How Arthritis Changes Your Gait, and What You Can Do to Prevent This (2022)

Having arthritis in your hips, knees, ankles, or feet can making walking harder — a side effect that can have consequences for your daily well-being and quality of life. “I found myself limping to avoid pain,” arthritis patient Lisa H. told us on Facebook. “It got to the point where my daughter would imitate my walk, which made me realize I needed some help.”

Managing the underlying disease, physical therapy to help correct your movements, and possibly using assistive devices or shoes can help you minimize changes to your gait and retain your independence and mobility.

What Is a ‘Gait’ and How Does Arthritis Affect It?

Arthritis in the lower part of your body, whether osteoarthritis or inflammatory arthritis, can change your gait, or how you walk.

To understand how arthritis affects gait, first let’s look at the body mechanics involved in walking. “There are two phases of gait: the stance phase, where your foot is on the ground; and the swing phase, where the foot is off the ground,” says Kathleen Hogan, MD, an orthopedic surgeon at New Hampshire Orthopaedic Center in Nashua, New Hampshire who specializes in hip and knee arthritis. “Arthritis in your hips and knees affect your gait because of three factors: pain, stiffness, and weakness.”

The same goes for arthritis in the feet. “If you have arthritis in one of the foot joints, your gait will change or compensate to allow you to try and move more freely,” says Alan Bass, DPM, a board-certified podiatrist practicing in Manalapan, New Jersey, and a spokesman for the American Podiatric Medical Association (APMA).

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Although there are many types of abnormal gaits, Dr. Hogan highlights a couple that are common among people with arthritis. “When it hurts to put weight on your hip or knee [or foot], you will often unconsciously spend less time during the gait cycle bearing weight on that extremity, shortening the stance phase, which is usually 60 percent of gait. This is called an antalgic gait,” she says, more commonly known as a limp.

In addition, “weakness in the muscles around the hip and knee often occur in patients with arthritis,” Dr. Hogan says. “For example, it is quite common that patients will have poor balance and are unable to stand only on one leg. Since single limb support occurs during gait, this poor balance will then affect your gait, often resulting in a waddling pattern called a Trendelenberg gait.” With this muscle weakness, the pelvis drops on one side when lifting the opposite leg.

The loss of flexibility, or stiffness, of arthritic joints can also change the normal way you move, Dr. Hogan says. Arthritis patients have a tendency to walk slower because of all these additional challenges.

How Different Types of Arthritis Affect Your Gait

Osteoarthritis (OA), which results from wear and tear on a joint, is much more common in the knee, while rheumatoid arthritis and gout tend to affect the many small joints of the foot and ankle. “While osteoarthritis and rheumatoid arthritis have different origins [causes], they can affect the foot joints similarly and cause the patient to change or alter their gait to try and walk and function with less pain,” Dr. Bass says.

In addition, OA often occurs on only one side of the body, while RA is often symmetrical. But symmetry isn’t necessarily a good thing because it means more joints are involved. “Most patients with osteoarthritis have arthritis that is isolated to one or two major joints; with rheumatoid arthritis, swelling and inflammation can occur in many joints simultaneously,” Dr. Hogan says. “The multiple joint involvement, especially the involvement of the ankle joints, may increase gait abnormalities in patients with these systemic forms of arthritis. The more joints that are stiff and painful, the more difficult it is for your body to compensate and maintain a normal-appearing gait.”

“I have to walk based on what joint hurts the least and that changes your gait on a continuous basis, which is not healthy, of course,” Ranay C. told us on Facebook.

The effects on gait by other forms of inflammatory arthritis, such as gout, which occurs when there’s of a buildup of uric acid in the foot or ankle, are likely similar, although unfortunately they haven’t been studied as well.

“Gout most commonly affects the big toe joint, which can also affect the way a patient walks,” Dr. Bass says. The extreme pain of gout often prevents patients from walking at all; and during a gout flare rest and elevation of the foot, along with these other gout home remedies, is often advised.

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The Effects of Gait Changes on Your Body and Disease

The negative effects of gait changes are often obvious: You find it more challenging, uncomfortable, and awkward to walk. But gait changes may have additional long-term consequences.

Arthritis in Other Joints

“With changes in gait, other joints will begin to compensate and may begin to undergo arthritic changes,” Dr. Bass says. For example, with arthritis in the foot, “this sometimes leads to problems elsewhere such as in the ankle, knee, or hip.”

