Reviewed By:
Benjamin Kummer, MD (Neurology)
Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
Content updated on Apr 4, 2024
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Body leans to one side when walking
Unable to walk in a straight line, with the toes of the first foot touching the heel of the next one at each step
Have to walk with an aid (holding onto something)
Walking with legs spread left and right
Dragging my toes when I walk
My stride has become shorter
Walking abnormalities
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About the Symptom
Difficulty walking generally describes a person's inability to walk normally. Normal walking consists of a repeated shifting of weight from leg to leg, a back and forth arm swing on both sides, and a typically narrow space between the feet. Most cases of difficulty walking are related to a medical problem.
When to see a doctor
Seek professional care if you experience any of the following symptoms
Difficulty in walking
Possible Causes
Generally, Difficulty walking can be related to:
This neurological disorder is caused by a disruption in the connection between two brain areas - the striatum and the substantia nigra. These areas work together to maintain balance and movement. It can be caused by other neurological disorders like Parkinson's or cocaine abuse.
Metachromatic leukodystrophy (MLD) or sulfatide lipidosis is a rare genetic disease that leads to the progressive destruction of the nervous system and causes lipids to accumulate in cells, especially in the brain, spinal cord, and nerves. This buildup is due to a deficiency of an enzyme called sulfatides, which helps break down lipids.
Ataxia-telangiectasia is a rare, inherited disorder that affects the nervous system, immune system, and other body systems starting in childhood, typically before age 5. It causes progressive difficulty with coordinating movements (ataxia), increased risk of cancer and infections. The disorder is due to mutations in the ATM gene, which controls the production of an enzyme that regulates cell division after DNA damage.
Related serious diseases
Sometimes, Difficulty walking may be related to these serious diseases:
A break in the proximal femur at the level of the hip. This fracture is associated with a high risk of complications
Doctor's Diagnostic Questions
Your doctor may ask these questions to check for this symptom:
Is walking difficult for you?
Is your speech slurred?
Do you see double?
Do you have headaches or a heavy feeling in your head?
Do you feel any numbness or altered sensation?
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Find Similar Symptoms
References
Thompson PD, Nutt JG. Gait disorders. In: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley and Daroff's Neurology in Clinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 25.
Magee DJ, Manske RC. Assessment of gait. In: Magee DJ, Manske RC, eds. Orthopedic Physical Assessment. 7th ed. St Louis, MO: Elsevier; 2021:chap 14.
Reviewed By:
Benjamin Kummer, MD (Neurology)
Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
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