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Asymmetric gait

extensor hallucis longus gait

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#1 drs55655



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Posted 27 October 2013 - 09:38 AM

Dr,  I am an "early" PD patient--age 47-diagnosed approx 4 years ago--on relatively low dose Stalevo--although initially coordination was only affected in my left arm, hand--relatively soon I noted an intermittent l leg driven gait asymmetry.  Post-diagnosis I had several lumbar disk surgeries- ?necessary.  After years of concentrating on this gait disturbance and reading I have narrowed down the main problem (I think).  During "off" periods" I have hypomobility/apparent weakness of l foot extensor hallucis longus function that is not associated with any dystonia and DEFINITELY improves with meds.  Has this been desccribed? do you think there is an element of true neuropathy? and is there anything you can think of to improve EHL strength?  When I do exercises for my toes/feet/ankle do you think I should concentrate on "on" or "off" periods?



#2 Dr. Okun

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Posted 27 October 2013 - 03:57 PM

This definitely sounds Parkinson related and you are fortunate that it improves in the best medication on.  What I suggest is that you maximize on time by changing timing of drugs to avoid wearing off.  I would concentrate on PT and exercise therapy when in the best medication on periods.

Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
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UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
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or his parkinsonsecrets.com blog for treatment tips

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