Other Muscle or Joint Injuries

In addition, other injuries to the body can occur. “Walking with a limp can place additional stresses on the muscles around the back, hip, and knee,” Dr. Hogan says. “Trochanteric bursitis, for example, which is an inflammation of the tissues around the side of the hip, is often triggered by poor balance and abnormal gait patterns.”

Posture Changes

Changes to your posture itself are a bit of a chicken-or-egg scenario when it comes to gait. “Poor posture, which is frequently caused by stiffness and arthritis, is often a cause of gait abnormalities and not an effect of it,” Dr. Hogan says.

Higher Risk of Falls

One of the biggest problems with gait changes is the increase in your risk of falls. “The awkwardness in my gait is pronounced and I often lose my balance,” Laurie D. told us on Facebook. “In Arizona there are lots of rocks, bricks, and flagstone used in entry ways to businesses so I have to be careful about falling.”

Taking a spill can lead to more problems. “Limping and poor balance can contribute to falls and therefore to fractures,” Dr. Hogan says. Broken bones can mean more limited mobility and possibly post-traumatic arthritis later on. Having arthritis can also increase your risk of osteoporosis, or fragile bones, which makes fractures more likely if you experience a fall.

How to Prevent Arthritis Gait Changes

Exercise

Unfortunately, “it is impossible to prevent arthritis, but you can control your reaction to it,” Dr. Hogan says. “Strengthening the muscles around the hip and knee and improving balance are key to prevent arthritis-related gait changes.”

With your doctor’s OK, she recommends an exercise program that focuses on core strength and balance, such as tai chi, yoga, barre, or Pilates.

(Video) Arthritis Advice: Walking

Although exercise in general is a great treatment for all kinds of arthritis, “walking more will not make someone walk better; strengthening the muscles involved in the gait cycle is necessary to improve gait,” Dr. Hogan says.

Physical Therapy

Therefore, she also recommends physical therapy to improve flexibility and increase strength. Although some arthritis patients we heard from said PT made their symptoms worse, it’s still worth trying with your doctor’s approval.

A physical therapist can help identify the cause of the abnormality, and then “retrain” you how to walk. “Focusing on walking correctly is often helpful, especially once the underlying abnormalities have been corrected,” she says. “Unfortunately if you have been limping for a long time, this new gait pattern can become ‘normal.’” After hip replacement surgery, Lisa told us she had this issue. “I had to relearn how to walk with a PT, because even without the pain, I reverted to the limping,” she says. Dr. Hogan suggests looking at your reflection in shop windows to remind you how you look when you walk.

Arthritis Medication

Sticking with your prescribed medication regimen and treating your underlying disease to keep joint damage in check can slow the progression of any gait changes. In addition, “decreasing pain and swelling in the joints may also improve gait, so anti-inflammatory medications and [steroid] injections can therefore be helpful in some cases,” she says.

Podiatric Care

Patients with foot arthritis may benefit from seeing a podiatrist, a foot specialist who can treat you medically as well as help you find proper-fitting shoes or fit you for custom ones. “Many times seeing a podiatrist early on can help prevent more serious joint damage,” Dr. Bass says.

“Depending on the activity and the patient, the right shoes may help with proper walking or running. A shoe that has a deep heel cup and stiff sole could help; shoes that are too flexible will not provide the proper support needed. A shoe should only ‘bend’ in the area associated with the ball of the foot, so a soft, cushiony sneaker is not always the best,” he says.

Although arthritis patient Debra R. prefers lightweight shoes, “the foot and ankle doctor recommended shoes with hard soles and better arches,” she told us on Facebook. Because of the intricacies involved in choosing the right pair, patients should be fitted by an expert in arthritic conditions.

Here’s more advice for picking the right shoes when you have arthritis.

(Video) Hand arthritis: what are the main symptoms?

Assistive Devices

If you’re already dealing with gait changes, correcting them might require the help of a cane or walker. “Their use prevents limping from becoming a habit, and if pain is the root cause of the limp, a walker or cane may decrease that pain,” Dr. Hogan says.

A cane should be used in the opposite hand as to the injury — no matter which is your dominant hand — to improve balance and stability. “This shifts the joint reactive forces toward the side holding the cane, effectively unloading the joint,” she says. Crutches that keep the pressure on your forearms can help avoid hand and wrist pain that some users told us can occur with traditional canes.

Although you might be hesitant to use one of these devices, they can help you maintain your independence and mobility.

Surgery as a Last Resort for Gait Changes

Dr. Hogan says when you stop participating in activities that you used to like because of your arthritis, it may be time to think about surgery.

