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Author Topic: Abnormal Gait  (Read 881 times)

Offline Riosilia

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Abnormal Gait
« on: July 29, 2003, 07:12:56 AM »
Did anyone ever have problems with abnormal gait that actually caused more problems (like hip problems)?  How did you solve it?

I just came back from PT and it seems that I have been walking wierd (for who knows how long now) so that instead of bening my knee when my leg first touches the ground, I straighten my knee.  Because of this I'm not using my VMO, but instead I'm using my glutius muscles.  

After my most recent surgery I was on a locked brace so that I HAD to use my glut muscles, which aggrivated my hip even more.  Now my hip is pretty bad and I'm trying to get out of this horrible gait pattern.  I know what I'm doing wrong when I walk but it's so hard to correct it.  I have to put so much thought just to walk correctly.  I'm just wondering how long it's going to take me before I can walk normal again and not have to worry about it.  

Thanks!

     Riosilia
98- first patelllar dislocation
99- LR + debridment
00- proximal (VMO advancement) + distal (TTT medialization) realignment
03- MPFL repair, lat retinaculum repair, patellar microfracture
09- Patellar osteochondral allograft + MPFL reconstruction
10- ant interval release + partial synovectomy

Offline Natalie.D

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Re: Abnormal Gait
« Reply #1 on: July 29, 2003, 03:41:35 PM »
Hi Riosilia

I have the same problem, I tend to straighten my knee when I should be bending and this is causing me hip pain on the opposite side.  My PT has told me to try to be aware of this and consciously bend instead of straighten, it feels really weird though because I got into the habit of doing the opposite.  My hip is still sore but I think I'm improving with the walk so hopefully my hip should start to ease off soon.  I think you just have to train yourself to walk the way the PT has advised although it does feel really strange at first.  I don't know of any other way, perhaps there are more exercises to be done to strengthen the muscles not being used, I wonder if that would make it easier to walk properly when the muscles are stronger?  Good luck and if you hear of anything else you can do please let me know.

Natalie.
« Last Edit: July 29, 2003, 03:44:10 PM by nmcbride »
Dislocations since age 12
Trochlear Dysplasia
Maltracking
Hypermobile
LR/MR-failed
TTT, LR, MR L knee 95-Success
TTT, LR, MR R 02-Success
Screws out
Partial tear ACL
Severe end stage OA
4 Debridements
Partial Meniscectomy
Failed Microfracture
11mm Defect LFC
Bone Spurs, Kissing Lesions

Offline chica_2626

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Re: Abnormal Gait
« Reply #2 on: July 29, 2003, 08:19:15 PM »
Not exactly sure if this would help your problem but hey ya never know.  After my LR to reinforce having a proper gait they would have me do this exercise.  They would take like paper cups or plastic ones and place them on the floor spaced so you would have to walk over them if that makes sense.  Maybe I can kinda recreate how it looked on here...

O

                    O

O

                   O

O

                   O

That's how it would look if you were looking down on it from above.  It would basically create an exaggerated walking motion.  You have to lift your foot up and over the cup and back down, like a normal step.  You would go down the whole line of cups (there were usually like 10 of them)  and back again.  It really helped, I'm not sure if this would help with the problem you are having or not though!  If this doesn't make sense, let me know and I'll try to explain it in a better way!!!

Rachel
« Last Edit: July 29, 2003, 08:19:52 PM by chica_2626 »
Lateral Release Right Knee 6-21-02
Peroneal Brevis Tendon Repair Right Ankle 6-29-05

Offline Jak

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Re: Abnormal Gait
« Reply #3 on: July 30, 2003, 12:18:11 AM »
Abnormal gait seems to be trait for some knee sufferers.  I have squinting patella and so an abnormal gait.  I don't know if it will help but my PT suggested the Alexandra technique.  I didn't take it up so can't comment on how effective it is.  Although I have heard good reports.  At my age I figured you can't teach an old dog new tricks.  Jak
June 2002 medial plica and supra-patela plica removal, chondroplasty on both knees and lateral release on right knee.

Offline Janet

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Re: Abnormal Gait
« Reply #4 on: July 31, 2003, 02:37:46 AM »
I also have an abnormal gait and it does cause hip and back pain. I spent 6 months of PT with a gait specialist, and it helped, but my weak quads never allowed me to regain a normal gait. One thing I am doing now is walking over "hurdles," lifting my leg up and over an 8-10 inch barrier. This is so hard!! I really want to do it "from the hip" and not bend my knee. But I think it's helping. You can even do this without the actual "hurdle." Step forward like you're marching with your good leg, then try to do the same with your bad leg. You have to bend your leg back, then swing it forward to step in front of the other foot. Give it a try.

Janet
Torn quad tendon repair & VMO advancement 4/99, MUA with LOA 10/99, Patella baja and arthrofibrosis, LR & medial release & LOA 5/01, LOA & chondroplasty 6/03,TKR on 11/06, MUA 12/06. From perfect knees to a TKR in 7 years, all from a fall on a wet floor...and early undiagnosed scar tissue.

Offline Riosilia

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Re: Abnormal Gait
« Reply #5 on: July 31, 2003, 07:21:19 AM »
Thanks everyone; I'm not the only that has problems "just walking."  Actually I saw my therapist today and he said he can already tell a difference in the way I'm walking.  The main thing is thinking about it when I walk, specially when I have to walk greater distances (ie shopping).  I have also been walking on the tredmill.  Eversince I started focusing my my walking I've been having a lot, to almost no pain at all.  


           Riosilia
98- first patelllar dislocation
99- LR + debridment
00- proximal (VMO advancement) + distal (TTT medialization) realignment
03- MPFL repair, lat retinaculum repair, patellar microfracture
09- Patellar osteochondral allograft + MPFL reconstruction
10- ant interval release + partial synovectomy

 















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