Foot Drop

Foot drop  is a condition where you have difficulty lifting the front part of your foot. This makes the toes drag or scuff along the ground when walking. People with foot drop often compensate by lifting their knee higher with each step (a “steppage” gait), which can cause the foot to slap down on the floor.

Foot drop is not a disease itself, but rather a sign of an underlying problem affecting the nerves or muscles that lift the foot.

Symptoms of Foot Drop

  • Dragging toes when walking: The front of the foot drops down, causing your toes to scrape the floor or ground. This often leads to tripping or difficulty walking on flat surfaces or up stairs.
 
  • High-stepping gait: You may find yourself lifting your knee higher than normal with each step (as if climbing stairs) to prevent your toes from catching on the ground. This compensatory walk is known as a steppage gait.
 
  • Foot slapping the ground: Because of the lack of control, your foot might slap down onto the floor with each step, which can be noisy or jarring.
 
  • Muscle weakness: Foot drop is caused by weakness or paralysis of the muscles that normally lift the foot (the ankle dorsiflexors). You might notice reduced strength in your foot or lower leg, making it hard to point your toes upward.
 
  • Numbness or tingling: In some cases, there may be a loss of sensation or tingling on the top of the foot or toes, especially if foot drop is due to nerve injury. (Not everyone with foot drop has numbness, but it can occur depending on the underlying cause.)

 

These signs can range from mild to severe. If you notice any of these symptoms, especially dragging of the toes or changes in your walking pattern, it’s important to seek an evaluation. Early assessment can identify the cause of foot drop and prevent secondary issues like falls or muscle tightness.

Foot Drop - Elite Foot Care Sunshine Coast Podiatrists

Causes of Foot Drop

Foot drop happens due to weakness or paralysis of the muscles that lift the foot. A variety of underlying issues can lead to this muscle weakness. Common causes of foot drop include:

  • Nerve injury or compression: The most frequent cause is injury to the peroneal nerve, which runs down the leg and controls the foot-lifting muscles. This nerve can be compressed by sitting with legs crossed, prolonged kneeling, or squatting, or it may be damaged by trauma (like knee or leg injuries) or during hip or knee replacement surgery. A pinched nerve in the lower spine (lumbar radiculopathy) is another common cause of foot drop. Conditions like a herniated disc or sciatica that impinge nerve roots can result in foot drop as well.
 
  • Neurological conditions: Disorders that affect the brain or spinal cord can cause foot drop. Examples include stroke, multiple sclerosis (MS), cerebral palsy, or motor neuron diseases like amyotrophic lateral sclerosis (ALS). In these cases, the nerve signals from the brain to the foot muscles are disrupted, leading to weakness.
 
  • Muscle disorders and neuropathies: Various muscle or nerve disorders can lead to foot drop. For instance, forms of muscular dystrophy (inherited muscle weakness conditions) can contribute to foot drop. Peripheral neuropathy (nerve damage in the limbs), which can be caused by diabetes or diseases like Charcot-Marie-Tooth disease, may also result in foot drop if the nerves to the foot are affected.
 
  • Injury or surgery: Direct injury to the nerves in the leg (such as a fracture of the fibula bone or ankle injuries) can damage the peroneal nerve. Similarly, back or spinal injuries that affect nerve roots, or surgeries (for example, knee ligament repair) that inadvertently stretch the nerve, can cause foot drop.
 
  • Tumors or cysts: Though less common, a tumor or cyst pressing on the nerve (in the knee region or spine) can lead to foot drop. Removing or treating the growth can relieve pressure and improve the condition.
 

Often, foot drop results from a combination of factors. For example, someone with diabetes (which can cause neuropathy) who sustains a knee injury might develop foot drop from both nerve damage and compression. Identifying the exact cause of foot drop is crucial, as it guides the treatment approach. Our podiatrists will take a thorough history and may coordinate further tests (such as nerve conduction studies or imaging) to pinpoint the cause of your foot drop

Treatment Options for Foot Drop

Treating foot drop focuses on improving your ability to walk and addressing the underlying cause. At Elite Foot Care, we create personalised treatment plans to maximise your mobility and safety. Many cases of foot drop can be managed with conservative treatments, especially if the cause is treatable. Here are common foot drop treatment options we offer or coordinate:

 

  • Braces (Ankle-Foot Orthoses): Wearing a brace is one of the most effective treatments for foot drop. An Ankle-Foot Orthosis (AFO) is a support worn on the lower leg and foot that holds the foot in a normal position. It keeps your foot from slapping down or dragging when you walk. Our clinic provides custom-made AFOs tailored to your leg for optimal comfort and support. A well-fitted AFO can dramatically improve walking ability, balance, and confidence for someone with foot drop. (See our Ankle-Foot Orthotics (AFO) service page for more details.)
 