“When arthritis pain keeps you from doing activities you enjoy, prevents you from doing household tasks, and limits you at work, it is time to consider surgery,” she says. This might not mean total joint replacement at first. “Whether it is cleaning up the joint, realigning the joint or even replacing the joint, podiatrists [and other surgeons] can provide many options,” he says.

You’ll want to exhaust other more conservative treatment measures first. “Although joint replacement is a very successful procedure, there is always a risk of complications,” Dr. Hogan says. “Patients should have tried non-operative treatments such as anti-inflammatory medications, acetaminophen, physical therapy, weight loss, and injections prior to deciding to go forward with surgery.”

Keep Reading

  • Knee Exercises to Ease Arthritis Pain
  • Just 5 to 10 Minutes of Walking a Day Can Reduce the Risk of Knee Replacement
  • Cycling and Arthritis: Why Cycling Is Good for Your Joints

The gait cycle is the repetitive motion that people make when they walk.. The physical changes that occur with OA and symptoms such as pain and joint swelling can alter parts of the gait cycle and affect how people walk.. This article looks at how OA can affect the gait cycle and the impact on surrounding muscles and other joints in the body.. The gait cycle is the repetitive pattern of motion that occurs when people walk.. OA of the knees, hips, or ankles may affect joint angles, rotation, and coordination during the gait cycle.. Research has found that people with knee OA have a difference in the angles of the knee joint during the gait cycle compared to people without the condition.. OA can affect the joints in the feet, which may cause people to alter their gait to minimize pain when walking.. The ankle, hip, and knee joints all work together as a chain when people walk, and how one joint moves affects how others move during the gait cycle.. In those with hip OA , the gluteal minimus muscle had a higher burst of activity during the stance phase of the gait cycle compared to control participants without OA.. Medication: Arthritis medication may help prevent further joint damage and slow down changes in the gait cycle.. Taking steps to strengthen the muscles around affected joints, improve balance, and reduce inflammation may help prevent changes to the gait cycle.. The gait cycle is the pattern of movement that occurs when people walk, from when the foot leaves the ground and lifts into the air to when it makes contact with the ground again.. Exercise, physical therapy, medications, and assistive devices can all help to correct abnormal gait cycles and prevent any further changes from occurring.

The gait cycle is the repetitive motion that people make when they walk.. The physical changes that occur with OA and symptoms such as pain and joint swelling can alter parts of the gait cycle and affect how people walk.. This article looks at how OA can affect the gait cycle and the impact on surrounding muscles and other joints in the body.. OA of the knees, hips, or ankles may affect joint angles, rotation, and coordination during the gait cycle.. Research has found that people with knee OA have a difference in the angles of the knee joint during the gait cycle compared to people without the condition.. OA can affect the joints in the feet, which may cause people to alter their gait to minimize pain when walking.. The ankle, hip, and knee joints all work together as a chain when people walk, and how one joint moves affects how others move during the gait cycle.. In those with hip OA , the gluteal minimus muscle had a higher burst of activity during the stance phase of the gait cycle compared to control participants without OA.. Medication: Arthritis medication may help prevent further joint damage and slow down changes in the gait cycle.. Taking steps to strengthen the muscles around affected joints, improve balance, and reduce inflammation may help prevent changes to the gait cycle.. The gait cycle is the pattern of movement that occurs when people walk, from when the foot leaves the ground and lifts into the air to when it makes contact with the ground again.. Exercise, physical therapy, medications, and assistive devices can all help to correct abnormal gait cycles and prevent any further changes from occurring.

