Podcasts about foot drop

Walking After Stroke: What Your PT Knows That Your Doctor Doesn’t A doctor walked in, ran a reflex test, and told the patient they would never walk again. That same day, a physical therapist from Dr. Kory Langwell’s team arrived. The patient was in tears. And then they walked 70 feet. “I hope you go back and tell that doctor,” Kory said, “that they missed that.” Dr. Kory Langwell is a Doctor of Physical Therapy with over 15 years of experience. He runs a mobile home therapy practice across Southern California, and now coaches stroke survivors worldwide through his virtual program at Unlimited Potential Physical Therapy. In episode 410 of the Recovery After Stroke podcast, Kory broke down the realities of walking after stroke what’s actually possible, where the system fails survivors, and what a good physical therapist knows that most doctors don’t. The Moment the System Stops For most stroke survivors in the United States, recovery starts with intensity. In the hospital, you might receive three hours of therapy a day. Then you go home. Within weeks, that drops to thirty minutes, once or twice a week. “Insurance doesn’t know when your brain stops recovering,” Kory says. “Therapy ending doesn’t mean progress ends.” The problem is that for many survivors, the message lands the other way around. When the funding stops, the belief follows: that recovery is over, that this is where they plateau, that there’s nothing left to do. That belief, more than the stroke itself, can stall everything that comes next. The Plateau Is Not a Full Stop One of the most damaging phrases in stroke recovery is “you’ve plateaued.” It implies that the brain has reached its ceiling, that whatever function you have now is what you’ll have forever. Kory pushes back hard on this. “I’ve seen progress years, decades, 10 to 20 years after a stroke. Arms, hands, legs, walking ability. People just get fed up and stop looking for resources.” What a plateau usually means is that the current approach has stopped working, not that progress itself is impossible. The clinical response isn’t to discharge the patient. It’s to audit what they’re doing and change something. Different exercises, different load, different feedback. Reassess in six weeks. See what moves. Walking After Stroke: Why More Isn’t Always Better Walking after stroke is where survivors often get their first taste of both independence and confusion. The instinct, and it’s a good one, is to walk more. Further, longer, more often. But Kory draws an important distinction between the acute stage and everything that comes after. In the early weeks post-stroke, more isn’t always better. If someone can walk five steps, pushing them to twenty-five on back-to-back days may overtax the neurological system rather than rebuild it. Fatigue compounds quickly. Quality collapses. And when quality collapses, the brain reinforces the wrong patterns. “I’d rather have somebody walk 50 feet really well than 150 feet terribly,” Kory says. Visual feedback changes this completely. When survivors watch themselves walk in a mirror, or on a phone recording, they often see something very different from what they feel. Bill Gasiamis described exactly this: convinced his running gait was dangerous, he watched the footage and found it was far better than he’d thought. The problem wasn’t the movement. It was the feedback. Once a survivor moves into the chronic stage months or years post-stroke, the calculus shifts. Walking remains one of the best exercises available. Kory also recommends walking backwards in a safe environment like a hallway or near a kitchen sink: it challenges balance, engages the brain differently, and creates new neurological input. Why Falls Happen – And What Actually Prevents Them Falls after stroke aren’t random. They follow a pattern. The clinical term is proprioception: the brain’s sense of where the body’s joints and limbs are in space. After a stroke, this system is often disrupted. Survivors may not feel their foot on the ground, or may not register that a leg isn’t bearing weight the way it needs to. Add a divided attention task carrying a plate, thinking about turning off the television, reaching for something, and the risk multiplies immediately. Bill described this directly: he’d made a sandwich, sat down, finished eating, and went to stand up. His attention was on getting the plate to the sink without dropping it. His left leg wasn’t registered as being on the floor. He fell before he’d taken a step. The countermeasure is simple: stop, feel the floor, confirm the leg is active before moving, then carry the plate. Step by step, not simultaneously. Foot Drop, AFOs, and Electrical Stimulation Foot drop, where the muscles that lift the front of the foot are weakened or uncoordinated, is one of the most common walking challenges after stroke. Many survivors are placed in an AFO (ankle foot orthosis) to manage it. Kory’s view on AFOs is measured: they’re a tool, not a sentence. Whether to wear one, when, and whether to eventually stop using one depends entirely on the individual. “Take it off every once in a while if you’re in a safe environment,” Kory advises. “That gives new input to the brain a chance for things to improve.” Electrical stimulation is another tool worth exploring. Kory recommends starting with an affordable unit available on Amazon for around $40 to test whether the technique produces results before investing in higher-end systems. You can find Kory’s recommended unit at linktr.ee/unlimitedpotentialpt. The “Life Athlete” Mindset Kory calls his stroke survivor clients “life athletes.” Not because they run marathons or lift heavy, but because athlete thinking produces athlete results. Athletes track. They audit their approach. They celebrate small gains. They adjust when progress slows. And they don’t let one bad assessment from one clinician define what they believe is possible. “If somebody told you you’d never walk again, you can take that feedback and use it as motivation,” Kory says. “Or you can let it get you down. That’s up to you.” What to Do With a Limiting Prognosis When a doctor says “you’ll never walk again,” it’s rarely cruelty; it’s usually outdated thinking. General practitioners have limited training in neurological rehabilitation. Some are still working from research that concluded recovery stops at six months or a year. That conclusion was drawn from patients who stopped therapy and stopped trying, not from the brain’s actual ceiling. “I just want to leave the door open,” Kory says. The research on neuroplasticity is clear: the brain continues to adapt when given the right challenge, the right environment, and enough time. A prognosis isn’t a prophecy. It’s a snapshot of what one clinician observed on one day. Walking after stroke real, functional, independent walking is possible far longer and far later than most doctors suggest. And sometimes, it happens the same day they said it never would. If this episode has helped you, Bill’s book The Unexpected Way That A Stroke Became The Best Thing That Happened shares the tools and mindset that made the difference across his own recovery. If the Recovery After Stroke podcast has been valuable to you, you can support it financially at patreon.com/recoveryafterstroke. This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. She Was Told She’d Never Walk Again – Her PT Proved Them Wrong | Dr. Kory Langwell (Interview) Dr. Kory Langwell on the therapy gap, foot drop, and why the plateau after stroke is a label not a limit. Highlights: 00:00 Introduction – Walking After Stroke 07:24 Insurance and Therapy Limitations 11:22 Supporting Survivors and Caregivers 16:45 Community and Support in Recovery 26:57 The Impact of Electrical Stimulation in Rehabilitation 29:17 Walking: Quality Over Quantity in Recovery 30:25 Understanding the Stages of Recovery 36:39 Navigating the Challenges of Falling Post-Stroke 42:05 Setting Realistic Goals for Recovery 44:46 The Role of Medical Professionals in Rehabilitation Transcript: Introduction – Walking After Stroke Kory Langwell (00:00) So we had a client recently there. Doctor told them they were never gonna walk again. And literally, like they our therapist showed up, the patient was in tears, and then they walked 70 feet with our therapist. And it was all because it was a doctor that didn’t know them. They did like some reflex testing and said, you’re hyporeflexic, you’re never gonna walk again. And then literally that same day walked 70 feet. I was like, I hope you go back and tell them, BIll Gasiamis video 25, image (00:23) Before we get into today’s conversation, I want to extend a genuine thank you to everyone who supports this show. Whether you’ve joined as a YouTube member, contributed through Patreon, left a review, shared an episode, commented, or picked up a copy of my book, You Are the Reason This Podcast Keeps Going. Today’s guest is Dr. Corey Langwell. A doctor of physical therapy with over 15 years of clinical experience. Corey runs a mobile therapy practice across Southern California and now coaches stroke survivors worldwide through unlimited potential physical therapy, a virtual program built for people who can’t access the in-person care they need. In this conversation, we get into the gap that opens up the moment you leave hospital. While the word plateau might be the most dangerous word in stroke recovery, What physical therapists know about walking after stroke that most doctors do not, and what it actually takes to keep making progress, years or even decades post-stroke. If you’ve ever been told there’s a ceiling on your recovery, this episode is going to challenge that. Here’s my conversation with Dr. Corey. BIll Gasiamis (01:39) Kory Langwell, welcome to the podcast. Kory Langwell (01:42) Thanks for having me. BIll Gasiamis (01:43) Tell me a little bit about your background. Kory Langwell (01:47) Yeah, I’ve been a doctor of physical therapy for over 15 years and I’ve had my own mobile therapy practice for a little over five years. So helping people in their homes throughout Southern California with my staff of PTs, OTs, and speech therapists. And now we’re expanding to worldwide really with our virtual coaching program for people that have had strokes. So BIll Gasiamis (02:12) Worldwide. That’s awesome, right? So that’s where I found you on the TikTok app. And it’s a pretty decent channel to follow. Tell me just while we’re here and I remembered to ask, what is the TikTok handle? Kory Langwell (02:14) Yeah. Yeah. Yeah, yeah. It’s Dr. Kory Stroke Recovery PT and I can I can send you the link later on. But yeah, so I started two months ago and it’s been growing ever since. So BIll Gasiamis (02:38) Yeah, it’s really good because I think your information comes from the clinical background, something that I can’t do. I can put a lot of information out about my personal experience with stroke, what other people tell me about their experience, but your specific instructions around how to improve or how to do something differently or how to achieve an outcome with regards to whatever physical deficit people have after stroke. Is really helpful. So for people who are watching and listening, go to TikTok and probably the other social media channels, yeah, Kory? Kory Langwell (03:12) Yeah, yeah, I started a YouTube recently, unlimited potential physical therapy. And yeah, I’m also on Facebook, Unlimited Potential Rehab. So yeah. BIll Gasiamis (03:22) Yeah. You’re one of those people. I often get asked where can I find somebody that’s going to help me with my stroke recovery? I can’t get there or whatever. And I’m I’m often the middleman. People think that I know everything about everyone, especially from Australia to the United States, right? But what’s weird is I do know a lot of people and I can connect people. So it’s great that we connected and I found you. And I think it’s really important that. Kory Langwell (03:39) Yeah. Yeah. BIll Gasiamis (03:50) It’s your perspective and the way you think about recovery that’s different. And that’s why I reckon people A, should follow you and B, listen to this podcast episode. So don’t leave yet. F listen to the episode and then go and follow Kory on TikTok and all the socials. We’ll have all the links in the show notes. My first question is about the gap. Okay. So we’re often Kory Langwell (04:01) I appreciate that. BIll Gasiamis (04:17) Find ourselves as stroke survivors get sent home from hospital. Everyone does amazing things before we leave hospital. The care is amazing. They try and rehabilitate us as much as they can. They keep us alive. They send us home. But then the gap at home is we’re kind of left alone. Nobody to check in with us to make sure that things are kind of on track, that we’ve settled in. And it feels for a lot of people like recovery ends after therapy ends. But Can you give us a bit of a your your thoughts on that? Kory Langwell (04:54) Yeah, usually at least here in the States, people go from getting three hours of therapy a day in the hospital to literally dropping down to thirty minutes once or twice a week. So there is this huge gap where they just feel like they’re not getting enough and then that it really slows down their progress, or so they feel. and that’s where we’ve come in with our in-home care. But what I’ve seen is people just they need that accountability, whether it’s virtually or in person. And so that’s one thing that we really strive to do is just provide that that one-on-one support virtually. And also, you know, what I see with a lot of people is they think that, stroke recovery. Stops at you know, three months, six months, a year. We’ll probably talk about this more later on. But you just got to keep challenging yourself, doing new things. And I find a lot of times people get stuck on just finding random things on the internet, and then they just they don’t reach out or have the support that they need to move forward and make progress. So grant you just don’t want insurance to tell you when therapy ends or when progress ends. So that doesn’t mean your brain just immediately is yeah. Yeah, therapy’s done because insurance says it is and the brain just shuts off. I mean, I’ve seen progress years, decades, you know, 10 to 20 years after a stroke. I’ve seen progress with arms, hands, legs, general walking ability, you know, stuff like that. So it’s a lot of times they just people get fed up, they get frustrated, and then they stop doing or looking for resources. So BIll Gasiamis (06:26) Y the thing that you said is very interesting about insurance telling you when therapy ends. Now what they’re doing, what are they doing? Are they like I know what they’re doing fundamentally, right? They can’t forever pay somebody to have rehabilitation. And maybe they’re encouraged to pay them for as little as possible as well, because it costs money, right? So they they Kory Langwell (06:49) Yeah. Yeah. BIll Gasiamis (06:53) come up with some kind of a conclusion or whatever, and then they say to people, Well, y that’s about it. You’re not going to really improve any more than that. And we need you to we we’re going to stop funding it. So how does that conversation go from what you understand? And can anyone intervene in that moment and continue the therapy? Is there a way to kind of argue your case to get more therapy? Insurance and Therapy