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Balance & Gait Problems: A Real Puzzler

Aging Well | Last Active: May 27, 2022 | Replies (59)

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@ray666

Hello, ZeeGee (@fourof5zs)

Again, thank you for your great reply to my Mayo post!

You asked if I have pain anywhere other than where I mentioned. My left knee, the knee that has lots of arthritis (but the orthopedist tells me can still be treated with injections), can be painful, especially if I'm good about doing some daily exercise. My lower back too is sometimes, maybe not "painful," but "achy." But I spend a lot of time at my desk; even though I try very hard to get up and move about every 25-30 minutes, I can still have an achy lower back by the end of the day. Other than those two, no, I can't complain of any other pain. I'm lucky in that sense.

When I have fallen (and I haven't fallen that often, I'm sure because I have taught myself to be extra careful), it is sometimes when my attention is drawn to one side or the other and I turn too fast. As I believe I mentioned in my post, my falling is never because I'm dizzy. I believe my falling is all because of my lower body infirmities: bad feet, a bad knee, and (occasionally) a bad hip; those three, plus legs that feel weak. I say "feel weak," because when I've been tested for leg strength, I'm told my legs are strong, especially for a person of 77. So, that weakness puzzles me. That's definitely something I am going to ask my primary doctor about when I see her next week.

All of this adds up to my not walking properly. I try, but it can be difficult, on tile and hardwood floors walking properly is especially difficult, and outdoors on uneven ground it's virtually impossible.

Thanks again for responding! I look forward to us talking again.

Have an enjoyable weekend!
Ray (@ray666)

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Replies to "Hello, ZeeGee (@fourof5zs) Again, thank you for your great reply to my Mayo post! You asked..."

Hello, @ray666 and @fourof5zs as well as all of the others who have added to this conversation. I have found this very interesting because I too have had falls where my left leg will give out on me and I'll find myself on the ground (always a surprise). Fortunately, I'm quite short so I don't fall too far. So far, no broken bones just injured pride and feeling that I really should be able to walk better. Like you, @ray666, I've become much more aware of where and how I'm walking.

I had an EMG done recently that did show a slowing in the nerves of the left leg and a temperature change between the left and right leg showing the left side colder than the right.

I've also had MRIs of the lumbar spine which has been quite a mess for a long time. I also have a definite problem with the sacral joint that @fourof5zs mentioned. I'm now seeing an orthopedic specialist.

All of this to say, it sounds as if many of us are in the same boat. I do exercise my core to keep it as strong as possible. I have other exercises from previous PT experiences that I work with on a regular basis as well.

Many years ago, when my gait problem began I felt like I walked with a stagger (to the right) I saw numerous neurologists. I was tentatively diagnosed with Parkinson's (PD). Since PD does not have a direct testing method, lots of other diagnoses were ruled out. Finally, after many years of staggering and falls a neurologist suggested a PD diagnosis. She told me that in situations like mine, trying a PD med (like Sinemet) is a way to find out if PD is the issue. Once I began Sinemet, the connection between my lower extremities and my brain became much stronger.

Now, however, many years later this left-sided weakness is causing falls again. It makes me feel like I'm starting at square one, however, I understand that I'm now dealing with another aspect of the aging dilemma that we are all experiencing.

@ray666 has an EMG been done for you yet?

I do not know if this is where I should post this, but thought someone could tell me of his/her experiences with cortisone injections in a knee. I had surgery that forced me to sit on a sitz bath to heal properly. Well, I ruined my knees doing this. I immediately quit the sitz baths when I awakened one morning to both knees hurting and found them not reliable. I "folded" several times but caught myself. I have been using my HurryCane to get around. I thought my knees would heal. Finally, I went to my PCP and he gave me a cortisone injection in my right knee. Not only did that not help, it made my knee worse. When I called about this I was told to go to an orthopedic health place. I have not begun this process. Have any of you had a similar bad experience with an injection that only made things worse? What did you do? I am just trying to keep moving but wonder if the knees are shot and I really will have to go to the orthopedic health place. What do they do at these places? I am certainly not looking for surgery. My PCP x-rayed both knees and said they looked better than his. He had a knee replacement. As many of you have mentioned, it is never just one thing wrong. My "What fresh hell is this?" this morning was my left index finger reminding me I had arthritis. At least I am right-handed. Any thoughts are welcome. @joybringer1