“Azon kaptam magam, hogy sántítok, hogy elkerüljem a fájdalmat” – mesélte Lisa H. ízületi gyulladásos beteg a Facebookon.. A test alsó részén jelentkező ízületi gyulladás, legyen az osteoarthritis vagy gyulladásos arthritis, megváltoztathatja a járását, vagyis azt, ahogyan jár.. Hogy megértsük, hogyan befolyásolja az ízületi gyulladás a járást, először nézzük meg a járásban részt vevő testmechanikát.. “A csípő- és térdízületi gyulladás három tényező miatt befolyásolja a járást: fájdalom, merevség és gyengeség.”. Az ízületi gyulladásos ízületek rugalmasságának elvesztése vagy merevsége szintén megváltoztathatja a normális mozgásformát, mondja Dr. Hogan.. “A trochanter bursitist például, amely a csípő oldala körüli szövetek gyulladása, gyakran a rossz egyensúly és a rendellenes járásminták váltják ki.”. “A rossz testtartás, amelyet gyakran a merevség és az ízületi gyulladás okoz, gyakran a járási rendellenességek oka, nem pedig hatása” – mondja Dr. Hogan.”. Az elesés további problémákhoz vezethet.. Sajnos “az ízületi gyulladást nem lehet megelőzni, de az arra adott reakciót kontrollálni lehet” – mondja Dr. Hogan.. “A tevékenységtől és a betegtől függően a megfelelő cipő segíthet a megfelelő járásban vagy futásban.. Itt további tanácsok a megfelelő cipő kiválasztásához, ha ízületi gyulladásban szenved.. “Használatuk megakadályozza, hogy a sántítás szokássá váljon, és ha a fájdalom a sántítás kiváltó oka, a járókeret vagy a sétapálca csökkentheti a fájdalmat” – mondja Dr. Hogan.. A sétapálcát a sérüléssel ellentétes kézzel kell használni – függetlenül attól, hogy melyik a domináns kéz – az egyensúly és a stabilitás javítása érdekében.. Dr. Hogan szerint, ha az ízületi gyulladás miatt már nem vesz részt olyan tevékenységekben, amelyeket korábban szeretett, akkor lehet, hogy ideje elgondolkodni a műtéten.. “Akár az ízület megtisztításáról, az ízület újrarendezéséről vagy akár az ízület cseréjéről van szó, a podológusok számos lehetőséget kínálnak” – mondja.”

And people with osteoarthritis and rheumatoid arthritis are especially at risk because those conditions often lead to weakening of the muscles that assist with balance and stability, notes physical therapist and sports medicine consultant John Gallucci Jr. Also, having joint pain from arthritis may cause you to alter your gait to compensate.. Tai chi, an ancient Chinese martial art, involves slow, graceful, continuous movements designed to increase your balance and flexibility for all people with joint pain, including those with osteoarthritis, rheumatoid arthritis, and psoriatic arthritis .. Earlier research that looked at how a 12-week course of tai chi training impacted older women with osteoarthritis concluded it significantly improved the women’s balance and reduced the joint pain and stiffness linked to a higher risk of falls.. “There is good evidence that tai chi can be good for fall prevention,” Dr. Kolasinski confirms.. Balance exercises include standing on one foot, walking heel to toe, hip extensions, side leg raises, and back leg raises.. For older adults with arthritis, walking is one of the best endurance exercises, according to the American College of Rheumatology , for several reasons: Walking is easy to do; requires no special equipment; improves your heart, lung, and muscle functions; and increases your stability.. “Be reassured, you can walk,” Kolasinski says.. This, in turn, enhances the range of motion in your arms and legs, reducing pain and improving balance and strength.

ImagesBazaar / Getty Images. Many people who have arthritis are afraid if they're active they'll have more pain and so they just don't get any exercise.. At the same time, it's an ironic idea because inactivity actually makes pain and disability from arthritis worse over time, while regular exercise keeps joints moving and prevents stiffness, strengthens the muscles around the joints, and improves mobility.. So if you've been sedentary out of fear you'll make your arthritis worse, talk to your healthcare provider to make sure it's OK to exercise.. Not only do some people with arthritis think they can't exercise, but they also believe they need to be more sedentary than is necessary.. Just as there are people with arthritis who aren't active at all, there are those who push beyond their limits.. Respect pain and choose activities with your physical limitations in mind.. It's tempting not to tell your healthcare provider everything, especially if you're afraid you'll have to go through unpleasant testing or have to change the treatment regimen you're comfortable with.

Loss of height is just one of the many ways our posture changes as we age.. "Furthermore, many older adults begin to manifest osteopenia [a loss of bone mineral density] and osteoporosis [a disease that weakens bones] with age," Dr. Okubadejo says.. And a strong core is what keeps us upright.. That's because when these muscles are strong, they will pull your shoulder blades back (read: combat shoulder slump and stooping) and help you stand in a more vertical, lifted position, Lamothe says.. "With a stronger core, our bodies naturally fall into better alignment," he explains.. "Everyone thinks the core is just the front, but it's also the sides (i.e., your obliques), and even the muscles in the back, which really need to be strong because they literally hold us vertical," Lamothe says.. To hit all these core muscles, Lamothe recommends side planks .. Maintain this position throughout the exercise.. That's because age-related issues such as osteopenia and osteoporosis can weaken your bones and contribute to postural changes like stooping and height loss.. But when these tissues don't receive the nutrients and oxygen they need, they can't function optimally.. All this is to say, when your muscles and bones aren't healthy, your posture will suffer.

