FOOT DROP

Oleh Indri dan Irwan

FOOT DROP
Sinonim:

Floppy Foot Drop Foot

Foot

drop isn't a disease. Foot drop is a

sign. Sometimes foot drop is temporary. In other cases, foot drop is permanent.

Foot drop, sometimes called "drop foot," is the inability to lift the front part of the foot. This causes the toes to drag along the ground while walking. To avoid dragging the toes, people with foot drop may also lift their knee higher than normal. Or they may swing their leg in a wide arc. Foot drop can happen to one foot or both feet at the same time.

WHAT CAUSES FOOT DROP?

Causes

of foot drop include:

nerve injury 2. brain or spinal disorders 3. muscle disorders

1.

NERVE INJURY.

Most commonly, foot drop is caused by an injury to the peroneal nerve. The peroneal nerve is a branch of the sciatic nerve that wraps from the back of knee to the front of the shin. Because it sits very close to the surface, it may be easily damaged.

SOME COMMON WAYS THE PERONEAL NERVE IS DAMAGED OR COMPRESSED INCLUDE:

sports injuries diabetes hip or knee replacement surgery spending long hours sitting in crossed-legged or squatting position childbirth large amount of weight loss Injury to the nerve roots in the spine may also cause foot drop.

BRAIN OR SPINAL DISORDERS.

Neurological

conditions can contribute to foot drop. These include:

1. 2. 3. 4.

stroke multiple sclerosis (MS) cerebral palsy Charcot-Marie-Tooth disease

MUSCLE DISORDERS.
Conditions

that cause the muscles to progressively weaken or deteriorate may cause foot drop. These include:
1. 2. 3.

muscular dystrophy amyotrophic lateral sclerosis (Lou Gehrig's disease) polio

RISK FACTORS

1.

2.

3.

The peroneal nerve controls the muscles that lift your foot. This nerve runs near the surface of your skin on the side of your knee closest to your hand. Activities that compress this nerve can increase your risk of foot drop. Examples include: Crossing your legs. People who habitually cross their legs can compress the peroneal nerve on their uppermost leg. Prolonged kneeling. Occupations that involve prolonged squatting or kneeling such as picking strawberries or laying floor tile can result in foot drop. Wearing a leg cast. Plaster casts that enclose the ankle and end just below the knee can exert pressure on the peroneal nerve.

SYMPTOMS
Symptoms

of peroneal nerve injury (foot drop) may include:

Inability to point toes toward the body (dorsi flexion) Pain Weakness Numbness (on the shin or top of the foot) Loss of function of foot High-stepping walk (called steppage gait or footdrop gait) Diagnosis of peroneal nerve injury (foot drop)

TREATMENTS

Treatment for foot drop will depend on the specific cause. Early treatment may improve your chances of recovery. Treatments include:
light-weight braces shoe inserts (orthotics) physical therapy surgery

STEPPAGE GAIT

Steppage gait is often characterized by raising the thigh up in an exaggerated fashion while walking, as if climbing the stairs.

PERONEAL NERVE
common peroneal nerve is derived from (L4, L5, S1, S2) as a part of the sciatic nerve; The common fibular nerve travels around the neck of the fibula in a superficial position - here it is vulnerable to injury.

PERONEAL NERVE
Near the neck of the fibula, the common fibular nerve divides into superficial and deep branches. nerve also gives off a lateral sural cutaneous brach which joins with the the medial sural cutaneous nerve (from tibial nerve) to form the sural nerve;