How does multiple sclerosis affect the feet?

Foot drop, or dropped foot, is a symptom of multiple sclerosis caused by weakness in the ankle or disruption in the nerve pathway between the legs and the brain. This disruption means it is difficult to lift the front of the foot to the correct angle during walking.
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What does MS feel like in feet?

A condition that doctors call “erythromelalgia” is a painful MS symptom that affects the feet. The feet may feel tight or swollen as well as have a burning sensation.
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Do people with MS have problems with their feet?

Many people with MS also have fibromyalgia or arthritis. And both of those conditions can be painful. But sometimes, MS directly causes pain in your feet and legs and may actually damage your nerves.
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What does MS do to your legs and feet?

Coupled with the development of lesions and plaques in the nervous system, this can lead to pain in the legs and throughout the body. MS also makes movement and gait, or the process of walking, difficult. As nerve damage worsens, people with MS are likely to experience stiffness and aching.
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Does MS start in your feet?

Numbness and tingling can occur in your feet, legs, hands, arms or face. In my example, it started in my feet and then spread to my legs. I had a subsequent relapse where I experienced numbness and tingling from my face to my toes on my right side.
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Multiple sclerosis - causes, symptoms, diagnosis, treatment, pathology



What is sclerosis in the foot?

Systemic sclerosis, which is sometimes also known as scleroderma, is a chronic autoimmune disease that causes degeneration and scar formation in the skin, joints, and internal organs. Many people with this condition experience foot problems, including foot pain and deformities in the back of the foot.
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What does MS foot drop look like?

Some people with multiple sclerosis develop foot drop (sometimes called “drop foot”), a weakness in the ankle and foot muscles that makes it hard to flex the ankle and walk with a normal heel-toe pattern, according to the National Multiple Sclerosis Society (NMSS).
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Does MS cause neuropathy in feet?

Symptoms. The two conditions share some symptoms, but, in general, MS produces a wider range of symptoms than peripheral neuropathy does. Both MS and PN can cause tingling, pain, or decreased sensation of the hands, arms, feet, or legs, but patterns and timing differ.
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What does MS leg pain feel like?

This pain is described as constant, boring, burning or tingling intensely. It often occurs in the legs. Paraesthesia types include pins and needles, tingling, shivering, burning pains, feelings of pressure, and areas of skin with heightened sensitivity to touch.
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Where do you itch with MS?

Itchy sensations can occur virtually anywhere on your body, usually involving both sides. For example, both arms, legs, or both sides of your face might be involved. Occasionally, though, the itchiness may be confined to a single location, usually an arm or leg.
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What are the first signs of foot drop?

Symptoms and Signs of Foot Drop
  • Inability to hold footwear. A feeling of loosening of the footwear may cause discomfort and dragging of the affected foot while walking. ...
  • Tripping. ...
  • Falls. ...
  • High steppage gait. ...
  • Circumduction gait. ...
  • Limp foot. ...
  • Numbness. ...
  • Often unilateral.
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Does MS cause foot pain and swelling?

Swollen feet and ankles are common in MS, and are caused by an accumulation of lymphatic fluid (lymphedema). They are considered to be a secondary symptom of the disease, because they most often develop due to a lack of mobility instead of arising as a direct result of demyelination.
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Does MS make your feet swell?

In multiple sclerosis (MS) or other conditions that limit mobility, it most commonly manifests as swollen feet and ankles, and occurs because the lymphatic system does not receive help from the muscle movements that normally enable the lymphatic fluid to flow properly.
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Why do my feet ache and burn?

While fatigue or a skin infection can cause temporarily burning or inflamed feet, burning feet are most often a sign of nerve damage (peripheral neuropathy). Nerve damage has many different causes, including diabetes, chronic alcohol use, exposure to certain toxins, certain B vitamin deficiencies or HIV infection.
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Is tingling in feet serious?

Tingling in the feet or hands may feel unpleasant, but the cause is not usually serious. However, If the feet or hands tingle often, this may be the result of an underlying condition. There are many reasons why someone may experience tingling in their feet and hands, most of which are temporary.
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When should I worry about numb feet?

If you have foot numbness along with loss of bladder or bowel control, paralysis, disorientation, foot weakness, or slurred speech, go to an emergency room very away (phone 911). Contact a medical expert if your foot numbness is chronic, recurrent, or causes you worry.
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Is MS worse at night?

Spasticity is one of the most common MS symptoms, and often feels worse at night. This is because it can be aggravated by reduced movement, tight muscles and pain from other symptoms.
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Can MS cause ankle pain?

Tightness or stiffness of the muscles, called spasticity, is caused directly by MS. Spasticity, will alter walking and cause pulling on the joints. This can result in pain typically in the ankles, knees, hips and back.
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Does MS show up in blood work?

While there is no definitive blood test for MS, blood tests can rule out other conditions that cause symptoms similar to those of MS, including lupus erythematosis, Sjogren's, vitamin and mineral deficiencies, some infections, and rare hereditary diseases.
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What can be done for neuropathy in the feet?

To help you manage peripheral neuropathy:
  • Take care of your feet, especially if you have diabetes. Check daily for blisters, cuts or calluses. ...
  • Exercise. ...
  • Quit smoking. ...
  • Eat healthy meals. ...
  • Avoid excessive alcohol. ...
  • Monitor your blood glucose levels.
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Does MS neuropathy go away?

A lack of feeling or a pins-and-needles sensation can be the first sign of the nerve damage from MS. It usually happens in the face, arms, or legs, and on one side of the body. It also tends to go away on its own.
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What can be mistaken for peripheral neuropathy?

Peripheral neuropathy is the most common, impacting 7 in 10 diabetics, among others. PN is often mistaken for another common illness, multiple sclerosis (MS).
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Can MS foot drop be reversed?

Physical therapy. Strengthening the muscles in the calves, ankles, and feet can help protect against foot drop. PT can also aid you in correcting MS-affected gait, which can result in joint misalignment and muscle pain from overcompensating for foot drop. Functional electrical stimulation.
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Is walking good for foot drop?

The telltale sign of foot drop is catching your toes on the ground as you walk. A physical therapist can help treat the condition with exercises and other modalities. The main goal of physical therapy for foot drop is to improve functional mobility related to walking.
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Why does my foot flop when I walk?

Foot drop, sometimes called drop foot, is a general term for difficulty lifting the front part of the foot. If you have foot drop, the front of your foot might drag on the ground when you walk. Foot drop isn't a disease. Rather, foot drop is a sign of an underlying neurological, muscular or anatomical problem.
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