Unusual Sensations While Walking: A Neurology Perspective - Neurology

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Hello, Vice Dean.
When I walk, I feel a sensation of my feet momentarily bouncing up and down, as if my foot is firmly on the ground but then feels like it's sinking down and immediately rebounding to its original position (it feels somewhat like climbing a mountain!?).
This sensation sometimes persists and sometimes disappears; however, when I sit, it is less noticeable.
My feet and ears do not have any particular pain, but I do feel some tightness in my face when yawning.
Although I don't experience any discomfort in my body, this persistent feeling is quite strange, and I am worried it might indicate some brain-related issue.
However, I can ride a scooter, walk in a straight line, work, use the computer, read, and my vision is fine.
I am only 23 years old, and I am afraid this annoying symptom might become permanent.
I would like to ask you, Vice Dean, what could this issue be? What should I do about it?

EQ Plus, 20~29 year old female. Ask Date: 2010/03/27

Dr. Zeng Kongyan reply Neurology


Hello: In response to your question.
Based on the description, it resembles the characteristics of spastic gait.
This condition may be caused by issues in the brain, cervical spine, or thoracic spine, leading to symptoms in the central nervous system.
A full diagnosis cannot be made based solely on the description provided; the above statements are merely speculative.
Please visit a neurology clinic for a detailed examination to confirm the diagnosis.

Reply Date: 2010/03/27

More Info


The sensations you are experiencing while walking, described as a feeling of "bouncing" or "sinking" and then returning to your original position, can indeed be perplexing and concerning, especially at your young age of 23. While it is understandable to fear that these symptoms may indicate a serious neurological issue, it is essential to approach this situation with a comprehensive understanding of possible underlying causes.

From a neurological perspective, the sensations you describe could be related to several factors. One possibility is that they may stem from a form of sensory processing issue, where your brain is misinterpreting signals from your body regarding balance and spatial orientation. This can sometimes occur in conditions affecting the vestibular system, which is responsible for maintaining balance and spatial orientation. However, since you mentioned that you do not experience significant discomfort or pain, and you are able to perform daily activities such as riding a motorcycle and working without issues, this may suggest that the problem is not severe.

Another consideration is the possibility of a benign condition known as "orthostatic hypotension," where blood pressure drops upon standing, leading to sensations of lightheadedness or unsteadiness. This is often accompanied by a feeling of weakness or a "floating" sensation. However, this typically occurs when changing positions, such as standing up quickly, rather than during walking.

Additionally, anxiety can manifest in physical symptoms, including sensations of unsteadiness or feelings of disconnection from one’s body. If you are experiencing stress or anxiety related to these sensations, it could exacerbate the feelings you are having while walking. The tightness you feel in your face when yawning may also be related to muscle tension, which can accompany anxiety.

Given the complexity of your symptoms, it is crucial to consult a neurologist for a thorough evaluation. They may recommend a series of tests, including imaging studies or nerve conduction studies, to rule out any underlying neurological conditions. It is also advisable to keep a symptom diary, noting when these sensations occur, their duration, and any associated activities or stressors, as this information can be invaluable in diagnosing the issue.

In the meantime, practicing mindfulness and relaxation techniques may help alleviate some of the anxiety surrounding your symptoms. Engaging in regular physical activity, maintaining a balanced diet, and ensuring adequate hydration can also support overall neurological health.

In summary, while your symptoms may be concerning, they do not necessarily indicate a severe neurological disorder. A thorough evaluation by a healthcare professional is essential to determine the underlying cause and to develop an appropriate management plan. Remember, early intervention and addressing any anxiety related to your symptoms can significantly improve your quality of life.

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