Limitations Kory Langwell (07:24) Yeah, it’s a tough one. So having worked in hospitals in acute rehab units, having worked in outpatient clinics, and then now as my own mobile practice in people’s homes, I’ve seen the whole spectrum of therapy and the issues that come along along each step of the way. in the hospital, you know, it used to be therapy they would get six to eight weeks in the hospital a lot of times here in the States. And now it it used it dropped down to like three weeks for a lot of acute rehabs, and now they’re pushing it down to like 10 to 14 days. which is not a lot of time. And, you know, we used to be able to get people to near independence with a lot of their their skills, you know, the activities or ADLs, activities of daily living. But what I see now is a lot of times hospitals when I left the hospital world in November of 2021, at that point, it was like, let’s just get people to like minimum assistance, meaning they need about 25% or less, and let’s we gotta ship them out of here because it’s like it’s like a churn. It cause hospitals, to be honest. They’re big business. They they are, you know, it’s unfortunate. and they have some of the most highly trained therapists, but the therapists are kind of hamstrung from upper management, middle management, you know, being told probably from people above them that they can only do so much. in the states we have private equity buying out a lot of hospitals and stuff like that. So there are things are changing in the length of stay that clients get. Once somebody goes to home health, they usually only get like two to three weeks, once or twice a week, because the goal of home health is usually get them to outpatient, get them to a clinic. and when they go to a clinic, most of the time somebody will reach like a maintenance level where like they’re not really making a ton of progress and the therapists know they’re not gonna be getting reimbursed as well for that. So that gets really challenging and they have to write really good goals to help. you know, progress things or continue with therapy. So if your therapist is telling you in the outpatient clinic, that’s the one area where you can oftentimes have the best chance of extending therapy. They might be able to, you know, wiggle their way around writing new goals, higher level goals that you can work towards and progressing. And then other times they want to stop therapy for one to two months, three months and then reassess, you know, down the road, which is where a lot of times people seek us out for private therapies on the side. So It’s unfortunate, but yeah, the insurance game does have a their hand in it a lot of times, telling people when they can discharge or not. So yeah. BIll Gasiamis (09:50) How hard is it for a therapist to know that the stroke survivor patient is not ready to go home, but you have to wind it up for them. Kory Langwell (09:59) Yeah. Whew, it’s really challenging. And usually, I mean, in out most outpatient clinics, you might get somebody two or three days a week if you’re lucky. Usually 30 minute sessions in in the clinic. Sometimes you have one-on-one places for an hour, which are great, or 45 minutes, but you’re it’s a volume game in the clinics because the reimbursements have shrunk in the outpatient world too. So they’re like, We need more volume here. And it’s unfortunate. It’s not on the therapist. It’s more on the, you know, just the the whole game that they have to do in order to survive, or else they would have to close up shop. But as far as like extending somebody, it it it can be a challenge. It’s it’s really you see it coming as a therapist, you know, and you’re in the outpatient insurance-based game. you’re like, ooh, you know, I I in about two to four weeks I can tell this is gonna be an issue with your insurance or whatnot. And most therapists, if you can get somebody to like 90% better. You know, that’s pretty darn good, especially after a stroke. there’s a lot of factors that go into that, a lot of variables. But yeah, so it’s it’s tough and getting somebody back to a hundred percent is can be challenging with the insurance game. BIll Gasiamis (11:07) Yeah, getting back to a hundred percent is Kory Langwell (11:12) It’s hard. It’s like the new one hundred percent or yeah, it’s another topic for yeah. BIll Gasiamis (11:13) my gosh. Yeah. The new hundred percent I pref yeah, that I love that. That’s a great statement actually, because a hundred percent, I mean Supporting Survivors and Caregivers BIll Gasiamis video 25, image (11:22) If this podcast has helped you in any way, here’s how you can help it reach more people. Share this episode with a survivor, a carer, or anyone who needs to hear that recovery doesn’t have an expiry date. Leave a review. It makes a massive difference. And if you’d like to support the show financially, you can do that through Patreon at patreon.com/recoveryafterstroke or by becoming a YouTube member. Now it’s back to the show. BIll Gasiamis (11:50) I I have that challenge with a lot of stroke survivors who are early on in their recovery. They reach out and they say, you know, how long is this going to take for me to get better? And like, dude, like it might never get better. in that what they want is they want to go back to where they were before the stroke. And there’s n nobody’s going back there. Nobody at all. Kory Langwell (11:59) We don’t know. Yeah. Yeah. BIll Gasiamis (12:11) Not a single person. And if there’s damage in the brain and the damage is permanent, which damage is in some instances, then you cannot reverse that damage. You have to accept that damage and then adjust and recover and overcome the challenges that you’ve been left with. And it’s such a difficult thing. But the new 100%, I love that, Kory, because I kind of am there. And if people ask me how do you feel, which nobody nobody understands to ask how do I feel after my stroke, my left side is completely numb. You know, I get spasticity. It doesn’t look visibly like other people experience spasticity. So I got away with that part of it. I don’t look like I’ve had a stroke, but I have the fatigue, I have the balance issues when I get tired, I have all these challenges that are always there and they’ve been there since two thousand and fourteen. Like it’s not going away. Kory Langwell (13:07) Yeah. There’s There are those silent problems too that like you said, like you’re doing so well in general that a lot of people just can’t see the fatigue or the how tight your arm feels or different things, which is oftentimes really challenging. But if you put it even, you know, towards like an orthopedic injury where somebody has like a shoulder surgery or a knee surgery, typically they also have like that new one hundred percent where it’s you know, it’s never gonna it’s hard to have it feel a hundred percent like it was before. There are certain instances where somebody might make this miraculous recovery. It does happen. Maybe they’ve had a TIA, a mini stroke, or you know, just made this miraculous recovery. Those those people do exist and it does happen. But what I find in the stroke community that happens a lot is there’s this everyone wants to compare themselves to other people, or they’re they’re wanting to get the answers from things, but there is no crystal ball on these recoveries, you know, for for neuro issues. It’s more like let’s see how it progresses in one month, three months, six months, a year, and then just continue to track because it is a lifelong issue that you have. have to manage and and continue to, you know, have things come up over over time. So yeah. BIll Gasiamis (14:14) Yeah, I agree with that. So this next question I thought about how I’m gonna ask it a lot. So I’m gonna ask it just the way my gut’s telling me to ask it, which is how much bullshit is that you’ve reached the plateau? Kory Langwell (14:31) yeah, that’s a that’s a fun one. I I love the I love the the BS part of that. yeah, it’s tough. I mean, you can see a lot of times what you’ll see is like there’s almost, you know, you think of plateau as like a flat line. And a lot of times what we do see is you’re there’s still room for progress. Like maybe somebody’s feeling like they’re 60% back to their normal self. Well, if we can get you to 65%, would you take that? Like most people would say. You know, it’s either sixty or sixty five percent. Like, yeah, let’s do that. But a lot of times what I see is Progress has just slowed down, they get upset, you know, the doctor’s like, whoop, this is as good as it’s gonna get. This is where you’re at. You’ve plateaued and you’ve entered a maintenance stage. And what I often see with that is it’s that’s the time to shift something up, mix something up, do something different. so what we like to do is take into account what kind of audit what somebody’s doing when their exercises, their daily routine and all that, and then shift things in some certain way and reassess in six weeks to see if we can progress that or make any other changes. So just like with any other training, like if somebody was a bodybuilder going for a competition or a professional athlete, we take that kind of same approach to our stroke recovery. We call athletes in general. Like they’re life athletes, you know. So we wanna help people feel as independent and as strong as they can. So yeah. BIll Gasiamis (15:50) That’s a great mindset shift, right? So if you consider yourself somebody who’s injured, somebody who’s never gonna be the same, all that kind of stuff, well, it might be accurate, but it may not be helpful in the way you approach your recovery. But an athlete, that’s very cool. Now I know some people say what an athlete runs on a track and field you know, facility. An athlete does this, an athlete does that. Well, Maybe, maybe they don’t, you know, maybe you can be your own version of an athlete that allows you to think about that constant and never ending pursuit of getting better and improving. And whether you’re getting better and improving your physical side or your mental attitude or your emotional side or your or your nutrition, you know. Community and Support in Recovery Athletes have all these things that they always constantly forever focus on and their gains come from, you know, that really last part, which is almost unattainable, but it’s about going for it. It’s about going for the last one percent. And then reflecting back, like you said, maybe twelve months later and going, Look how far I’ve come, rather than look what I can’t do or look what I haven’t achieved yet. It’s like, look what I have been able to achieve. That’s Kory Langwell (17:03) Yeah. Yeah. Yeah. And that’s where and that’s where tracking comes into it. Are there, you know, your what what are your BIll Gasiamis (17:15) Such a different mindset. Kory Langwell (17:21) you know, your KPIs, your key performance indicators that you’re looking into as far as, hey, I was only lifting one pound with my arm and now I’m do lifting three pounds. Like that’s huge improvement in a, you know, what however long it’s been. So those whatever you’re tracking, it helps to you know, it could be your diet. Am I making good choices eighty percent of the time? Am I so making sure in like all of your life assets assets and that or facets of life, that’s what we try to do as well. And like you said, mindset, movement, muscle, all that. all those things together. we we you know, tie all those things into our our program. And I think everyone needs to do that as far as, you know, their strengthen those the mental muscle, the physical muscle, you know, they’re just as important. And having that support, whether it’s with a coach or whether it’s with family, friends, outsiders, you know, other stroke survivors, it’s really important. So BIll Gasiamis (18:14) Yeah, community is the I think biggest thing for me. because then with the right community, the one that I’ve created for myself, at least I get to talk about the things that bug me about what happened to me with people who one hundred percent understand it. And then that way, even if we’re different in our attitude in the way we go about things, at least we understand. Kory Langwell (18:35) Yeah. BIll Gasiamis (18:45) And you’re totally being heard. Do know what mean? Like it takes one minute to listen to the story of a stroke survivor and to fully understand where they’re coming from because they’ve been through a a similar, a very similar experience to to myself. Kory Langwell (18:52) Yeah. Yeah, yeah, absolutely. for sure. It’s so true. I mean, as a therapist, I I never really I mean, I knew there was a mental toll to it, but having worked with people for, you know, they come on and they’re with us for several years, you really see the mental aspects, like the ups and downs that occur with that. And it’s so huge to you know, important to to focus on that as well. So and not lose sight of it. So those silent symptoms of the stroke, you know, like we were talking about as far as the the emotional aspect or other things of that. So yeah. BIll Gasiamis (19:26) Yeah. Yeah, one of the biggest complaints that I get from stroke survivors, not about their spouse, but about people about people who haven’t had a stroke, right? So often it’s the spouse that gets the raw end of the stick. But it’s that they just don’t understand me. And it’s so true, right? There’s no way that that person can understand you unless they’ve had a stroke, and we do not want that for them. That’s better that they don’t understand you and that you have to learn how to explain yourself in a way Kory Langwell (19:53) Yeah. Yeah. BIll Gasiamis (20:04) that gets the message across even if they don’t get it. Like it’s okay because they’re never gonna get it. We don’t want them to really ever get it. What we wanna do is accept that they can’t understand something that they have never experienced, which we don’t want them to experience. Kory Langwell (20:20) Yeah, that’s so true. I mean, the it a lot of times it comes from a good place. They’re like, just get up and move. Why are you so tired? or you know, things of that nature. And it y you’re right. They just they don’t understand it. It’s it’s tough. There really should be more caregiver support and education. I’ve tr I’ve strived to do that on my page or on my different resources that I’ve included on my bio. But yeah, it’s it’s in sh it’s a challenge for people to to see the whole picture and the recoveries process that’s going on with that. So yeah. BIll Gasiamis (20:51) Yeah. How common is foot drop? Kory Langwell (20:56) yeah. Strokes you you do see it a fair amount. it’s what I see a lot of times with that. You know, when in the hospital, a lot of times I don’t like to immediately put somebody in like an AFO. Everyone knows ankle foot orthosis and stuff like that. but it’s something that I like to see how the body reacts initially to to the the weaker ankle or whatnot, and how is somebody compensating? So you’ll see somebody, you know, try to march their leg up to clear their foot through the gate cycle, or they’ll kick their their leg out to the side so that they don’t drag their foot or their toe. so I like to see. See what’s going on for the first week or so before we start trying to, you know, put a bunch of equipment on somebody. But honestly, it it’s it’s pretty common. it just depends on the nature