I spend a lot of time watching people walk – and while no two people walk exactly the same way, most walk symmetrically on both legs.  When I see someone limping, it can mean several things as there are several causes to consider.  The limp is a way for your body to compensate for something that is wrong mechanically.  Understanding why can help you improve.  Let’s look at several of the reasons why this happens.

First are structural problems.  Alignment of your legs is important in determining how you will walk.  There is a wide range of normal, but the some people appear knock-kneed or bow-legged.  This can lead to early wear and tear on the knee like a tire out of balance.  The ankles and hips also come into play.  Which came first is a key question:  The alignment problem or the arthritis?  I can help you understand the answer in my office, and we can talk more about this in a later post update.

Second are neurological issues causing muscle imbalances.   One muscle may be tighter than another, or stronger than another.  As humans, we are extremely good at compensating for deficiencies.  Neurologic issues usually don’t require surgery but rather good physical therapy. This too comes in many different forms.  Not all are amenable to treatment.

walkingshoesNext, stiffness of your joints can be a factor – do you stretch regularly?  While not a big deal in your 20’s and maybe your 30’s, this becomes more important into the 40s and beyond.  Be sure you spend 5-10 minutes stretching after you wake up in the morning, or before any physical exercise or sport.

Another the tough one to see is changes that happened because of surgery.  Many times its a matter of doing the right rehab to get muscles strong, but some surgeries, like hip replacements, can be complicated by leg length changes that cause a person to limp.

Finally, I see a lot of patients with arthritic knees.  Arthritis can cause damage to the joint over time and cause a leg to become bowed or knock-kneed with deformity and cause you to limp.  A lot of people limp with bad knees.  Its rather simple to watch someone walk away from you and know they have a serious knee problem.  This limp can usually be treated and you can walk normally again.  It may take surgery to get there.   Please ask me if this is right for you.  Send me your x-rays and I can give you better guidance, and as always, it is best to see me in the office to determine what is the best choice.

Don’t take this tablet if you feel that the medicine is causing get viagra any side effects. Helping The Body Produce Health Building Nutrients: Get at least 20 minutes a day and you will get pleasure from sexual health even in your old age. sildenafil tablets uk It is exactly like cheapest cialis view content brand that contains sildenafil citrate as the major chemical. Moreover, buy viagra has also been a matter of debate in the recent times.

4 Ways to know if you will develop osteoarthritis

Total Knee Replacement

Once these patterns are a part of you, it can be hard to ‘un-learn’ the habit.  Part of a well-performed hip or knee replacement is a surgical correction of these alignment issues when possible.  Patients often ask how long will this take to go away.  It can take up to a year of working hard at it to rebalance your walking pattern.

Why does my knee hurt ?
Exploring how the knee moves

To the surprise of many, the limp doesn’t just go away.  It takes time – and practice  – to learn to walk again.  You have to usually work hard.  Walking down a hallway toward a mirror can help show you what you are doing help you correct it.  Good physical therapy is important. Be persistent !

This is a really complicated topic.  Keep asking me your questions below, or check out my other blog posts about similar issues.  I really look forward to your comments and ideas.  Keep your body in motion !