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Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5118
Experience:  Neurology & Int Medicine (US Trained): 20 yrs experience
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there I have seen a neurosurgeon drop which

Customer Question

Hi there
I have seen a neurosurgeon for foot drop which he thought would be through a spinal problem. I have had an MRI and it shows that it is not through this. I have had this for about 5 months and some very slight difficulty in writing. I have no pain. The neurosurgeon, Neil Buxton, has recommended that I see a neurologist for nerve conduction and muscle tests.
I am 51 years old and normally very fit.
Many thanks
Katie Welch
Sent from my iPad
Submitted: 1 year ago.
Category: Neurology
Expert:  Dr. Bob replied 1 year ago.
Hi Katie.
A foot drop can be from a nerve injury or nerve damage anywhere along its path. While not entirely definitive for brain causes, if the MRI was normal, you would have to look at the spinal cord or more locally near the foot for an explanation.
For example, a nerve root injury ("pinched nerve") in the spine can cause foot drop. You might need an MRI of the spine to look for this.
The most common cause of foot drop is actually compression of a nerve in your leg (the peroneal nerve) that controls the muscles involved in lifting the foot. Activities that compress this nerve can increase your risk of foot drop, such as crossing your legs too much, prolonged squatting or kneeling
or wearing a leg cast or tight boots.
A peripheral neuropathy such as that which commonly afflicts diabetics may also be associated with foot drop.
To make matters a bit more complicated, certain muscular disorders such as muscular dystrophy or the late effects of polio can do this as well.
Nerve conduction tests are often very helpful in determining the location and severity of a nerve injury. This, and a consultation with a neurologist or sports medicine specialist, would be a good place to start.
Expert:  Dr. Bob replied 1 year ago.
Hi Katie. Does this make sense? Do you have any follow up questions? Let me know if you do, and I would be happy to help further.
Regards,
Doctor-Bob

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