or severity of the stroke. Most muscle recovery starts proximally, meaning like at the hip and then works its way down, or in the shoulder and then works its way down to the hand. so the ankle and the hand are usually the last to recover. but yeah, so it’s obviously it’s very noticeable on somebody’s walk gate or whatnot if they have it, or you know, as you just see their AFO and you’re like, that guy’s got foot drop, most likely, or whatnot. So yeah, just trying to figure out where’s is there are there other weak links up the chain and the knee, the quad, you know, your your your glutes, your hip, what other areas could use some help to help you get that leg through and help you be more independent? So BIll Gasiamis (22:28) Mm. Kory Langwell (22:29) really treating the whole ankle or the whole walking pattern, not just the ankle or the foot. Cause we a lot of times we get laser focused into one area after a stroke like my hand or my foot, but we gotta look at the whole body. So yeah. BIll Gasiamis (22:41) So there is a conversation that happens again in the community about whether I should be wearing AFO or I shouldn’t. And you often hear people saying, I got rid of my AFO. it was causing me to walk badly or incorrectly and it was decreasing the muscle activity in the correct way. Kory Langwell (22:51) Yeah. Yeah. BIll Gasiamis (23:08) And then you hear the exact opposite. Well, you know, you should definitely have an AFO so you don’t trip over, you don’t do this, you don’t do that. Like, how do you determine that whole should I or should I not have an AFO? And do some people definitely need an AFO? And then also are there some people who can transition out of an AFO? Kory Langwell (23:20) Yeah. Yeah, it it really is with a lot of neurotype issues, it it really does depend. You’ll hear the answer, it depends a lot of times in the neuro world, neurological issue or you know, in the stroke world. But on a case by case basis, it’s really how does somebody look? How independent are they with and without it? How much strength do they have in their the muscles on your shin and on the outside of your leg that help lift your ankle up? is it something that maybe you just wear it when you’re outside? And then when you’re inside the house, you’re getting that input. with your shoes off. I I really liked the shoes off, you know, kind of full input on how your foot’s moving. You can really see it visually, get some feedback there on what’s going on. So it it and it can change over time. Maybe somebody ditches it after a while or maybe they w they know like, hey, I’m gonna be going on this longer walk. I’m gonna use my AFO so I don’t get as tired because it can be more taxing and energy draining to have to, you know, lift your leg up more, kick it out to the side or whatnot. So we’re really trying to figure out what’s the best quality over quantity for for most folks so that they’re not overdoing it, but they still are getting you know, the appropriate amount of feedback and and to help them live their life, be as independent as possible. So I’m not against or for it. It’s just wanna it depends on the person. So yeah. BIll Gasiamis (24:45) Sounds like it’s a tool to be probably continuously assessed and determine its usability and then also for some people determine whether or not it’s short term, long term thing. And then also keep looking at it. What I seem to also see is people get told something, they do it, and then they do it for a long, long time and nobody kind of ever intervenes a year later to say, where are we at with that? Kory Langwell (24:51) Yeah. Yeah. It you know, it it’s it’s good to take it off every once in a while if you’re especially if you’re in safe environment and just reassess things, you know, on your own or with a therapist or whatnot. That again gives new input and sensory, you know, feedback to your brain of like, what’s going on here? And that that’s a chance for that neuroplasticity to occur, which you know, is a is a is a big buzzword in the in the neuro world. But yeah, so we’re just trying to create those environments and those chances for, you know, things to improve and and reassess. assess things as as you’re going along. So yeah. BIll Gasiamis (25:49) Can you explain to me briefly if you can, like what happens with foot drop, why does it occur? and why don’t I hear about the opposite of foot drop, which is the foot changing and going in the other direction? The Impact of Electrical Stimulation in Rehabilitation Kory Langwell (26:06) Yeah. so your your muscles on your shin, you know, like those those are the ones that people get shin splints on from working out or whatnot, your anterior tibialis muscle, those are a prime mover of lifting your foot up. And oftentimes the feedback and the timing, the coordination down to those muscles is just weakened or impaired. So you’ll see a lot of issues with that. You also have muscles on the outside of your shin. They’re called everters. So they evert or turn the foot out. So the combination of those everters and then the dorsiflexors that lift the foot up, those muscles are the two prime movers of that motion. They’re oftentimes affected with different strokes. And then so a lot of times what we end up using is like things. like electrical stimulation. I have a really good video on my YouTube, about eight to ten minutes long on how to set that up. but you can You c I I see a lot of good impact with the with the E stem, whether somebody’s laying down or sitting, or then there’s other things like the bioness for the leg and the arm, but the one for the leg to help with the timing and coordination, all that, all those things that go into it. So it’s just not just weakness, it’s that timing, coordination, balance, all those things combined. So yeah. BIll Gasiamis (27:19) Got it, got it. So you’ve seen some positive, helpful, supportive kind of outcomes from those electrical stimulators at like Bioness and other other types. Kory Langwell (27:33) Yeah, yeah. I’ve even like I’ve I have one that I use with clients that I I bought on Amazon for like forty bucks because the the range is anywhere from thirty to forty bucks up to like hundreds of dollars. Or, you know, the Bioness is you I think they can get that covered with insurance, at least a partial bit of it, but those are a lot more expensive. like thousands of dollars from to my knowledge. But I what I’ve seen is I don’t see a huge difference between some of those cheaper versions and then the larger ones. some of the bigger ones, like the Bioness, you do get a little more feedback or like that since like it will come on at a certain point of your gait cycle. So it’s like, lifts the toes at a certain point. helps you go through whereas versus you know a standard ESTEM unit, you’re usually it’s on for like 10 seconds, it’s off for 10 to 30 seconds depending on the settings. So but as an exercise tool in the general, in general, if somebody’s having issues and they have good sensation to that area. So you don’t want to put it on somebody that like can’t feel their leg or whatever. But it can be very beneficial at like getting that sensory and then the motor or muscle input back to that area. So not saying it’s going to get to that 100%. But it’s gonna help you. it oftentimes does help people, even, you know, if it’s ten to fifty percent better, great. You know, that’s a huge difference with somebody getting around. So yeah. BIll Gasiamis (28:53) Okay. So worth people considering the possibility of getting a forty dollar version just to sort of try it out and see whether or not it might be supportive. And then if it is and they want to get something more expensive, then go f go from there. your homework after this conversation is going to be to send us the links to every single thing you mentioned. So we can put it in the show notes and everyone can have a look at it. Now, with walking, Kory Langwell (29:12) Yeah. Yeah, absolutely. Walking: Quality Over Quantity in Recovery BIll Gasiamis (29:23) I’m of the I’m I I’m I’m in the camp of do more in the from the perspective of if you’re only walking for a minute, try and get to two. If you’re walking for two, try and get to four and so on. And then if you can get to thirty minutes or an hour at some stage, doesn’t matter when, then that’s even better. but when we started that conversation about Kory Langwell (29:39) Yeah. BIll Gasiamis (29:53) you joining me on the podcast and we share ideas about what we’re gonna talk about. You came back with me with regards to something about walking that people miss that could mean that walking further, longer, and more could actually be causing a problem. Tell me about about walking and the things that we can run into that make well, not things worse necessarily, but Not from an exercise perspective, but from a rehabilitation’s pers perspective. Understanding the Stages of Recovery Kory Langwell (30:20) Yeah. Yeah, I think it there’s a little differentiator in there. It’s like where what stage are you at in the recovery? So if somebody’s in that really acute stage, it’s you know, pretty fresh on the stroke, maybe it’s like somebody less than a month post stroke. We don’t want to get to the point where they’re just like you know, nearly exhausting themselves every single walk, you know, so there’s a time and a place for that. So you know, if somebody can only walk like five steps, we don’t want to go try to, you know, you’re gonna walk 25. And like you can do that every now and then, but don’t do it on like back to back days. Don’t do it on like back to back therapy sessions or whatever. So there’s a there’s a combination of like early on we want to make sure things are good quality. And then as we get moving forward, we want to progress in a fashion that’s comfortable and not over Taxing the neurological system, because a lot of times, as you know, fatigue plays a huge role in that. And how is that affecting you? Are you like you went for a super long walk, but now you’re down for the count for two days or you know, at least a day. So you know, walking a hundred feet can feel like a marathon early on. So it’s just making sure that you’re getting the right feedback, that accountability, support, where you’re it’s quality. in not just overdoing it. So I find that a lot where people want to do a ton of reps or like they’re doing an exercise, like they’re trying to lift their arm up, but they’re doing this the whole time, you know, and I’m like, you’re just you’re not lifting your arm, they’re just like tiring out their trap muscle as opposed to like some of the the delt or bicep or different areas. So like you’re just gonna get really bulky but traps up here, but you’re not really necessarily helping yourself versus if you did good quality and like keep that shoulder down. I’m just using that as an example. But for walking, you know, same thing. Like are you using a mirror for feedback? To see, like, I’m actually, I’m every step, I’m kind of falling off to the side. Why is that? I’d rather like have somebody walk 50 feet really well than like 150 feet terribly, you know. So it’s and that that again goes into more of the acute stage. Now, if somebody’s sub-acute, more of a chronic, it’s been 10, 15 years, go for it. Like, if you want, if you feel good about it, you’re not overtact taxing yourself, getting overtired or anything, you know, do what you can. Walking is one of the best exercises for you. I also like I I’m a big fan of walking backwards. So in a safe area like by the kitchen sink or a hallway or something, it just challenges your mind and it’s a really good balance exercise for somebody post stroke or with any neurological issue because it just told you you see somebody try it the first time, they’re like, What do you want me to do? Walk backwards. And then there’s tons of ways you can adjust the the intensity on that as well. So yeah. BIll Gasiamis (33:01) So also I remember being in outpatient rehab and feeling like I actually wasn’t able to walk well. And then the therapist saying, Well, why don’t we just record it and have a look at how you’re walking? And it was also about running because I I wanted to run, but I didn’t want to run marathons. I just wanted to be able to run across the road if a car’s coming or something. And I said, Well, I’m a bit concerned about how that Kory Langwell (33:15) Yeah. BIll Gasiamis (33:30) goes ’cause I don’t want to injure myself running, et cetera. And well he said, Well, why don’t we do a run, I’ll record you and I’ll then we’ll break it down and I’ll show you what you’re doing or what you’re not doing. And it turns out that my running style was fine. What wasn’t fine was the feedback that I was getting because it was completely different to the previous thirty seven years of my life. And I and because it felt different and my brain registered it differently, it It was scary. Like it was like, well, this doesn’t I’m gonna probably injure myself is how I I thought it. But when I saw the video, it was completely different. And sure, there was some instructions still about how to do it correctly, what I might be able to improve, especially with my left leg, but the but the overall picture was more positive than I t made it out to be. And that’s the challenging part. Sometimes we think we’re less capable than we are. Kory Langwell (34:06) Yeah, yeah. Yeah, and that’s why the visual feedback is so important, whether you record it with your cell phone or you know, just getting the real time feedback on with a mirror or something like that. It’s you know, you see that used in therapy a lot because you may not notice that you’re doing something and just having somebody tell you that isn’t gonna help as much as if you’re somebody’s telling you plus they’re showing you what you’re doing. Yeah, that that can be a huge, you know, help of like, you know, that I can feel that now. It’s good biofeedback. I can, you know, move on from there. So yeah. BIll Gasiamis (35:01) Yeah. And so it sounds like there’s two parts to that conversation. Is sometimes we think we’re doing it better than we are, and sometimes we think we’re doing it worse than we are. So it’s really important to have somebody assess you or at least give you feedback and give you the opportunity to check your assumptions about yourself and then also to check via perhaps a recording to check, you know, how you are actually doing things. So you can see it from Kory Langwell (35:10) Yeah. BIll Gasiamis (35:31) their perspective and then you can adjust as you’re going forward. Kory Langwell (35:35) Yeah, absolutely. BIll Gasiamis (35:37) So what about falling? That’s a huge issue after stroke. I fell quite a few times after surgery. The first time I fell, Kory, was about I don’t know, less than twenty-four hours after I woke up after brain surgery. And the nurse said to me, Have you been to the bathroom to movie bowels? And I was like, No, I haven’t been anywhere. And she said, Well, great, get up, I’ll let I’ll help you. get there and now she was a lot smaller than me and a lot thinner framed and she said just put your arm around me and I’ll help you get to the bathroom. Okay, cool. I did that and when I stepped out onto my left leg, from the left side of the bed, as soon as I put weight on it, without her having any idea, I completely fell straight to the ground, in the ward, screaming Kory Langwell (36:32) no. Yeah. Yeah. BIll Gasiamis (36:36) I’ve got a fresh h scar and patch on my head from brain surgery literally twenty-four hours ago. so it became quite a concern after that because it was the first time I realized that my left side doesn’t work. And it was the first time I realized that th falling after a stroke with a cr a fresh craniotomy and all that kind of stuff is also very dangerous, right? So when I came home Navigating the Challenges of Falling Post-Stroke Kory Langwell (36:37) Yeah. BIll Gasiamis (37:04) I was pretty independent and I felt really good about the fact that I was able to walk on my own. but when I got up from the couch one time and many other times when I’ve fallen, when I got up from the couch on time, I forgot to connect my new leg to my my standing up, my getting up from the couch. I had just eaten a sandwich. It was in a plate. I was the one that went and made the sandwich, sat down and started eating it. And then as soon as I finished it, I went to get up to take the plate to the sink. And my left leg wasn’t aware that it was on the ground. And I fell immediately. And I dropped the plate, I broke the plate, I smashed my ribs on the arm of the couch. I thankfully didn’t injure myself terribly, but it was a close call. And I always after that, I always made a point and still do in the morning when I wake up to get out of bed. Kory Langwell (37:41) Yeah. Wow. Yeah. BIll Gasiamis (38:01) make sure my foot is on the ground before I stand up so that I don’t lose balance and fall. So that’s my that’s my story about falling, but also it’s very common in stroke survivors. I hear that a lot. Tell me about why falls happen after stroke. Kory Langwell (38:05) Yeah. Yeah. Yeah. You know, first off it Kinda hurts my therapist heart to hear that what you know, the nurse and you will fall in there. That’s where I’m like, he needed a PT evaluation to see how strong his legs are, where his, you know, sensation is and all that. Usually when we get somebody up, we want to make sure they’re safe at the edge of the bed. And then maybe we’re transferring just to like a a bedside commode in the the first time. And then you’re you you check that box then. We start moving towards walking once we make sure it’s safe. But sometimes the nurses get a little gung ho with things and get a little excited. we try to stay in our lane and, you know, just do the That PTS needed. but as far as like, you know, making sure somebody’s safe, it’s creating the right environment for them that, you know, like I mentioned, making sure they’re strong enough with their legs to, you know, and the most people will know as they started physical therapy what level they’re at, how much help they need, all those things. So, and then not over challenging somebody where we’re doing like very advanced balance exercises or doing very, you know, doing three tasks at once or like you carrying that dish, you know, and that’s a more your brain is like thinking, we’re good and I’m just gonna carry this dish and I’m gonna go turn off the TV while I’m getting up or whatever. And your brain’s like, nope, no you’re not, and you just fall over. So it’s like creating, you know, those too many environmental stimuli probably and then just where it kind of I don’t tricked your brain into to not focusing on where your your leg is at. We call that the proprioception or just realizing where your joints are, your limbs are in space. And sometimes that can be very affected after strokes. So we just wanna, you know, see how that looks, see how you’re moving, and and you know, go from there. So yeah. BIll Gasiamis (40:08) You probably describe that better than anybody, actually. Proprioception is my is a challenge that I have, but nobody ever connected that to what you just said, too many things happening at once. And it was exactly that. I had a plate, I just finished a meal, and my goal was to get the plate back to the sink safely without dropping it. And it was my my attention was Kory Langwell (40:33) Yeah. BIll Gasiamis (40:36) diverted away from making sure my leg was in the right position for me to stand up and was the muscles were activated, which I had been doing every day before that, right? I’d been making sure. But right now I had a plate in my hand and it was get up without dropping the plate. Kory Langwell (40:37) Yeah, Yeah. Yeah, yeah. Yep. Yeah. Pun pun intended, step by step, right? Just looking into like, okay, my feet are on the ground. I am able to push myself up to stand. Now we’re gonna take a step slowly, you know, go through that. So yeah, it’s it’s making sure everything looks appropriate and is, you know, safe for that specific client. So yeah. BIll Gasiamis (41:12) In my case I think now reflecting back on it, it would have been better if I’d gotten up and then reached over to pick up the plate and then moved to towards the the kitchen sink. And I think I was at home alone that day. And again, I screamed because before I knew it all was on the ground. Kory Langwell (41:27) Yeah. It happens. Yeah. Yeah. Setting Realistic Goals for Recovery BIll Gasiamis (41:35) It’s a very interesting thing to reflect back on it. under these sort of conditions where you and I are talking about things that seem they’re very glossed over. They’re not often spoken about in detail and people miss the the point. And sometimes people think I can’t do something properly, therefore I’m not gonna do it at all. But with regards to walking, what’s the best thing to do? about a walk that you haven’t been able to get back to the normal sort of style and and feel uncomfortable about doing. Some people will go, well, I’m opting out, I’m not gonna do that anymore because I can’t do it properly. It’s too difficult or it’s uncomfortable. Kory Langwell (42:21) Yeah. Yeah. I think it’s making goals that are you know, you hear about those specific, measurable, attainable, realistic time frame, the smart goals. So making sure that applies here. So It you gotta be able to walk before you can run, like with anything in life. So and that’s just you know, symbolic quote or whatnot, but you just wanna be able to do stuff that you can be working towards, but it’s also not so far out there that it’s like really hard. And then I see a lot of times people move those goalposts on themselves too much where they’re like, I got here. Now it’s like I wanna, you know, it’s you got to celebrate those small wins and then go from there as like far as you know, moving forward. So we had a client recently there. Doctor told them they were never gonna walk again. And literally, like they our therapist showed up, the patient was in tears, and then they walked 70 feet with our therapist. And it was all because it was a doctor that didn’t know them. They did like some reflex testing and said, you’re hyporeflexic, you’re never gonna walk again. And then literally that same day walked 70 feet. I was like, I hope you go back and tell them, you know, that that you missed that. So it’s BIll Gasiamis (43:15) Mm. Kory Langwell (43:36) really just making sure that you’re creating these sustainable goals that You know, and not letting people like that doctor that may not know you, a family member, you know, get in your ear and and cause these things that are detrimental to your your progress and take it in the right way. So yeah. BIll Gasiamis (43:55) You can’t actually answer this and I’m putting you on the spot, but I’m gonna ask it anyway. Like I assume that doctors, therapists, everybody is about rehabilitating, supporting, helping people and all that kind of stuff. I I not assume they definitely are, right? But what do you think is behind a questi a statement like you’re never going to X again? Like I hear that so, so much and I thought that by the time we get to twenty twenty six that that won’t be a thing that I hear about so often. Like, but I I don’t think it comes from being nasty or trying to give people setbacks or whatever. But do you have a sense of what that might be? Is it training? Is it a lack of training? Kory Langwell (44:30) Yeah. The Role of Medical Professionals in Rehabilitation I think yeah, you see a lot of like GPs, general practitioners, they don’t really have great training in like neurological rehab. So if it’s a PM and R doc, like a physical medicine and rehab doc, I find usually they’re a little more open-minded or or willing to s you know see the the progress or or whatnot over time. If you go into a doctor’s appointment, you show up in a wheelchair and it’s been, you know, six months, the doctor’s probably your general practitioner is probably gonna be like, well, this is what it is. It’s been six months. And I think some of that is from old research that came out that you can’t make progress after six months to a year, which was more because they just stopped therapy, they stopped doing things and you know, didn’t see progress because of that. So it’s, you know, yeah, if you don’t do anything and you just sit on your butt, all day you’re you’re not gonna see progress or you’re not gonna change. So but yeah as far as from a doctor’s standpoint it it can also be case by case with the doctors as far as their own experience and whatnot. And I don’t think necessarily they ever mean like harm or anything. Maybe they are trying to be realistic with clients as far as like this is what I’m seeing. I don’t think you know, the chances of this are slim, but they they it’s probably just a way of wording it better versus saying you’re never gonna do something again because there’s so many different things that are coming out, like research wise, treatment, you know, like things change drastically now. so it’s I I just like to to leave a at least leave the door open for people to see that improvement. So yeah. BIll Gasiamis (46:16) And walking doesn’t have to be the way you walked before. It could be a different version. It looked differently, feel differently, but it can still be walking. also I think it’s from ignorance, right? And again, ignorance, I don’t throw that out as a way to attack somebody, but it’s like literally that person hasn’t been in the space where Kory might work. They haven’t been in a space where they have seen people overcome some difficult challenges. Kory Langwell (46:23) Yeah. BIll Gasiamis (46:41) So they just make a assumption based on old thinking or something they heard in the past or old research that just stuck. And they’re just telling you, your job, your responsibility is to find new research to overcome that challenge because that research, it’s so bad if there was some and if they disseminated it to all the population in the medical community, and that has been continued to be passed on. I mean, that is so crazy that it persists and now. I just want to encourage people, do not believe anyone that tells you, A, you’ve hit hit a plateau, B, that you’re never going to do something again. And even though that might be true, just don’t believe it because there might be a technology around the corner that happens to solve that problem for you. You just don’t know about it yet. And always work towards the solution rather than focusing on the problem is kind of how I see it. And that’s generally what you guys tend to do. You guys tend to help people focus on. Kory Langwell (47:27) Yeah. Yeah. BIll Gasiamis (47:41) How do we overcome a problem? What’s the solution to this? Kory Langwell (47:46) Yeah, I think using it as motivation is is huge. So like you can take anything somebody tells you, you can take it one of two ways. And if you let it get you down, that’s up to you. Or if you’re like, Okay, I take that feedback, I appreciate it, but I’m not gonna accept it and use it as motivation to to strive to do better and move better. Like that that’s up to you. and who somebody is in their own, you know, life. So I always tell people it’s like, Well, what do you want to work on? You know, if some people are like, I don’t wanna do this anymore, I don’t wanna exercise, it’s like that’s up to you. So And other people they’re like, I want to push as hard as I can, I want to do what I can do. And so it’s really, you know, up to the what that somebody wants to do with their life and their progress, their recovery. BIll Gasiamis (48:28) Kory, it’s been an awesome conversation. Thanks so much for joining me on the podcast and saying yes when I reached out to have you on here and share your wisdom. Can you tell me where can people go and find th information about you? Kory Langwell (48:44) Yeah, so our our main website is unlimitedpotential.biz and you we have a health coaching page on there where people could message me on there if they want. I’ve had some people reach out. I’m pretty active in TikTok on on like DMs if people in my private messages of people reach out there as well. Dr. Kory, K-O-R-Y, stroke recovery PT. and then I’ll we’ll try to get you the handle there, the links on all that stuff. Those are probably the two best ways to reach me. I will say it’s really hard to give specific advice over a text or an email or whatnot. So I and there obviously I understand like there’s a lot of people that have financial issues or they they want the free advice or whatnot, but it’s just it’s really hard as a therapist to give a lot of that. I try my best and I can’t reach everyone doing that, but we really are able to to make a difference when we do work with people one on one. So yeah. BIll Gasiamis (49:36) Yeah. There might be programs that people can look into that you are offering either in house or somewhere else. That’s probably why I would encourage people to reach out to get an answer about your specific issue. Dr. Corey’s not going to do that. just like many people can’t answer a specific question about a problem that you may or may not have un unless they have information about your data or you know, they’re your physician or they have your scans and all that kind of stuff, that’s not gonna happen. But that’s okay. people can still follow you because your tips on TikTok are really cool. They’re on the mark and that’s where I love listening and learning from you. Kory Langwell (50:16) Thank you, I appreciate it. I’ll keep coming. BIll Gasiamis (50:19) Yeah, definitely keep them coming, man. it’s been a great thing, this social media thing because it brings information to people that otherwise wouldn’t be able to access it. Some people might be stuck with the doctor who said, You’re never gonna do this again. And that would be the most terrible place to be stuck and have nobody else to kind of throw a spanner in the works in that type of thinking and then suggest something more, more hopeful, more positive. Kory Langwell (50:34) Yeah. Yep. Yeah, absolutely. And it’s always good. I mean, I learn from stroke survivors all the time on what they’re going through. And it’s just, you know, it’s everyone working together around the world now. So I’m in I’m in California and we have, you know, like we’re talking you’re in Australia. I’ve talked to people all over the world now and it’s it’s just been great to to open those doors to a lot of people and you know, at least have conversations with them. So BIll Gasiamis (51:09) Doctor Kory, thank you so much for joining me on the podcast. Kory Langwell (51:11) Yeah. Thanks. Thanks for having me. BIll Gasiamis video 25, image (51:13) Well, that was Dr. Corey Langwell, Doctor of Physi

