Foot Drop - A Diagnostic Approach

Aaron Berkowitz, MD neurology book: amzn.to/3nFynLP
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[@samkitty5894]

This 12 minute video was more beneficial to me than seeing doctors and specialists over the last 7 months. I haven't been diagnosed yet...It started with persistent tingling in my right foot, and the numbness of the toes on this foot. Then suddenly and without warning this turned into foot drop. With my foot on the floor I can not lift up my toes. Movement to the left and right can be measured in millimeters. I can however lift up my heel off the floor. I can push down on my toes a little bit. As if this wasn't bad enough, my problems the also continued on the left leg. I lost a knee jerk reflex there. I can not do straight leg lifts. The knee on this leg became a "trick knee", which can collapse without warning. If I'm lying on my right side and lift my left leg up it will drift backwards, and I'm unable to stop it. I was seen by PCP, spine specialists, neurologists, hematologists, and other specialists. X-rays, MRAs, CT scans, hundreds of blood work types, etc, and not even close to being diagnosed. Extremely frustrating...

[@sarahleathes2790]

Really helpful, thanks for taking the time to record it.

[@johnjjmoon]

Thanks for a great diagnostic approach.

[@clinicalproblemsolvers1733]

Thank you for watching!

[@shygirlie1]

Awesome video; great review!

[@clinicalproblemsolvers1733]

Glad you enjoyed it!

[@abdulrhmanaburaba7529]

Great job 👏

[@neurocentrichealth9282]

Thank you! Great explanation!

[@uzairullah8245]

Great video

[@lydianagib2606]

This video came at a perfect time! Was just revising this, and no better way to consolidate my knowledge than by listening to prof Rez! Amazing work always making me smile while I learn!

[@clinicalproblemsolvers1733]

Lydia, you give us all the energy to keep making such videos!

[@amanesh1674]

Great video!

[@clinicalproblemsolvers1733]

Thanks broski :)))))

[@kenthompson3186]

Hello interesting video. I have peripheral neuropathy in both legs. Would L5 be the likely suspect Ken

[@abidasultana3146]

Thank u soooooo much dr.

[@ivangerardopichardo9152]

Can foot drop along with neuropathy and numbness could be cured without surgery?

[@nissimlevy3762]

I first experienced drop foot in 2002 in my left foot. Over the years I've also lost the use of both my calf muscles. My thighs and hamstrings are unaffected. I've seen multiple neurologists, neurosurgeons, chiropractors, physiotherapists with no change. I've had an MRI scan , several CAT scans, a back X-Ray scan and blood tests, all without revealing what is the problem.

[@M-L450]

MRI of Thigh? Sciatic nerve?

[@keerthanaarumugam2604]

Same condition with me.. done with almost all the tests but none reveals wats the cause

[@samkitty5894]

Are you better?

[@umaddotjpg7772]

I am similar. Get some genetic tests done if you haven't. My calves are wasted and there's no muscle. I have foot drop in my right foot. My thighs and hamstrings are also unaffected. I was eventually diagnosed with a distal hereditary motor neuropathy caused by mutation in vrk1 gene. I've been suffering for 2 years.

[@sinichiconan7878]

The answer is, that is a genetic problem brother, no one one can heal any disease cause by genetic problem

[@ferniechavez9116]

Hi I have peronel nerve damage nothing hurts me just that I got a foot drop going on 4 months I see it improving little by little any idea on how long it will take to recover complete??

[@samkitty5894]

Any better?

[@M-L450]

elderly patient with sudden onset left foot/ankle paralysis including (dorsiflexion, plantarflexion, inversion and eversion) unable to flex or extend toes left foot only. decreased sensation left foot including lateral aspect lateral ankle. MRI L spine and brain unremarkable for a cause. no trauma no injury. any thoughts?

[@samkitty5894]

Are you any better?

[@sinichiconan7878]

Cause by genetic brother, no one can heal a disease cause by genetic problem

[@gabifpucci3307]

Great video, as always!! Thanks! I cannot understand the meaning of this phrase, can you help me? Minute 7:56. "

[@clinicalproblemsolvers1733]

Sorry for the confusion. "And one" is a basketball reference, like you get fouled make the basket and have a chance to make the free throw. The sciatic nerve is PED + 1 (and one) ... the and one being knee flexion due to its innervation of the hamstrings. Does this help?

[@gabifpucci3307]

@@clinicalproblemsolvers1733 Thank you!!!!! Yes, this helps! I'm terrible with sports 😂

[@gabifpucci3307]

@@clinicalproblemsolvers1733 Now I'm just wondering how I'm going to translate that to Portuguese haha

[@clinicalproblemsolvers1733]

@@gabifpucci3307 us too!! Thanks for asking the question.

[@clinicalproblemsolvers1733]

@@gabifpucci3307 HHAHAHHAHAH, great point

[@dr.alaaelhag8619]

😭😭😭😭😭😭😭 thank uuuuuuuuu

[@RobertLLewis-vs1kr]

A/K amputee with drop foot exercises.

[@ILNMASSARI]

thank you sooo mcuh but i have a question your tattoo is written in arabic 😅?

[@clinicalproblemsolvers1733]

This is in Farsi but a similar alphabet!

[@MuhammadAli-ml9bt]

love u love u

[@srinivasanr1929]

Excellent 🎉❤

[@shamaali4033]

Hello doctor my son is 22 years old and in 2018 he underwent a left THR and since then he has foot drop if you have a treatment for foot drop kindly let me know what will you do in this case I'll tell you rest of the history please share your whatsapp number so I can share all the previous reports with you

[@heartcomedy5]

Great video

[@clinicalproblemsolvers1733]

Thank you!