A ‘funny walk' isn't just ageing: Walking changes that signal neurological problems

 I've had a funny walk ever since my stroke; all because of doctor incompetence in not getting me recovered!

A ‘funny walk' isn't just ageing: Walking changes that signal neurological problems

Everyone's walking pattern can change slightly with age. But when the change is noticeable, persistent or progressively getting worse, it may need medical attention.

"Some changes in walking can happen with age, but a noticeable or progressive change in gait should not simply be dismissed as normal ageing," said Dr Shubha Subramanian, Senior Consultant – Neurology, Kauvery Hospital, Vadapalani, Chennai.

She said people should be particularly watchful if their steps become shorter, they start shuffling, struggle to turn or maintain balance, or begin falling more frequently.

"An altered gait can be caused by several neurological conditions, so the important thing is to identify whether it is a pathological gait and, if so, understand what is causing it," she added.

SHORTER STEPS AND SHUFFLING CAN BE WARNING SIGNS

A person's normal walking pattern is usually familiar to them and their family. That makes gradual changes easier to notice.

"People should pay attention to any consistent change from their usual walking pattern," Dr Subramanian said.

Shorter steps and a shuffling gait can occur in Parkinson's disease. Other changes, such as dragging one foot, difficulty turning, problems with balance and an increasing tendency to fall, also warrant attention.

"The change may not always be dramatic in the beginning, which is why noticing a gradual difference in the way someone walks can be important," she said.

 Related video: The early Parkinson's signs neurologists say people miss for years (Talking With Docs)ent walking patterns.

WHICH NEUROLOGICAL CONDITIONS CAN AFFECT WALKING?

There is no single type of neurological gait problem. Different conditions can produce different walking patterns.

"Several neurological conditions can affect the way a person walks. Parkinson's disease typically causes a short, shuffling gait," Dr Subramanian explained.

Problems affecting the spinal cord can also change the way a person walks. Peripheral neuropathy, which affects the peripheral nerves, can cause walking difficulties as well.

Neurological conditions are not the only possible cause. Muscle disorders can also lead to an abnormal gait, including a waddling gait.

"This is why the pattern of walking needs to be assessed rather than assuming that every gait change is due to one particular neurological disease," she said.

WHEN DOES A WALKING CHANGE NEED URGENT HELP?

A persistent or unexplained change in walking should be evaluated, particularly when it is getting worse or occurs with other symptoms such as weakness, numbness, imbalance or difficulty coordinating movements.

But some changes require immediate attention.

"A sudden change in walking, especially when it develops along with weakness or numbness on one side, facial drooping, difficulty speaking, confusion, severe dizziness or loss of coordination, can be a medical emergency," Dr Subramanian said.

Such symptoms can indicate a stroke, making immediate medical attention essential.

The takeaway is simple: Ageing may change the way we move, but a new or worsening walking pattern should not automatically be written off as "just getting older". Sometimes, the way a person walks can provide an early clue that something else needs to be checked.