  • Custom Orthotics: In addition to braces, custom foot orthotics (special insoles) can be placed in your shoes to improve your foot alignment and gait. While orthotic insoles alone often cannot fully correct a foot drop, they provide arch support and stabilize the foot and ankle. This can complement an AFO or assist mild cases. Elite Foot Care has a state-of-the-art orthotics lab on the Sunshine Coast where we craft orthotics to support your unique foot structure. (Learn more on our Custom Orthotics page.)
 
  • Prescription Exercises: is important for strengthening the muscles in your lower leg and maintaining joint range of motion. Our podiatrists can prescribe targeted exercises to activate your ankle and toe-lifting muscles, as well as stretching routines to prevent stiffness in your Achilles tendon and calf. Regular exercises might improve gait over time and help you regain some muscle function. We also use gait training techniques to help you walk with more ease.
 
  • Addressing the underlying cause: Treatment will also focus on the cause of your foot drop. For instance, if diabetes has caused neuropathy, improving blood sugar control and nutrition can help. If a pinched nerve in the spine is contributing, we may refer you for further medical management (such as spinal injections or surgery) to relieve that pressure. In cases due to a neurological condition like MS or stroke, working with neurologists and physiotherapists on disease-specific therapies is key. We take a holistic approach, coordinating with other healthcare professionals as needed so that the root problem is managed alongside your foot drop.
 
  • Nerve stimulation devices: In some situations, a podiatrist may recommend a functional electrical stimulation (FES) device. This is a gadget worn on the leg that sends small electrical impulses to the nerve, prompting the muscles to lift the foot during walking. Not everyone is a candidate for FES, but it can be useful for certain neurological causes of foot drop. We can advise if this advanced therapy might help in your case.
 
  • Surgery (in severe or long-term cases): Most people with foot drop do not need surgery, but it can be considered if other treatments aren’t helping or when the foot drop is permanent. Surgical options include repairing a compressed nerve (if foot drop is new and due to nerve injury) or a tendon transfer procedure, where a functioning tendon is relocated to help lift the foot. If we determine that you might benefit from surgical intervention, we will refer you to an appropriate orthopedic or neurosurgical specialist. Post-surgery, our team can assist with your rehabilitation, including bracing and exercises during recovery.
 
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Frequently Asked Questions About Foot Drop

Foot drop isn’t a stand-alone illness but a symptom of an underlying issue. It means you can’t lift the front part of your foot due to weakness or paralysis in the muscles that flex the ankle (dorsiflexors)​. This usually happens because of a problem with the nerves that send signals to those muscles or the muscles themselves. Foot drop can happen for many reasons – for example, a nerve in your leg may have been compressed or injured (like the peroneal nerve near the knee), or you might have a condition affecting your brain or spinal cord (such as after a stroke or in multiple sclerosis) that disrupts the nerve signals. In short, foot drop happens when the pathway from your brain to your foot is impaired, causing the front of your foot to not lift as it should. Our podiatrists will aim to find out why it’s happening in order to treat it properly.

In many cases, foot drop can improve or even fully go away, but it depends on the cause and severity​. If the underlying cause can be treated or heals (for example, a compressed nerve that gets relieved), then the nerve and muscle function may recover and the foot drop will resolve. In fact, foot drop is treatable in most cases, though recovery might take weeks to months​. However, if the nerve damage is severe or due to a progressive neurological disease, foot drop could be long-lasting or permanent. Even in those situations, using braces and therapy can greatly improve mobility. Every individual is different – after evaluating you, we can give you an idea of whether your foot drop is likely temporary or something that needs long-term management. The good news is that with proper treatment, most people can significantly improve their walking ability even if the weakness persists.

Treatment for foot drop typically involves supporting the foot and addressing the cause. One of the main treatments is wearing a brace called an Ankle-Foot Orthosis (AFO), which holds your foot at a 90-degree angle so you can walk without catching your toes. Along with bracing, we use physical exercises to strengthen your leg muscles and keep your joints flexible.

