, or has it got worsened? In which portion is she having pain? And since when is that pain? Please give the...  Read Full »

Apart from surgery, what are the treatment options to release nerve trapped between discs?

Query: Hi doctor, This is the MRI report of my 56-year-old mother. She has severe back pain and is unable to walk. Currently, she is in bed with traction. Doctor has suggested surgery to release the nerve trapped between the disks. Please help me understand the following MRI report. Is surgery the only op...  Read Full »


Dr. Renjit George Marcus

Answer: Hi, Welcome to icliniq.com. Your mother's issue is a common problem. Surgery is a good option but not the best option. Treatment mainly depends on the symptoms and not only the MRI (magnetic resonance imaging) report. Studies have shown not much difference between surgical and nonsurgical treatmen...  Read Full »

What can cause weakness and breathing trouble?

Query: Hi doctor, My mother is 45 years old. She is having trouble breathing. Every move exhausts her. She is weak and needs assistance while walking. She always sits in front of a fan or air-conditioner every day while having trouble breathing. It is episodic and she gets attacks while she feels tired. I...  Read Full »


Dr. Ahmed Goha

Answer: Hi, Welcome to icliniq.com. I understand your concern. Your mother is having dyspnea. Due to it, heart failure occurs. It is the inability of the heart to pump a sufficient amount of blood needed for the body. This can also occur due to previous heart problems which can be either rheumatic valvula...  Read Full »

Please suggest a diet plan for my 58-year-old mother based on her reports.

Query: Hello doctor, My mother is aged 58 years, and at present, her physical activity is very, very less as she is unable to walk with herself, and all activities like going for rest toom, bathing, etc., are performed with the help of my father. She takes one to two roti with vegetables in the morning ar...  Read Full »


Dr. Subharanjini Ramesh

Answer: Hi, Welcome to icliniq.com. I think you have not attached all the files. The reports are not complete. Please attach the remaining pages of the report.  Read Full »

Why do I lower back pain and unable to put pressure on my legs to walk?

Query: Hi doctor,I have severe lower back pain. I am unable to put pressure on my legs to walk. Before three weeks, I was lifting a dog into my car. After that, I got a sharp pain in my lower back. It went away after two days. Today, I was lifting my two-year-old child into an inflatable tube. I had the sa...  Read Full »


Dr. Atul Prakash

Answer: Hi, Welcome to icliniq.com. You need an examination to determine whether it is a back strain or sciatica from a pinched nerve. Please mention whether you have any numbness and weakness in your legs apart from the pain while walking. Please mention whether you have bladder control. Please menti...  Read Full »

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