Walking has become unusual?
Hello Doctor: When I was a child, I was in a car accident and fractured two small bones in my right foot.
After treatment from a bone setter, it healed, and X-rays showed no issues.
I vaguely remember twisting my right foot while playing basketball in middle school while wearing flip-flops, and it got better after some massage therapy; however, the traditional Chinese medicine doctor at that time said it wasn't treated properly and that I might not be able to walk for the rest of my life! But I did receive treatment until they said it was sufficient.
For the first couple of years, my dad taught me how to walk in the rain so that the water wouldn't get into my pants.
My dad has a physical disability due to a previous car accident where he had artificial bones implanted, and he walks with a limp.
I followed his method of walking, which started off slow, but eventually, I also began to walk with a limp.
I wanted to revert to my original walking style, but I couldn't change it back (right foot)! My walking became quite strange, and people would ask if something was wrong with my foot and why I walked that way.
I consulted an orthopedic doctor, and the X-rays of my bones after the childhood accident showed no issues.
If I wanted to correct it, I was referred to a rehabilitation specialist.
The rehabilitation doctor said they didn't know what was wrong.
I also saw a neurologist, who said my nerves were normal; my foot seemed fine, so why is this happening? My left foot walks normally, but my right foot has developed a habit of walking on my toes...
What can I do to return to my previous normal walking style? I am in so much pain! Could this be a result of the previous ankle sprain that wasn't treated properly? But that doesn't make sense since I was walking normally before.
Please help me, thank you.
Zhao Zilong, 30~39 year old female. Ask Date: 2014/06/08
Dr. Ke Fangxu reply Surgery
If the walking gait was normal in the past but has changed due to learning later on, it should be considered a psychosomatic issue.
This can typically be corrected through further learning, provided that neurological, pelvic, and joint issues are ruled out.
If necessary, please visit our orthopedic outpatient clinic.
Reply Date: 2014/06/08
More Info
Understanding gait changes after an injury can be quite complex, especially when the individual has a history of trauma to the affected limb. In your case, it appears that your right foot has undergone significant changes due to past injuries, including a fracture and a sprain, which may have led to the development of compensatory walking patterns.
When you experience an injury, especially to the bones or joints, your body instinctively adapts to avoid pain or discomfort. This adaptation can manifest as altered gait patterns, which may become ingrained over time. In your situation, it seems that your father's method of walking—developed from his own experiences with injury—has influenced your walking style. While this may have been a practical solution for him, it may not be suitable for you, especially if it has led to a persistent limp or discomfort.
The fact that your X-rays show no current issues is a positive sign, but it does not rule out the possibility of soft tissue injuries or changes in biomechanics. Soft tissue injuries, such as ligament sprains or muscle strains, may not always be visible on X-rays but can significantly affect how you walk. Additionally, the way you learned to walk after your father's guidance may have created a habitual pattern that is difficult to break.
To address your concerns and work towards restoring a more normal gait, consider the following steps:
1. Physical Therapy: Engaging in a structured physical therapy program can be highly beneficial. A physical therapist can assess your gait, identify specific issues, and develop a tailored rehabilitation program. This may include exercises to strengthen the muscles around your ankle and foot, improve flexibility, and retrain your walking pattern.
2. Gait Training: A physical therapist can also provide gait training, which focuses on teaching you how to walk correctly. This may involve practicing walking with proper alignment and weight distribution, as well as using assistive devices if necessary.
3. Strengthening Exercises: Strengthening the muscles in your legs, particularly around the ankle and foot, can help improve stability and reduce the tendency to walk on your toes. Exercises such as calf raises, ankle circles, and resistance band workouts can be effective.
4. Balance Training: Incorporating balance exercises can help improve your overall stability while walking. This can include activities like standing on one leg, using a balance board, or practicing yoga.
5. Footwear: Ensure that you are wearing appropriate footwear that provides adequate support. Shoes that are too loose or lack proper arch support can exacerbate gait issues.
6. Mindfulness and Awareness: Being conscious of your walking pattern can help you make adjustments. Try to focus on how your foot strikes the ground and ensure that you are using the entire foot rather than just the toes.
7. Consultation with Specialists: If your symptoms persist despite physical therapy, consider consulting with an orthopedic specialist or a podiatrist who can evaluate your foot mechanics and provide additional insights or interventions.
In conclusion, while it may be frustrating to deal with these changes in your walking pattern, there are effective strategies to help you regain a more normal gait. It is essential to be patient with yourself during this process, as retraining your body can take time. With the right support and interventions, you can work towards alleviating your discomfort and improving your mobility.
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