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Podiatric Care for Foot Drop - East Coast Podiatry

Foot drop can occur for a variety of reasons, including stroke, viral infection, bacterial infection, autoimmune conditions, diabetes, and localized trauma typically to the peroneal nerve around the level of the knee. This can lead to patients being at a greater risk of falls, requiring assistance when walking, or suffering from a general decline in walking function. There are many newer, more discrete, and comfortable management options available, such as lower limb braces that allow for a more normal and functional gait pattern compared to even 10 years ago. Traditional braces for addressing foot drop simply hold the foot and ankle at a fixed 90-degree angle which allows for ground clearance and stops a patient from falling easily, however, these devices do lead to muscle group atrophy and compensations in other areas of the foot, knee, and spine. Advanced braces such as Ankle Foot Orthotics aka AFOs now allow podiatrists to vary the foot and ankle movement by 10-40 degrees allowing for safer and more functional movement in patients. Customized devices work in sync with their owner to increase their freedom to participate in whichever activities they feel comfortable doing. Advanced in-clinic care is used to target damaged nerve cells, specifically at the level of damage, while also encouraging the surrounding muscles to activate and help to function the dorsiflexion action of the foot. Many of the conditions that lead to foot drop are irreversible, particularly if the initial approach is to wait and observe for changes or wear a fixed brace, but with developments in technology such as more adaptive braces and advanced modalities for nerve stimulation, patients are finding that their function is no longer hindered, allowing them to lead healthier, more active, and happier lives.