”Jag fann mig själv haltande för att undvika smärta”, berättade artritpatienten Lisa H. för oss på Facebook.. Artrit i den nedre delen av kroppen, oavsett om det rör sig om artros eller inflammatorisk artrit, kan förändra din gång, eller hur du går.. Det förekommer dessutom ofta svaghet i musklerna runt höften och knät hos patienter med artrit”, säger dr Hogan.. ”Dålig hållning, som ofta orsakas av stelhet och artrit, är ofta en orsak till avvikelser i gången och inte en effekt av den”, säger dr Hogan.. Att ha artrit kan också öka risken för osteoporos, eller sköra ben, vilket gör frakturer mer sannolika om du råkar ut för ett fall.. Och även om motion i allmänhet är en bra behandling för alla typer av artrit, ”kommer inte mer promenader att få någon att gå bättre; att stärka de muskler som är involverade i gångcykeln är nödvändigt för att förbättra gången”, säger dr Hogan.. Även om du kanske är tveksam till att använda en av dessa hjälpmedel kan de hjälpa dig att bibehålla ditt oberoende och din rörlighet.

The end result is to increase tolerance to exercise and independence, thus allowing an optimal gait and decrease in stress to the afflicted joints.A recent study, using randomized controlled trials, studied patients with osteoarthritis of the knees and evaluated episodes of ipsilateral and contralateral cane use.. A cane can be used to take away some of the pain, improve function, and improve some aspects of the quality of life in patients that have osteoarthritis of the knees.. Swimming is an excellent alternative for patients that experience difficulty and pain when performing other recommended low-impact activities.An additional benefit to regular exercise is that it helps the patient with OA maintain an ideal and healthy weight, thus decreasing the force sustained by the affected joints.. Impact of Cane Use on Pain, Function, General Health and Energy Expenditure During Gait in Patients With Knee Osteoarthritis.. Impact of Cane Use on Pain, Function, General Health and Energy Expenditure During Gait in Patients With Knee Osteoarthritis.. Impact of Cane Use on Pain, Function, General Health and Energy Expenditure During Gait in Patients With Knee Osteoarthritis.

The advanced years often come with a host of medical and cognitive problems.. There are lots of simple, economical, and practical things you can get and do to improve your arthritic dog's mobility.. Age: Most people think of arthritis as a disease of old dogs... Almost 20% of dogs show signs as early as the age of one year.. The more they are above the optimal weight, tougher it is on your dog's mobility.. ½ cup chopped parsley.. In a large pot, add required water and add chopped carrots and sweet potatoes.. How much to feed: ½ cup / 20 pounds of dog weight.. Best foods for Arthritic Dogs. Omega-3 oils: green lipped mussel oil, Fish oil.. Arthritis in dogs is a progressive, inflammatory disease which affects the animal’s joint health and can restrict a dog’s mobility.. Most of the treatments are intended at treating the pain and to slow down the progression of arthritis.

Does correcting for gait abnormalities have a role in the treatment of hip osteoarthritis (OA)?. 1,2 The reduced range of motion (ROM) in the hip and knee alter movement and mechanics throughout the lower extremity.. “We don’t know whether arthritic changes are driving gait changes, or gait is causing the arthritis,” Queen says.. Researchers have investigated gait as an interventional target for hip OA to reduce pain, improve quality of life, and delay arthroplasty.. The pace of research on gait and hip OA has increased along with advances in research in the knee, reflecting a trend in osteoarthritis: “The knee sets the tone, and the hip will follow,” said Enseki.. Gait modification interventions have been found to reduce loading on the knee in patients with knee OA, and to reduce pain and symptoms.. “It at least reduces pain,” Queen said.. The group next conducted a longitudinal study of a gait treatment program using the device in patients with hip OA.

The two primary treatment options are ACL reconstructive surgery and physical therapy (PT), but there’s a catch: Despite the undeniable benefits of these treatments, they don’t prevent the eventual development of OA, which occurs in up to 87% of those who sustain an ACL tear.. ACL RECONSTRUCTION SURGERY. Those who choose ACL surgery tend to have fewer ACL rupture symptoms afterward, a more predictable return to activities and maybe even less risk of developing OA compared to those with untreated ruptures.. Despite the risk of developing OA, surgery is the treatment of choice.. “Current research does show overall similar rates of OA with or without surgical treatment,” Dr. Lansdown says.. “While surgery at this point does not seem able to change the risk of developing OA, it does allow for lower risk of subsequent injury to the meniscus and cartilage, which is also important.”