If MS has ever made your toe catch on the carpet, or you've felt that frustrating slap of your foot hitting the floor before you meant it to… this episode is for you. I'm walking you through what foot drop actually is, why it happens with multiple sclerosis (MS), and how it shows up in your walking and your fall risk. As an MS-specialized physical therapist, I'm breaking down the most common causes I see in my members — weakness in the ankle muscles, tight calves, sensory changes, and limited ankle range of motion. Each one matters, and each one responds to a slightly different approach. You'll learn specific exercises to strengthen the right muscles, stretches that actually move the needle, and sensory tools that help reconnect the connection between your brain and your foot. I'm also covering the products people ask me about all the time — insoles, AFOs (ankle-foot orthoses), and electrical stimulation, and how to know which might be a good fit for you. Here's the piece most people miss… supportive devices work best when they're paired with the right strength work. One without the other leaves progress on the table. I'll show you how to combine them so the changes you're working for actually stick. Whether you're trying to trip less, walk further, or just feel steadier on your feet, this one's packed with practical, MS-specific guidance you can start using today. You've got this.

Dr. James Kirk of Odessa, Texas specializes in treating the most difficult spine related conditions and shares the story of a gentleman facing spine surgery with a synovial cyst causing foot drop. Dr. J W Kirk is the owner and CEO of Clark Chiropractic Clinic, P.C. He was born in Odessa, he graduated from Parker College of Chiropractic in 1992 with a Bachelor of Science in Human Anatomy and a Doctorate in Chiropractic. His undergraduate studies were at North Harris County College and Texas Tech University. He has been a Rotarian since 1992 and serves on their board. He is a board member of the Odessa Fire Fighters Pension Fund. He is an Elder at Odessa Bible Church. He is a Certified Cox flexion/distraction practitioner. He and each doctor practice with a 'Low Force' technique called Directional Non-force Technique or DNFT.  Dr. Kirk's website 1-432-337-5553 Find a Back Doctor The Cox 8 Table made by Haven Medical

In this episode, host Erin Gallardo, PT, DPT, NCS interviews the Motus Nova clinical team—occupational therapists Jamie Kurtz, MS, OTR/L, Keisha Burrous, OTR/L, CBIS, Amie Canning, MS, OTR/L, and Mirasol Jacobs, PT, DPT — about the Motus Hand and Motus Foot robotic devices for neurorehabilitation. The team explains how these FDA Class I medical devices provide active-assistive, game-based training at home to help patients achieve the high repetition doses (500–600 reps per day) needed for neuroplastic change, without replacing traditional therapy. Built on pneumatic "artificial muscle" technology, the devices adapt in real time to the user's movement, address tone and spasticity, and can be customized for a wide range of neurologic conditions, from stroke and MS to Parkinson's disease and Guillain-Barré. The conversation covers who is appropriate for the devices, how they integrate with inpatient and outpatient care, real-world success stories—including improved gait, grip strength, and mental health—and the practical steps for clinicians to refer patients, arrange demos, and navigate the 13‑month rental-to-own DME model now supported by a dedicated Medicare code, which means patients can get the device through their insurance and it does not impact their ability to get other durable medical equipment (DME). Overall, the episode highlights Motus Nova as an accessible way to extend evidence-based neuro rehab beyond the clinic and into patients' homes. You will likely have a patient (or several) who come to mind while listening to this, so check it out and learn more today! Keisha Burrous LinkedIN Motus Nova https://motusnova.com Therapists! Contact Motus Nova with questions, schedule an inservice, or refer a patient here: clinical@motusnova.com

In this episode of The MSing Link Podcast, I'm diving into the surprising importance of toe movement for people living with multiple sclerosis (MS). Discover why toe mobility matters for improving balance, reducing foot drop, and boosting overall mobility. I share practical toe exercises, strengthening strategies, and tips to help you regain confidence in your daily activities. Whether you're dealing with relapsing-remitting or progressive MS, these targeted exercises can make a real difference in walking strength and MS symptom management. Tune in for friendly, expert advice—plus insights into how our online MS wellness program, The MSing Link, supports your journey toward better movement. Empower your MS journey with actionable tools, evidence-based PT strategies, and a supportive community dedicated to improving quality of life for those with multiple sclerosis. Resources mentioned in the episode: Naboso website - naboso.com Discount Code: DRGRETCHEN10 for 10% off Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: hello@doctorgretchenhawley.com Website: www.MSingLink.com Social: ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

Numbness is not just your limb falling asleep; it is a warning sign from your nervous system that communication has been cut off. In Episode 357 of The Prime Podcast, Dr. Skip Wyss and Dr. Julie Wyss break down one of the most common yet ignored symptoms in healthcare: Numbness. Whether it is tingling in your hands at night, facial paralysis scares, or the burning sensation of sciatica, these are red flags of nerve compression. We discuss why masking these symptoms with cortisone shots or anti-inflammatories often leads to further injury and why athletes would rather feel pain than nothing at all. Dr. Skip explains the anatomy of the neck and lower back to show exactly where the "kink in the hose" occurs and why treating the wrist for hand numbness often misses the root cause in the spine. In This Episode You Will Learn: Facial Numbness: How to distinguish between a stroke, Bell's Palsy, and an upper cervical subluxation. The Cortisone Trap: Why injections only reduce inflammation temporarily but do not fix the mechanical pressure on the nerve. Hand Numbness: Why tingling hands at night is often a neck alignment issue (C4-T1), not just a mattress problem. Sciatica and Foot Drop: The specific signs of disc herniation and when you need to seek immediate medical attention. Raynauds Phenomenon: Why cold, white fingers are actually a nervous system regulation issue. Pain vs. Numbness: Why pain is a helpful communicator and numbness is dangerous for injury prevention. Timestamps: 00:00 Intro and Dr. Julie's Socks 01:15 Why Medical Treatments for Numbness Often Fail 03:20 Facial Numbness: Stroke vs. Bell's Palsy vs. Subluxation 07:45 Hand Numbness and the Neck Connection 13:45 Anatomy of Arm Numbness 15:00 Raynauds Phenomenon Explained 17:45 Sciatica and Leg Numbness 19:00 The Dangers of Foot Drop 21:30 Why Numbness is Worse Than Pain Struggling with sciatica or chronic numbness? Connect with us at Prime Family Centers in Green Bay, WI, to find the root cause of your nerve interference.  

Ken Hughes spent 15 years chasing NPS scores, loyalty points and dashboards, only to realise his “loyal customers” were simply trapped by discounts and habit. Then he ignored two clear warning signs on his own roof, fell 30 feet and shattered 26 bones. That moment forced him to reconsider risk, fear and what real loyalty means for modern brands. In this episode, Ken explains why many brands confuse transactions with true connection, how data worship blinds marketers, and why emotion, humour and intimacy are now non-negotiable. He also shares how agentic AI will change buying decisions and what brands must do to stay in their customers' heart space. If you are under pressure to prove ROI on every campaign yet still worry your brand is forgettable, this conversation will challenge how you think about loyalty.  Is your strategy still right for 2026? Book a free 15-min discovery call to get tailored insights to boost your brand's growth.

Taking the Next Step With Confidence: Navigating Foot Drop and Mobility with MS - Episode 187 - Transcript In this episode, we are joined by physical therapist Samantha Balistreri and orthotist Spencer Van Wagenen to break down what foot drop is, what devices like AFOs and FES can do for you. Then we will deep dive into how PTs and orthotists work together to find the right support—without sacrificing style or independence. From early signs to energy-saving tips, supportive shoes and where to get them, this episode is full of practical guidance, encouragement to advocate for your mobility and explaining that using a support is not giving up. Link from episode:  Equipment Distribution Program Disclaimer: This podcast provides general educational information. Can Do MS does not endorse, promote, or recommend any product, service, or diet associated with the content of this program.

In this episode of The MSing Link Podcast, I delve into the vital topic of foot drop, a common issue faced by individuals with multiple sclerosis. As a seasoned physical therapist, I highlight the importance of recognizing the signs of foot drop, such as toe catching, shoe scuffing, and modified walking patterns that could impact mobility. Tune in as I reveal the five signs you should never ignore and discuss practical exercises and strategies to address foot drop effectively. Discover how muscle strengthening, balance practices, and the right ankle braces can enhance walking and independence. Whether you're newly diagnosed with MS or have been managing it for years, these insights are tailored to empower your journey towards improved mobility and quality of life. Don't miss the opportunity to learn how addressing foot drop can make a significant difference in your daily activities and overall well-being! Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: hello@doctorgretchenhawley.com Website: www.MSingLink.com Social: ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

Foot drop - a difficulty in lifting the front part of the foot - is one of the most common issues I see with the people I work with. It can be caused by muscle weakness caused by muscular dystrophy, spinal muscular atrophy or motor neurone disease, or damage to the brain or spinal cord caused by a stroke, cerebral palsy, Parkinson's disease, or multiple sclerosis.There are many ways to manage foot drop - ranging from physiotherapy to electrical nerve stimulation - but my guest today is here to present what his company describes as the world's first truly adaptive shoes. Dr. Tyler Susco of Cadense shares his journey from being an engineer to developing a split treadmill for gait therapy at MIT, which eventually led to the creation of an innovative shoe. The shoe features a variable friction surface that helps users move more comfortably and confidently.The shoe underwent a pilot study, where participants experienced significant improvements in their gait mechanics and overall mobility. Feedback from beta testers, including individuals with MS and recovering from strokes, was overwhelmingly positive, with many expressing newfound confidence and mobility. The shoe's impact on users' lives inspired Dr. Susco and his team to continue their work.Discover the story behind this revolutionary shoe designed to help individuals with foot problems due to stroke, MS, rheumatoid arthritis, and more. Listen to the episode for insights into the creation process and the impact on mobility, and learn about the research, trials, and get a glimpse into the future of mobility aids.DISCLAIMERThe information in this podcast is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions you may have regarding a medical condition or treatment.Links and resources:Sign up for the 10 Weeks to Disrupt MS ProgramVisit Cadense Want to learn more about The Pulse Device?

