Foot Problems as an Early Sign of PD: Oh, What a Drag It Is!

Foot Problems as an Early Sign of PD: Oh, What a Drag It Is!

Search on the internet for early signs of Parkinson’s disease. Surprisingly, you will not find foot drag on most of the lists. Yet, Ali Samil, in the chapter “Cardinal Features of Early Parkinson’s Disease,” in the book “Parkinson’s Disease: Diagnosis and Clinical Management,” lists foot drag as an important early symptom.

I have been dealing with foot drag for a few years — that squeak of the sneaker on the kitchen floor when the foot drag catches, scuff marks left behind. While at a professional conference, the foot drag caught the top edge of a stair just as I was headed down, and down I went, grasping the handrail to rescue an awful fall. Recently, it has been much worse, and oh, what a drag it is now.

Reflecting on it, it seems almost impossible that I could seriously hurt my foot walking on a flat, carpeted surface with no obstacles in the way. But that is exactly what happened. Walking barefoot on a carpeted floor, my foot dragged, and then my big toe jammed into the carpet — HARD! I screamed, tears flowed, and I fell to the floor weeping from the pain. The toe turned a nice purple shortly thereafter, but luckily nothing was broken. I don’t walk barefoot anywhere now, except for a few steps in and out of the shower.

I am surprised that there is not more mention of foot drag in the lists of early PD symptoms. If it is a cardinal early symptom, then both patients and care providers should be given the heads up (or maybe feet down), along with some guidelines on how to adjust.

If a patient does have this symptom, then perhaps it doesn’t show up all the time, but rather only during off periods and deep fatigue. If the patient has a favorite pair of shoes, then perhaps signs of the foot drag can be seen on the wear pattern in the shoes.

The indications of foot drag problems don’t have to be as dramatic as my story before they become something that needs attention. My attention is given to the footwear I purchase, limiting my walking during deep fatigue, and carefully watching my feet when changing surface levels (such as a curb on sidewalks).

Maybe there are readers out there who have dealt with foot drag and have a story to tell with suggestions about how to cope. Next time someone says to you, “Quit dragging your feet on this,” tell them about this column.

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Note: Parkinson’s News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Parkinson’s News Today or its parent company, BioNews Services, and are intended to spark discussion about issues pertaining to Parkinson’s disease.

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I am a retired professor and research scientist along with being an artist, philosopher, writer, therapist and mystic. I am also a husband, father, grandfather, master gardenerand Vietnam Vet. All of these roles influence how PD interacts with my life's journey.

3 comments

  1. Daniel Wilkins says:

    Dr. C., thank you for highlighting this feature. Foot-dragging was an early symptom for me, too. For several years before I developed a tremor and was diagnosed, I would often catch a foot on the carpets at the university building where I taught. Fortunately, my reactions were quick enough that I never fell down. There was no way I could connect this with any disease, let alone Parkinsons. I thought it was due to lack of alertness, fatigue, or laziness in lifting my feet when I walked. I was then in my early sixties and regarded it as just an ordinary byproduct of growing old.

  2. Andrew says:

    A couple of years before my diagnosis, I began having trouble with foot drag. This was compounded by the development of Morton’s neuroma in my left foot (very painful). “Toe curl” muscle contraction is fairly common in Parkinson’s, making it difficult and painful to walk. Add to that balance issues typical of PD and you have a recipe for significant mobility impairment, probably my biggest complaint. PD meds (Sinemet)have helped with foot drag, but I still have to limit the amount of time I spend on my feet to 5-10 minutes at a time. I am constantly looking for the perfect pair of shoes, currently Altra Torin (plenty of room for sore toes). Not perfect, but OK. I always have to be careful when walking.

  3. Rose says:

    I too have foot ankle and leg problems.
    All of a sudden when walking my feet ankle wouldn’t work refusing to bend, felt like cramping.
    Had all the tests, told the early Parkinsons, but they are waiting till it develops to be curtain. I am now limited to short walks because of tingling pain from instep to knee, feels like an open wound, look down and nothing.
    I am seeing a Professor Neurologist.

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