Signs
 

Heel Walking

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Overview

    • How to Perform

    • Ask the patient to walk on their heels.
    • Significance

    • Inability to walk on the heels suggests distal weakness.
    • Causes of Inability to Heel Walk

    • Central Nervous System

    • CNS lesion - ischaemia, haemorrhage, tumour, trauma, multiple sclerosis, infection, vasculitis
    • Peripheral Nerves

    • L5 nerve root lesion - radiculopathy, spinal trauma, tumour
    • Common peroneal nerve palsy - compression, trauma, tumour
    • Mononeuritis multiplex - vasculitis, diabetic neuropathy, infection, paraneoplastic
    • Peripheral polyneuropathy - Charcot-Marie-Tooth, Guillain Barre, CIDP, motor neurone disease, polio
    • Other

    • Myopathy - inflammatory myositis, muscular dystrophy, paraneoplastic
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