Ben and I are  back with another case of foot drop, yet with a very different history and diagnosis. Ben tests my neurology skills (again), and I flounder (again). We reflect on diagnostic momentum and confirmation bias and how this may affect a patient's journey in hospital. Please rate, review and share the podcast. Contact us at;  a.burbridge@nhs.netFor more clinical reasoning check out https://www.efimacademy.org/login/index.php@amieburbridge @DrBenLovell

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021. Originally released: October 18, 2018 What do gardeners and snow skiers have in common? Well, besides the fact that both tend to enjoy the outdoors, it turns out they are also at an increased risk of peripheral nerve injury. This week on the podcast, we review the anatomy and pathophysiology of several of the most common sites of nerve damage in the lower extremity. Produced by James E Siegler. Music by Lee Rosevere. Sound effects by Mike Koenig and Daniel Simion. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. Be sure to follow us on Twitter @brainwavesaudio for the latest updates to the podcast. REFERENCESBaima J, Krivickas L. Evaluation and treatment of peroneal neuropathy. Curr Rev Musculoskelet Med 2008;1(2):147-53. PMID 19468889Marciniak C. Fibular (peroneal) neuropathy: electrodiagnostic features and clinical correlates. Phys Med Rehabil Clin N Am 2013;24(1):121-37. PMID 23177035Stewart JD. Foot drop: where, why and what to do? Pract Neurol 2008;8(3):158-69. PMID 18502948 We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.

Foot drop - a difficulty in lifting the front part of the foot - is one of the most common issues I see with the people I work with. It can be caused by muscle weakness caused by muscular dystrophy, spinal muscular atrophy or motor neurone disease, or damage to the brain or spinal cord caused by a stroke, cerebral palsy, Parkinson's disease, or multiple sclerosis.There are many ways to manage foot drop - ranging from physiotherapy to electrical nerve stimulation - but my guest today is here to present what his company describes as the world's first truly adaptive shoes. Dr. Tyler Susco of Cadense shares his journey from being an engineer to developing a split treadmill for gait therapy at MIT, which eventually led to the creation of an innovative shoe. The shoe features a variable friction surface that helps users move more comfortably and confidently.The shoe underwent a pilot study, where participants experienced significant improvements in their gait mechanics and overall mobility. Feedback from beta testers, including individuals with MS and recovering from strokes, was overwhelmingly positive, with many expressing newfound confidence and mobility. The shoe's impact on users' lives inspired Dr. Susco and his team to continue their work.Discover the story behind this revolutionary shoe designed to help individuals with foot problems due to stroke, MS, rheumatoid arthritis, and more. Listen to the episode for insights into the creation process and the impact on mobility, and learn about the research, trials, and get a glimpse into the future of mobility aids.DISCLAIMERThe information in this podcast is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions you may have regarding a medical condition or treatment.Links and resources:Sign up for the 10 Weeks to Disrupt MS ProgramVisit Cadense If you're interested in having Kathy speak at your event, learn more hereFind out more about the DMAT Fitness Training programYou can find Kathy Chester at:msdisrupted@gmail.comdisruptfitnessgym@gmail.com moveitorloseit109@gmail.com Connect with @msdisrupted on Instagram, Facebook, TikTok Here are some additional products that help Kathy deal with beating the Heat and Migraines.  Take advantage of the coupon code.Koldtec - Cool Head WrapKOLD10To save $10 off every item in-store.2 items = $20 savings3 items = $30 savingshttps://www.koldtec.com/ Cold bean bag Releafpack 15% discount use code Disrupt15https://www.releafpack.com 

We are back to discuss a case of foot drop and I reflect on my self confessed neurophobia. Ben and I share our thoughts about investigations in the acute setting. Subscribe, share and join us as we unravel the mystery of the sudden foot drop. Visit https://www.efimacademy.org/login/index.php for interactive e-learning modules to develop your clinical reasoning. Contact me on a.burbridge@nhs.net @amieburbridge @DrBenLovell

This is going to be one of your favorite episodes if you are working towards improving your balance. Tune in as I break down balance and discuss things like how MS affects balance and what exercises you can be doing if you have a goal of improving your balance! The MSing Link Podcast Episode 123: Foot Drop 101 https://www.doctorgretchenhawley.com/podcasts/the-msing-link/episodes/2147914016 The MSing Link Online Program https://www.doctorgretchenhawley.com/TheMSingLink Total Core Program https://www.doctorgretchenhawley.com/TotalCoreProgram Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: hello@doctorgretchenhawley.com Website: www.MSingLink.com Social: ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

- Apple Vision Pro Pre-Orders Start 19 January; Device Launches 2 February - Apple Opening Early on 2 February for Vision Pro Demos - Zeiss Lenses for Apple Vision Pro Cost Less Than Expected - Two Sets of Straps for Apple Vision Pro - Apple Vision Pro “Persona” Avatars Launching as Beta - Apple Sharpens Tools for Vision Pro Developers - Apple Asks Developers to Say “Spatial Computing Apps,” Not VR/AR/MR/XR - Bloomberg Highlights Negative Note on iPhone from Seemingly Inaccurate Analyst - Firms Pledge $1.5B for iPhone Manufacturing in Tamil Nadu - iPhone Survives 16,000-Foot Drop from Alaska Airlines Flight 1282 - Sales and Rentals of “Napoleon” Start Today - More Creative Arts Emmys for Apple - Check Out the Latest Checklists by SecureMac - online at checklist.libsyn.com - Catch Ken on Mastodon - @macosken@mastodon.social - Chat with us in Patreon for as little as $1 a month. Support the show at Patreon.com/macosken - Send me an email: info@macosken.com or call (716)780-4080!

We should always observe our patient's gait and make sure to look our for a foot drop.   Check out the Stat Pearls page. Nori SL, Stretanski MF. Foot Drop. [Updated 2022 Jun 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554393/     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

In today's show we are going to be talking about the 5 most common causes of foot drop. We will be discussing...- Relevant anatomy-Multiple sources of foot drop-Management of foot drop in certain scenarios and so much more!(Video) Foot drop from peroneal nerve palsy(Video) Big toe weakness from NRC and Peroneal nerve injury(Video) L3-4 NRC evaluationSupport OEP today!Welcome to our new sponsor!  Chattanooga.  To check out all they have to offer, trial modalities, have your questions answered about shockwave therapy, high level laser, radial pressure wave, connect with them HERE!Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comCome visit our WEBSITE!! Click HERE to check it outGet our downloadable 1.5 hour shoulder anatomy with cadaver dissection lectureGet our downloadable 7.5 hour cervical and lumbar continuing ed courseGet our downloadable 6.0 hour shoulder continuing ed courseBe sure to "follow" us on our new Facebook PageI finally made it to Instagram. Stop by and check us outAre you looking for One on one Coaching? We have it!Be sure to check out our 500+ videos on our YouTube Channel called Ortho Eval Pal with Paul Marquis#footdrop #peronealnervepalsy #footslap #podcasts #PTpodcast #medical #health #orthopedics #Physicaltherapy #DPT #Medicalproviders #sportsmedicine #athletictraining #chiropractic #occupationaltherapySupport the show Thanks for listening! If you like our podcast, be sure to check out more of our great content at OrthoEvalPal.com, Instagram and Youtube. We'd love a rating or review on your podcast platform. And, as always, be kind to each other and take care!!

Wherever you are on your multiple sclerosis journey, there are many reasons to be optimistic about the future of mobility. Our experts, both holding doctorates in physical therapy, offer invaluable guidance on enhancing your walking abilities through targeted exercise and specialized therapy. Learn how to reduce the risk of falls, alleviate spasticity, and build endurance for a more active life. Cutting-edge technology, from wearable electrical stimulation devices to incredible exoskeletons, are revolutionizing mobility for those living with MS. Discover how neuromodulation, in conjunction with physical therapy, can pave the way for new neural pathways. Virtual reality and anti-gravity treadmills are redefining therapy options for those people with advanced MS. Moreover, gain insights into conquering travel challenges, empowering individuals living with multiple sclerosis to venture out into the world. Barry Singer MD, Director of The MS Innovations in Care, interviews Gretchen Hawley DPT, The MSing Link and Annie Morrow DPT, Director of the Stephen A. Orthwein Center.

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021.Originally released: July 18, 2017Quick tutorial to help you navigate through the causes of foot drop. Check it out!BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision-making in routine clinical practice. Any cases discussed in this episode are fictional and do not contain any patient health-identifying information. The content in this episode was vetted and approved by Colin Quinn for broadcast.REFERENCESPreston DC, Shapiro BE. Electromyography and Neuromuscular Disorders. 3rd ed. Saunders, 2013.We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.

Hello everyone it's me Saida and in this episode I will be talking about why I wear my AFO Braces and so much more etc --- Send in a voice message: https://podcasters.spotify.com/pod/show/wondergirlsaida/message

Thanks for being part of the conversation I am the Poet In The Forest. A children series I penned out in the 1990s. None of it would be possible if it wasn't for this forest in South Charlotte, NC. I talk about it so much that I thought maybe it's time you get to meet all that inspires me. Thanks for being part of the conversation

Spine specialist, Dr. Ted Siciliano shares a story of a lady who loses the ability to lift her foot causing her foot to drop with each step. Dr. Ted Siciliano has been in active practice for 41 years in the Manahawkin, NJ area.  Dr. Siciliano is a long-time certified Cox Technic practitioner who attends courses regularly to keep up on all the latest in research, biomechanics, and application of Cox Technic protocols. He has written several case reports for the monthly Cox Technic Case Report publication and shares cases at Cox Seminars on a regular basis. He conducts practical, hands-on workshops with his colleagues at his Mayetta, New Jersey office. Resources: Dr. Siciliano's website Find a Back Doctor  

Foot drop, drop foot, foot slap, foot drag...no matter what name you call it, this symptom can be improved upon through specific exercises and stretches! Tune in today as I break down the slight difference between all the names used to describe this symptom, and what can be done about it. Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: hello@doctorgretchenhawley.com Website: www.MSingLink.com Social: ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

The Colorado Avalanche set the tone early, and while Montreal got a couple goals back late in the 3rd period, this one was well in hand as the Avs got game one of their road trip under their belt with a 8-4 win over the Canadiens. There wasn't much negative you could take away from the game, except another Avalanche injury. Artuuri Lehkonen, in his first game back in Montreal after being traded to the Avs, had two goals and an assist in less than 10 minutes of ice time. Why did he have less than 10 minutes of ice time you ask? Because his second goal he deflected off his hand which resulted in him breaking his finger. He is headed back home to Denver for surgery and will hopefully be ready for the playoffs. Now the Avs have to take all the good from this one and bring as much as they can with them for their next matchup with the Toronto Maple Leafs. We break it all down! So subscribe and enjoy! Subscribe to our Subtext to talk to us directly! https://joinsubtext.com/lockedonavalanche Follow & Subscribe on all Podcast platforms…

The Colorado Avalanche set the tone early, and while Montreal got a couple goals back late in the 3rd period, this one was well in hand as the Avs got game one of their road trip under their belt with a 8-4 win over the Canadiens.There wasn't much negative you could take away from the game, except another Avalanche injury. Artuuri Lehkonen, in his first game back in Montreal after being traded to the Avs, had two goals and an assist in less than 10 minutes of ice time. Why did he have less than 10 minutes of ice time you ask? Because his second goal he deflected off his hand which resulted in him breaking his finger. He is headed back home to Denver for surgery and will hopefully be ready for the playoffs.Now the Avs have to take all the good from this one and bring as much as they can with them for their next matchup with the Toronto Maple Leafs.We break it all down! So subscribe and enjoy!Subscribe to our Subtext to talk to us directly!https://joinsubtext.com/lockedonavalancheFollow & Subscribe on all Podcast platforms…

Foot drop can be a challenging impairment for our patients and clients making them at risk for falls and injury. It may feel like a tough thing for you as a clinician to treat as well! In today's show Erin reviews the top research-based recommendations shared in our recent NeuroSpark webinar presented by JJ Mowder-Tinney, PT, PhD, NCS. This episode will discuss a couple main approaches - using sensory assist with kinesio tape or theraband wrapping and the best ways to strengthen to promote activation and recovery in order to reduce foot drop. Lots of brainstorming happens inside the NeuroCollaborative Professionals Facebook Group. Join here if you're not inside already! You can email us any questions or suggestions at info@neurocollaborative.com In case you'd love to get continuing education and nerd out with a bunch of friends join the NeuroSpark waitlist here: www.neurocollaborative.com/neurospark 

This week Bobbi Conner talks with Dr. Mary Noreen Herring about the causes, diagnosis and treatment of foot drop. Dr. Herring is an Associate Professor in the College of Medicine and she's a physician specializing in neurological rehabilitation at MUSC.

