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Published on: 4/28/2025

What Are Some Common Reasons for Experiencing Difficulty Walking?

Various factors can make walking difficult, including problems with the brain, spine, joints, or muscles that affect body movement and balance.

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Explanation

Walking can be difficult for several reasons. These reasons can be broadly categorized into neurological conditions that affect the brain and nerves, musculoskeletal problems that impact bones and joints, and age-related changes that affect balance and strength. Brain and nerve conditions can lead to walking difficulties. For instance, peripheral neuropathy can cause numbness in the feet, making it challenging to feel the ground properly while walking. Similarly, conditions like multiple sclerosis can affect nerve function and coordination, resulting in unsteady walking. Stroke can also affect walking ability by causing weakness or paralysis on one side of the body, making it difficult to maintain balance and a normal walking pattern. Musculoskeletal conditions like back pain, herniated discs, or spinal stenosis can affect how someone walks by causing pain or pressure on nerves. These conditions often lead to an altered gait pattern as people try to avoid pain while moving. Even arthritis, especially in weight-bearing joints like the knees and hips, can significantly impact mobility. These joints are crucial for normal walking, and when affected by inflammation and cartilage breakdown, they can cause considerable discomfort with each step. Changes to balance and strength can be significantly impacted by aging. As people get older, they may experience reduced muscle strength, decreased flexibility, diminished sensory input from their feet, and poor vision. These changes can affect coordination and make it harder to maintain proper balance while walking. Of course, traumatic injuries such as fractures, sprains, or damage to ligaments and tendons can make walking painful or impossible. These injuries may require immediate medical attention and rehabilitation to restore normal walking function. Additionally, inner ear problems that affect balance and equilibrium can cause dizziness and unsteady walking.

(References)

  • Kader M, Ullén S, Iwarsson S, Odin P, Nilsson MH. Factors Contributing to Perceived Walking Difficulties in People with Parkinson's Disease. J Parkinsons Dis. 2017;7(2):397-407. doi: 10.3233/JPD-161034. PMID: 28505982

  • Houle M, Bonneau JD, Marchand AA, Descarreaux M. Physical and Psychological Factors Associated With Walking Capacity in Patients With Lumbar Spinal Stenosis With Neurogenic Claudication: A Systematic Scoping Review. Front Neurol. 2021 Sep 9;12:720662. doi: 10.3389/fneur.2021.720662. PMID: 34566863; PMCID: PMC8459720.

  • Theis KA, Murphy LB, Baker NA, Hootman JM. When You Can't Walk a Mile: Walking Limitation Prevalence and Associations Among Middle-Aged and Older US Adults with Arthritis: A Cross-Sectional, Population-Based Study. ACR Open Rheumatol. 2019 Jul 24;1(6):350-358. doi: 10.1002/acr2.11046. PMID: 31777813; PMCID: PMC6858050.

  • Updated 2024 Apr 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: [https://www.ncbi.nlm.nih.gov/books/NBK560610/

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