At Elite Foot Care, we also provide custom orthotic insoles to support your foot, and we’ll guide you in exercises or refer you to a physiotherapist for gait training. If your foot drop is caused by a specific issue (say a herniated disc or diabetes-related nerve injury), we will address that as well by coordinating appropriate medical care. Surgery is generally a last resort, considered only if other treatments don’t help and the foot drop is significantly affecting your life. Our goal is to use the least invasive measures to get you back on your feet quickly.

In most cases, yes, a brace is very helpful for foot drop. The brace (AFO) keeps your foot from dropping downward, which prevents tripping and helps you walk more normally​.

When you come to Elite Foot Care, we will custom-fit an AFO for you so that it’s comfortable to wear inside a shoe and provides the right support. We also often recommend custom orthotic inserts to go along with the brace or for use in situations where a full AFO might not be needed. These orthotics can improve your overall foot alignment and cushioning. Every patient’s needs are different – some people with mild foot drop might get by with just a stiff shoe insert and exercise, but many will benefit from the added stability of an AFO. Our podiatrist will explain the options and make sure you’re getting the proper support device for your condition. Using the right brace or orthotic can make a huge difference in your day-to-day safety and comfort.

Treating foot drop is important for maintaining your mobility and independence. If foot drop is left untreated, you’re at a much higher risk of tripping, falling, and injuring yourself because your toes catch the ground​. Over time, not being able to walk properly can also lead to problems like joint stiffness (for example, a tight heel cord/Achilles tendon), changes in your gait that cause knee or hip pain, and even chronic pain from the altered way of walking​. Moreover, foot drop could be a sign of a serious underlying issue (such as a nerve compression or neurological disease) that needs medical attention. By seeking treatment early, you not only get help with walking but also address the root cause before it potentially worsens. Our podiatrists can significantly improve your walking safety with braces and therapy, and we’ll work with your doctors if further medical treatments are needed. Bottom line: you shouldn’t ignore foot drop. With proper care, you can prevent complications and improve your quality of life.

Jay Lewis Podiatrist - Elite Foot Care
Jarrod McGuinness Podiatrist - Elite Foot Care
Dean Taylor - Elite Foot Care
Daniel Neil - Elite Foot Care
Ajay Mahadev - Elite Foot Care Podiatrist
Josh Taylor - Elite Foot Care Podiatrist
Gabrielle Riach - Elite Foot Care

Our Therapists

Our team of Podiatrists have decades of experience treating all hip, knee, leg, ankle, foot and heel pain as well as a range of skin and nail conditions including ingrown toenails, fungal nail infections and more.

They share a passion for helping the community stay strong and active, helping them achieve their ultimate health outcomes. 

Their experience combined with the best treatment technologies available, allow us to achieve the best outcomes for our community.

Benefits of a personalised treatment plan

Reduced Pain

Using the worlds best treatment technology and methods, we can accelerate your recovery to achieve your ultimate health outcome sooner.

Increased Strength

With a prescribed exercise rehab program, your surrounding muscles will strengthen and take the load off your affected tissue. The result is lasting pain relief.

Become More Active

Working with your Podiatrist to complete your personalised treatment plan, you'll be able to do more of the things you love with friends and family.

How it works

1. Schedule an Appointment

Book online or call one of our friendly reception staff on 07 5328 3588 to find a time that suits you.

2. We Handle the Details

Our experienced Podiatrists will diagnose, create a custom treatment plan and treat in the very first session.

3. Be More Active With Less Pain

Spend more time with your family and friends being active and doing the things you love.

What you'll get...

Experienced Podiatrists

Our Podiatrists have decades of experience treating an array of conditions.

Comprehensive Consultations

Our Podiatrists will leave no stone unturned in finding the root cause of your issue.

Personalised Treatment Plans

Our Podiatrists will create a truly custom treatment plan to achieve your ideal outcomes.

Communication

Our Podiatrists will clearly explain your condition, providing insight into its nature and treatment options.

Best Treatment Technology

We utilise state-of-the-art treatment technologies including: Shockwave Therapy, 3D Laser Scanners, Lunula Fungal Nail Laser to provide our patients with the best possible care. 

On-site Manufacturing

Our on-site orthotics manufacturing lab allows us to do same or next day orthotic dispenses.

Begin your journey to a pain free future.

Woombye Podiatrists

4/40 Wilson Avenue, Woombye, 4559

Sippy Downs Podiatrists

15 Fairfax Street, Sippy Downs, 4556
(level 2 in Fairfax Village building)