But those with arthritis commonly discover that if they don’t exercise regularly, they’ll pay the price in pain, stiffness, and fatigue.. Examples include Fit and Strong, a program targeted to older adults with osteoarthritis; the Arthritis Foundation’s Exercise Program (AFEP); and its Walk with Ease program.. Studies have found that people with arthritis in their hips, legs, and feet who took Fit and Strong classes were able to exercise longer, felt more confident about their ability to exercise, and reported less joint stiffness compared with those in a control group.. In one study, people who completed the Walk with Ease program (which also teaches participants about managing their arthritis) had more confidence, less depression, and less pain, compared with participants who attended classes that focused only on pain management.. Studies show that exercising in water lessens arthritis pain and boosts fitness.. A review published in the American Journal of Physical Medicine & Rehabilitation, which examined results from 12 studies, found that yoga reduced pain, stiffness, and swelling in people with osteoarthritis.. Although some studies have found Iyengar yoga to be helpful for people with arthritis, others have found that this form of yoga, where static postures are held for longer periods of time, can be painful.

Arthritis in the ankle can lead to pain, swelling, deformity, and instability in the ankle joint.. Ankle arthritis affects the tibiotalar joint, which forms between the shin bone (tibia) and ankle bone (talus).. Learn more about what causes ankle arthritis and how arthritis of the ankle is treated.. “If there is significant spurring of the ankle joint, the spurs can be resected via ankle arthroscopy first before fusion is attempted to try and restore ankle motion.. Ankle arthroscopic repair is helpful in the early stages of arthritis in the ankle and for those with limited ankle arthritis.. “Patients with pre-existing arthritis in smaller joints in foot or hip or knee impairment that would be worsened by loss of ankle joint motion might be better candidates for ankle replacement,” says Dr. Maganti.

The best way to get there is with gait training exercises.. Start by lifting your affected leg up into your chest, and then. place it back down onto the floor.. Hold it there for a few seconds and then bring your foot back down.. Gait training exercises are just one way to improve your. gait and walking abilities after a stroke.. Balance and core training both help improve gait.

S1 Nerve Injuries/Calf Weakness The SI nerve supplies the calf muscles (gastrocnemius and soleus muscles), a portion of the gluteus maximus and most of the hamstring muscles.. If the gluteus maximus muscle is weak due to reduced supply from S1, there will be a weakness of propulsion forward on the stance leg.. The most common muscle weaknesses associated with the L5 nerve are tibialis anterior, extensor hallicus longus, gluteus medius and peroneal muscle weakness.. The Trendelenberg gait shifts the torso over to the side of weakness as the hip wants to drop on the opposite side of the weak muscle.. If the EHL is strong in the face of a weak tibialis anterior muscle, this tibialis anterior muscle weakness is an L4 root problem.. L5 Nerve Injuries/Peroneal Muscle Weakness The peroneal muscles are the muscles that evert the foot (rotate the foot out) and prevent the foot from “turning in” with heel strike.. L5 Nerve Injuries/Gluteus Medias Muscle Weakness The gluteus medius muscle is an interesting muscle as it works by lifting up the pelvis on the opposite side to prevent the hip on the swing leg from drooping down.. L3 Nerve Injury/Quadriceps Femorus Muscle Weakness The L3 nerve is the major contributor to the quadriceps femorus muscle.. Arthritis of the hip joint which is much more common than psoas weakness can mimic weakness of the psoas muscle due to pain inhibition.

Accidental damage includes ligament damage of the upper ankle joint after twisting the ankle as well as joint damage following ankle fractures.. Primary arthritis of the ankle (primary upper ankle joint arthritis) Secondary arthritis of the ankle (secondary upper ankle joint arthritis). © www.joint-surgeon.comEarly signs of arthritis of the ankle in the X-ray:. A narrowing of the ankle joint is an indirect sign of cartilage damage, thus an early sign of arthritis of the ankle.. Please note, an independent at-home exercise program for ankle instability, ankle pain and arthritis of the ankle is only recommended after a thorough medical examination, diagnosis and after receiving instructions from our physical therapists.. Therefore, corrections restoring the ankle axis or correcting an asymmetric position of the ankle bone in the talar mortise always preserve the joint or at least delay arthritis.. If the talus (ankle bone, the bone in the ankle joint on the food end) is not quite straight, some areas of the ankle bone and the talar mortise are overstressed.

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