Episode 337 Comic Book talk about Dark Red Where Roads Lead one-shot, My Little Pony art gallery, Night of the Living Dead #4, Nightwing / Magilla Gorilla #1, Secret Skull #3, Star Bastard #1, 4 & 5, Vampirella 1992, Vampirella #1 & 20. Multiple Sclerosis Health Talk about Foot Drop supplies, Jeff Bridges sleep tapes, Social Security Disability, Drug Interactions, Fatigue and reading Supplements and MS Health talk. Send comments, questions and tips to kevintheduckpool@gmail.com please help us out by rating and reviewing us and telling a friend. Also check out audio and video versions of Crimson Cowl Comic Club & Under the Cowl podcasts. A fun variety of great people talk comic books, entertainment or whatever and you can see or hear me on many episodes of those podcasts as well with many more great episodes to come out in the future. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/kevin-kleinhans/message Support this podcast: https://anchor.fm/kevin-kleinhans/support

Postpartum neuropathies are an infrequent occurrence but can significantly impact a patient's quality of life. Are you familiar with “strawberry picker's” neuropathy? It is the most common type of nerve injury during vaginal delivery. In the session, we will review safe maternal positioning during vaginal delivery.

Overcoming foot drop thanks to some amazing technology has inspired Emily Knosher to join the board of the Freedom To Walk Foundation. The post 146. Overcoming Foot Drop – Emily Knosher appeared first on Recovery After Stroke.

Overcoming foot drop thanks to some amazing technology has inspired Emily Knosher to join the board of the Freedom To Walk Foundation. The post 146. Overcoming Foot Drop – Emily Knosher appeared first on Recovery After Stroke.

Compression of spinal nerve roots in your lower back may cause foot drop. Click the link to join us for a FREE back pain & sciatica online class: https://www.yoursciaticapainsolution.com/get-instant-access

Survivor, prepper, gun enthusiast..... those are just a few ways to describe the show's guest this week.In season 2: Episode 7 the guys are joined by DOCJT/USCCA firearm instructor, Jay faux. Jay has also spent more than 20 years in the EMS field, working the last 13 of those as a paramedic. Jay joins the guys to dispel the misconceptions of being a "prepper" and gives listeners an glimpse into his world of preparedness, as well as a few tips and tricks that might just save your ass if the time ever comes. So leave the tin foil hats at home, grab a beer, sit back, kick back and lets do this thing. Support the show (https://www.paypal.me/Mitch0929)

Multiple Sclerosis News Today's columnist, Jenn Powell, discusses a foot drop device which won the Innovation Challenge prize. Multiple Sclerosis News Today's multimedia associate, Price Wooldridge, reads “My MS Likes It Hot, and Florida's Just the Place”, a column by Ed Tobias. ===================================== Treatment for Relapsing MS Progression | MAYZENT® (siponimod) Read about MAYZENT, a once daily pill that can significantly slow down disability progression in people with relapsing MS. See full prescribing & safety info. https://www.mayzent.com/?utm_source=changeinrms&utm_medium=vanityurl&utm_campaign=novartis_mayzent_2020&utm_content=soundcloud ===================================== Are you interested in learning more about multiple sclerosis? If so, please visit: https://multiplesclerosisnewstoday.com/ ===================================== To join in on conversations regarding multiple sclerosis, please visit: https://multiplesclerosisnewstoday.com/forums/

EP152 Comic Book talk about Die!Namite #3 to 5, The Mask Hunt for Green October #1 to 4, The Undertaker Halloween Special & Mankind #1. Multiple Sclerosis talk about Foot Drop and MS and Mobility Aides. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/kevin-kleinhans/message Support this podcast: https://anchor.fm/kevin-kleinhans/support

August 24th, 2000: WWF Champion The Rock puts his title on the line against Triple H and Kurt Angle and Shane McMahon takes his first ridiculous forty foot drop of his career whilst defending the WWF Hardcore Championship.Botchamnia's Maffew Gregg is joined by Tom Campbell to offer a watchalong commentary track for WWE SummerSlam 2000. Sync up the WWE Network when instructed and allow Maffew and Tom to be your virtual company during every punch, kick and botch of the show. See acast.com/privacy for privacy and opt-out information.

EP107 Comic Book talk about Shi comics and Inkblot #5. MS talk about Foot Drop and Multiple Sclerosis. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/kevin-kleinhans/message Support this podcast: https://anchor.fm/kevin-kleinhans/support

In episode 161: Common Peroneal Nerve Palsy I talk about the following:-Path of the Common Peroneal Nerve-Causes of CPNP-Signs and symptoms of peripheral nerve palsy-How to treat it depending on severity and so much more!Peroneal vs Lumbar NRC videoDictus Band (Amaz Affil)Ankle stabilizer brace (Amaz Affil)Come visit our WEBSITE!! Click HERE to check it outAre you looking for One on one Coaching? We have it!Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comBe sure to check out our 380+ videos on our YouTube Channel called Ortho Eval Pal with Paul MarquisFollow our Podcast show on Apple Podcasts, Spotify and most all other podcasting platforms. Just search: Ortho Eval Pal Podcast and Enjoy!Interested in our Sponsor Products? Click EZ Glider Socks or Fresh Rest Bedding or EZ SlantWant to start your own podcast? I use Buzzsprout. Sooo easy to use and the customer service is outstanding!!#PeronealNervePalsy #OrthoEvalPal #FootDrop Support the show (https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=6GY24EJMBHTMU&source=url)

While examining a patient, the patient displays a manual muscle test grade of 1/5 on the right tibialis anterior muscle.  Which of the following gait deviations would MOST likely occur? Find the answer in the podcast!  Check out all of our other episodes for great handy tips to help you on exam day!

EP 45 - It’s Just HairGuest: Gloria OmarGloria discusses her journey with cancer while grieving the death of her father and brother. Gloria relied on her brother’s support as she was going through her various cancer treatments. In the end, she thanks cancer because it strengthened her relationships with her husband and daughters. Reach out to us here…You can reach Sergio Novoa personallyInstagramTwitterFacebookVanessa WilkinsFacebookIGTheme song by http://djolgat.netMentioned in Podcast:Black PantherChadwick BosemenKelly Preston

Discussion with consultant Neurologist, Dr Davies, regarding the anatomy and clinical findings of a foot drop with common and important causes reviewed. All clinical cases in these podcast episodes have been created based on past interactions with real patients but are not intended to represent any specific person. No specific individual patient information will ever be provided in the podcast. The information in this episode is intended for the purposes of medical student education and should not be used as medical advice for your own medical treatment or the treatment of your patients.

Dr. Adam Quick, a neurologist at Ohio State University, discusses his NeuroByte on foot drop. Show references:  https://learning.aan.com/diweb/catalog/item?id=5001866

A new phone screen glass is rolling out in the market that will make our phones dramatically more resistent to scratches and breakages. In this episode, we discuss the durability of this screen. We also talk about an Instagram bug that showed a "camera on" indicator for iOS 14 devices even when users weren't taking photos. Listen to #Pulse95Radio in the UAE by tuning in on your radio (95.00 FM) or online on our website: www.pulse95radio.com ************************ Follow us on Social. www.facebook.com/pulse95radio www.twitter.com/pulse95radio www.instagram.com/pulse95radio

Episode description Drs. Kimberly Manning and Gurpreet Dhaliwal discuss an unknown case as part of the 50th CPSolvers Virtual Morning Report. Virtual Morning Report Click here to learn more about joining VMR and learn together, live. Dr. Kimberly Manning Kimberly D. Manning, MD is a general internist/hospitalist who serves as Associate Vice Chair of Diversity,… Read More »Episode – 89 – Virtual Morning Report #50 with Drs. Kimberly Manning and Gurpreet Dhaliwal – Foot Drop

Steve is a true adventure guy, pushing the limits and challenging himself out in remote places where most people never set foot. He does days long dirt bike rides into some far off places which can be awe-inspiring and beautiful but also extremely dangerous. In todays story, Steve gets himself caught in a situation that could have turned out really badly for him. He pushed the limits and this time lived to tell the tale. You can check out Steve's adventures on his instagram page here: https://www.instagram.com/steve_bender

Steve is a true adventure guy, pushing the limits and challenging himself out in remote places where most people never set foot. He does days long dirt bike rides into some far off places which can be awe-inspiring and beautiful but also extremely dangerous. In todays story, Steve gets himself caught in a situation that could have turned out really badly for him. He pushed the limits and this time lived to tell the tale. You can check out Steve’s adventures on his instagram page here: https://www.instagram.com/steve_bender

In this podcast, Jason joins Erson again for their semi quarterly podcast! Foot drop is normally difficult if it's spinal in origin. When your screens are inconclusive and your treatment is ineffective, what's next? Listen to this quick and interesting story for a great differential diagnosis. Check out our sponsors - we level up your website with full SEO optimization, turn it into a referral generating machine and do full G Suite and Telehealth integrations - over 650 Exclusive videos, Research Reviews, Webinars, Online Discussion - learn easy to apply Clinical Practice Patterns, integrate Pain Science with Manual Therapy and Patient Education  

On this episode, spine specialist Dr. Scott Spengel along with two of his patients talk about their results with Cox® Technic . Dr. Scott J Spengel is a Chiropractic Specialist in Mchenry, Illinois. He graduated with honors from Palmer College Chiropractic - Davenport in 1988. Having more than 30 years of  experiences,, Dr. Scott J Spengel coordinates patient care with many other doctors and specialists in McHenry and surrounding communities.  Call Dr. Scott J Spengel on phone number (815) 385-0489 for more information  or to book an appointment. Resources: Contact Dr. Spengel Find a Back Doctor The Cox 8 Table by Haven Medical

Attorneys J. Baugh and Katy Smith join Brian for another review of a closed claim that took ten years to go to trial. A 55-year-old gentleman jumped off his truck injuring his knee and ankle, resulting in pain and foot drop. To see this episodes show notes or to get more information, go to SVMIC.com.

What do gardeners and snow skiers have in common? Well, besides the fact that both tend to enjoy the outdoors, it turns out they are also at an increased risk of peripheral nerve injury. This week on the podcast, we review the anatomy and pathophysiology of several of the most common sites of nerve damage in the lower extremity. Produced by James E. Siegler. Music by Lee Rosevere. Sound effects by Mike Koenig and Daniel Simion. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision making. Be sure to follow us on Twitter @brainwavesaudio for the latest updates to the podcast. REFERENCES Stewart JD. Foot drop: where, why and what to do? Pract Neurol. 2008;8:158-69. Baima J and Krivickas L. Evaluation and treatment of peroneal neuropathy. Curr Rev Musculoskelet Med. 2008;1:147-53. Marciniak C. Fibular (peroneal) neuropathy: electrodiagnostic features and clinical correlates. Phys Med Rehabil Clin N Am. 2013;24:121-37.

