What are the treatment options for foot drop?

Updated: Mar 23, 2020
  • Author: James W Pritchett, MD; Chief Editor: Vinod K Panchbhavi, MD, FACS  more...
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Answer

Foot drop is highly distressing, and attention to the patient’s psychological needs is very important. Pain should be managed. Optimizing glucose control in diabetic patients and managing vitamin deficiencies with supplements of vitamin B1, B6, or B12 can also be useful.

When foot drop is not amenable to surgical treatment, an ankle-foot orthosis (AFO) is often used. If the foot drop is due to hemiplegia, peroneal nerve stimulation can be considered. Foot drop due to direct trauma to the dorsiflexors generally calls for surgical repair. When nerve insult is the cause of foot drop, treatment is directed at restoring nerve continuity, either by direct repair or by removal of the insult.


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