Walking Problems Have Many Causes

Many people suffer from leg problems that often cause them to have trouble walking. The causes of leg problems are numerous, including vascular conditions, orthopedic troubles, and bad body mechanics. Problems range from narrowed arteries to arthritis to bunions, making it a large medical problem treated by many types of specialists.

Danbury Hospital physicians Alan Dietzek, MD, chief of vascular surgery; F. Scott Gray, MD, of Connecticut Family Orthopedics; and Michael Fein, DPM, chief of podiatry, discussed walking problems during a recent Medical Town Meeting, “Difficulties in Walking: Causes, Diagnosis, and Treatment.”

Dr Dietzek discussed the vascular causes of walking problems, which include peripheral artery disease (PAD), or a decrease in blood flow to the legs. The problem is so common that Dr Dietzek estimates that 8.4 million people have PAD. Hardening of the arteries and other venous diseases can also cause problems. Claudication is another cause of leg pain that causes trouble walking, affecting about four million people. Diabetics and smokers are especially at risk for certain vascular problems.

Dr Dietzek recommends that people with leg problems stop smoking if they smoke, begin an exercise program, control their diabetes, and consider taking medications that may help them.

Leg problems can also be caused by orthopedic conditions, according to Dr Gray. Ankle problems, especially tendonitis, are especially common.

Tendonitis is a painful inflammation of the ankle tendon, and is best treated with ice, rest, and anti-inflammatory medication, according to Dr Gray. Tendonitis becomes more of a problem as people age since blood supply to the tendon can be limited, which makes healing more difficult.

Ankle sprains, strains, and arthritis are also responsible for many walking problems.

Problems with the feet also contribute to walking difficulties. Podiatrist Dr Fein pointed out that sometimes something as simple as athlete’s foot, nail fungus, or an ingrown toenail can impair walking.

The incidence of athlete’s foot has been especially bad this year, said Dr. Fein, since the winter has been so cold and heat has been very drying. He recommends over-the-counter sprays and creams, and to keep feet lubricated.

Hammertoes, bunions, and other feet problems also cause walking difficulties, and should be cared for by a doctor.

Dr Fein also recommends buying good walking shoes that are wide enough to accommodate one’s feet.

The bottom line to patients is that if they are having any trouble walking, see their doctor. There are just as many solutions as there are problems.

For more information about Danbury Hospital health and wellness programs, visit the website at www.danburyhospital.org or call the Marketing & Community Relations Department at 797-7247 to request a copy of the Danbury Hospital Health Calendar.