I hope you enjoy these bits of the show that don't really fit in. After we were done I just kept recording. He was a good sport and let me geek out. I have always been, and will always continue to be, excited to learn more about our bodies; My curious mind will never quiet. I gained more then a few wisdom nuggets in this quick 20 mins. What a blast to talk shop with Brian!   BONUS TIDBITS!!!! Pirformis - Small muscle located deep in the buttock, behind the gluteus maximus.   Sciatica - Pain that radiates down the sciatic nerve.   Sciatic Nerve - Largest single nerve in the human body from each side of the lower spine and going distal.   Straight Leg Raise - Test done during physical exam of a patient with low back pain to assess for underlying herniated disc.   Herniation (Herniated Disk) - AKA “Slipped” or “Ruptured” disk/disc, a crack of the outer layer of cartilage allowing some of the inner cartilage to protrude out of the disk.   Dix-Hallpike - Diagnostic test used to identify Benign Paroxysmal Positional Vertigo (BPPV)   BPPV - Spinning sensation (Vertigo), often with nausea, resulting from disorder affecting the inner ear.   Epley Maneuver - Used to treat BPPV with attempts to relocate anatomy of the semicircular canal of the inner ear.   Lateral Epicondylitis (Tennis Elbow) - Irritation of the tissue connecting the forearm muscle to the elbow.   Achilles Tendinitis - An injury of the Achilles tendon, which connects the calf muscle to the heel bone.   Peroneal Tendonitis - Inflammation of the tendon running behind the outter ankle (lateral malleolus).   Collapsed Arch (Fallen Arch) - AKA ‘Pes Planus,” loss of arch in which the entire sole of the foot is either partially or completely in contact with the ground.   Rooke Boot -  Dressing/orthosis designed to completely surround the lower leg to prevent ulcers or treat a variety of conditions such as ischemia, neuropathy, and more.   Plantar-Flex - Movement of the foot, or toes, in the direction of the sole   AFO (Ankle-Foot Orthosis) - Support to help the position and motion of the ankle.  Often associated with Foot-Drop.   Foot Drop (Drop Foot) - Difficulty lifting the front of the foot up when walking.  Due to neurological, muscular, or anatomical reason.  Most common cause from sciatic/peroneal nerve injury.   Snuffbox Injury/tenderness - Pain over the anatomical snuffbox of the hand.  Made of by the extensor pollicis longus,, extensor pollicis brevis, and the abductor pollicis longus.   Avascular Necrosis (AVN) - Death of bone due to lack of blood supply.   FOOSH Injury - Fall on out stretched hand (fall when trying to catch one self, not uncommon to result in fractures)   Dupuytren’s Contracture - A gradual thickening and tightening of tissue under the skin in the hand.   De Quervain’s Tenosynovitis - Pain to the thumb side of the wrist.   Finkelstien Test - Used in the diagnosis of De Quervian’s.   Thumb Spica - Splint used to isolate and immobilize the thumb and usually the wrist.   NSAIDs - Non-steroidal antiinflammatories, Ibuprofen (Motrin/Advil), Aleve (Naproxen), Aspirin, Celebrex, Etc.   Baker’s cyst - Fluid-filled cyst (sack) that causes a bulge and feeling of tightness behind the knee.  A sign of acute (torn cartilage) or chronic (arthritis) inflammation.   Wrist Cock-Up Brace   For educations purposes only, not to be taken as medical advice.  The opinions of those involved are of their own and not representative of their employer.

Hey Medicare Nation! Millions of people are diagnosed with "Foot Drop." Some people also call it......"Drop Foot." Help A Child or Adult Walk Again! Either way, Foot Drop is a serious matter! Foot Drop is a weakness or paralysis of the muscles involved in lifting the front part of the foot, necessary for walking. Foot Drop causes a person to drag the foot and toes, or engage in a high-stepping walk called a steppage gait. Foot Drop Increases the risk of falling.   Who Can Be Diagnosed With Foot Drop? Men or Women, at any age. What are some causes of Foot Drop? Multiple Sclerosis, Cerebral Paulsy, Stroke, Traumatic Brain Injurey, Spinal Cord Injuries, and other injuries to the Peroneal Nerve in the leg.  Viruses can cause Foot Drop as well as other infections. Injuries to the leg and/or the lower back can also cause Foot Drop. What is a WalkAide? A WalkAide is a Functional Electrical Stimulation Device, when wore on the calf, sends electric impulses to the affected foot causing the foot and leg to lift.  Where Can I get information on WalkAides? Go to the Hanger Clinic website: https://goo.gl/9UuX7Y Are Other Types of FES Devices Available? Yes. The Bioness L300 is also available. Go to the Bioness Website for more information. https://goo.gl/FMXr5i Who are the Freedom to Walk Foundation? The Freedom to Walk Foundation is a 5019c)3 non-profit, dedicated to assisting with funds for the purchases of WalkAides for children AND Adults diagnosed with Foot Drop due to: * Multiple Sclerosis *Cerebral Palsy * Stroke * Incomplete Spinal Cord Injury * Traumatic Brain Injury If you want more information about the Freedom to Walk Foundation, go to their website: FreedomToWalkFoundation.org Go To 6th Annual Freedom to Walk Foundation GALA

Hey Medicare Nation! Do you know what "Drop Foot" is? Foot Drop is a weakness or paralysis of the muscles involved in lifting the front part of the foot necessary for walking. It causes a person to drag the foot and toes, or engage in a high-stepping walk called a "steppage gait." This increases the risk of falling for individuals.  There are about 70,000 people diagnosed with Food Drop in the State of Florida alone! I have teamed up with the Freedom to Walk Foundation, to assist them in raising funds for the purchase of WalkAides. WalkAides are electronic stimulating devices when worn on the calf, sends electric impulses to the affected foot, causing the muscles to contract and lift the foot and leg. Children and adults are WALKING agian with the help of WalkAides! The one major problem, is that most medical insurance companies don't cover WalkAides. Medicare will only cover WalkAides for those diagnosed with "Incomplete Spinal Cord Injury." Those diagnosed with Multiple Sclerosis, Cerebal Palsy, stroke, traumatic brain injuries and complete spinal cord injuries, are not covered by most insurance companies. How can you help? A WalkAide costs $5,000 to purchase. A $5.00 or more donation to the Freedom to Walk Foundation will help children and adults purchase WalkAides. Please be considerate and donate with your heart! www.FreedomtoWalkFoundation.org/donate Thank You! NEW MEDICARE CARDS are being mailed now. Your New Medicare Cards…….which are now called “Medicare Beneficiary Identifier” or MBI……have started mailing! People who are enrolling in Medicare for the first time will be among the first in the country to receive the new cards. Your new card will automatically come to you. You don't need to do anything as long as your address is up to date. If you need to update your address, visit ssa.gov and sign up for MySocialSecurity Account. Once you get your new Medicare card, destroy your old Medicare card and start using your new card right away. Current States Receiving New Medicare Cards  Delaware Pennsylvania Virginia Washington D.C.   AND….. West Virginia Want to know when YOUR card has been mailed? Go to Medicare.gov/NewCard Enter your email to receive an email when your new Medicare Card is mailed to you. What do the New Medicare Cards Look Like? Across the top of the New Medicare Card will read…..Medicare Health Insurance….in “white” letters inside a blue border. There is also an image of an Eagle in white outline. Your Name will appear on the next line. The next line will be the NEW set of Characters. The New Card will have  “11 Characters – both numbers and letters of the alphabet. All Letters will be Capitalized and spot # 2, 5, 8 & 9 on your card, will ALWAYS be a Letter of the alphabet.   Finally, you’ll see Your effective date of your Part A of Medicare…….. And you’ll see Your effective date of Part B if you enrolled in Medicare Part B. Here are things to know about your new Medicare card Your new card will automatically be mailed to you. You don’t have to do anything as long as your address is up to date. If you need to update your address, go to www.ssa.org  and enroll in a My Social Security Account.  Your Medicare coverage and benefits will stay the same. Your card may arrive at a different time than your friend’s or neighbor’s. Medicare is mailing over 60 million New Cards. CMS says they will have completed the mailing by April of 2019. We’ll see if that’s true! Once you get your new Medicare card, destroy your old Medicare card and start using your new card right away. If you’re in a Medicare Advantage Plan (like an HMO or PPO), your Medicare Advantage Plan ID card is your main card for Medicare—Use your Medicare Advantage Plan ID Card whenever you need care. And, if you have a separate Medicare precrption drug plan, be sure to keep that ID card as well.   Doctors, other health care providers and facilities know it’s coming and will ask for your new Medicare card when you need care, so carry it with you. Only give your new Medicare Number to doctors, pharmacists, other health care providers, your insurers, or people you trust to work with Medicare If you forget your new card, you, your doctor or other health care provider may be able to look up your Medicare Number online. And….until January 2020, health care providers may use your New Medicare Card or your Social Security number to process claims. FINALLY….. Be Careful! Scammers are out there  trying to steal your identity! Medicare will NEVER call you and ask for Personal Information! The Government can’t even process Medicare Advantage Plan Changes timely…….they certainly don’t have the staff or the time to call Medicare Beneficiaries. So DON”T trust ANYONE who calls and says they are calling you from Medicare. Your Insurance Agent, Medicare Advisor or a representative from your Medicare Advantage Plan or Medicare Prescription Drug Plan will call you …..WITH YOUR PERMISSION!   If someone calls and says they are calling about your New Medicare card….. HANG UP THE PHONE ON THEM!             If someone calls and says they are from your Medicare Advantage Plan…. Ask them a few questions to make sure they are legit. Ask them these questions:   How much is my current premium for my Medicare Plan? If they are from your Medicare Insurance Plan….they should know the answer!   Ask them who your Primary Doctor is. Again……they should have that information documented.   Finally……if you are still unsure of who you are talking to…..HANG UP! Call the customer service number on the back of your Medicare Insurance Plan card and when a representative answers……ask them if they just contacted you. RESOURCES: ssa.org www.medicare.gov/newcard  

On this episode of the Back Doctors Podcast we are speaking with spine specialist, Dr. Howard Rosenberg.  Dr. Rosenberg is a dedicated family man and community member living and practicing in West Bloomfield, Michigan.  He is taking time out of his busy practice to share with us a story of an active 70 year old man who wants to get back to playing tennis. Resources: Contact Dr. Rosenberg See video of Dr. Rosenberg Case Report #161: Foot Drop, Radiculopathy, Spinal Stenosis Find a Back Doctor

Clothing Optional Beer#SBC2016 @RhizomePro @BeerMakesThree @corebrewery @AtGBrewery @Schlafly @Stillwater_Art @newbelgium @BPbrewing @BeerWildHeaven @TNBrewWorks Co hosts : Good ol Boy Sparky, Good ol Boy Kendall, Good ol boy Matt, Good ol Boy Richard, and Good ol’ Boy Mike SUDS Episode – We tackle a very vague beer category that is hitting the craft beer scene, session beer. We talk about what is a session beer, what clothing optional activities are most appropriate with session beer, and Sparky mentions motorboat at least 17 times. We had 10 beers in the entire double blind flight. We discussed and rated these Top 6 on this episode: A Beer – Against the Grain Summer Lager – Schlafly Classique – Stillwater Artisinal Heavy Melon – New Belgium Mango Even Keel – Ballast Point Emergency Drinking Beer- Wild Heaven *** 4 Foot Drop – Mantahala Brewing Company Easy Livin IPA – Core Brewing PBR Session IPA Red Brick Brewing Sea to Sea Lager – Green Flash Sips, Suds, & Smokes info@sipssudsandsmokes.com @sipssudssmoke Sips, Suds, & Smokes is produced by One Tan Hand Productions using the power of beer, whiskey, and golf. This episode was recorded at the Southern Brewers Conference. www.southernbrewersconference.com Thanks to Rhizome Productions for the invite and all the event staff for their assistance, including Eddie. www.rhizomeproductions.com Hosted online at Spreaker and available on iTunes, Google Play, PRX, TuneIn, Stitcher, Soundcloud, and YouTube. Less that qualified parental advice and exceptional discussion of drink and food is at Sparky’s Blog. www.parentingwhileintoxicated.com Catch more great beer news with Kendall on Beer Makes Three. www.beermakesthree.com You can now download our Android app to enjoy the show anytime on your Android device.

Quick tutorial to help you navigate through the causes of foot drop. Check it out! BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. Any cases discussed in this episode are fictional and do not contain any patient health identifying information. REFERENCES Preston DC & Shapiro BE. Electromyography and neuromuscular disorders, 3rd ed. Saunders (2013).

Dr. Ted Burns and John Stewart discuss the evaluation and management of patients with foot drop, peroneal neuropathies, as well as L5 radiculopathies, lumbosacral plexopathies and proximal sciatic neuropathies.

Dr. Ted Burns and John Stewart discuss the evaluation and management of patients with foot drop, peroneal neuropathies, as well as L5 radiculopathies, lumbosacral plexopathies and proximal sciatic neuropathies.

Dr. Ted Burns and John Stewart discuss the evaluation and management of patients with foot drop, peroneal neuropathies, as well as L5 radiculopathies, lumbosacral plexopathies and proximal sciatic neuropathies.