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Unsteady walking, seen in sensory ataxia and cerebellar ataxia.
1. Sensory ataxia, manifested as unstable limb movement, swaying from side to side when walking, obvious shaking, posture flexion when walking, careful examination of the ground and feet, looking for foothold and peripheral support. Excessive leg movement, heavy feet touching the ground, significant aggravation of ataxia when losing visual cues, difficulty in closing eyes, positive signs, inability to walk at night, more common in tabes dorsalis, spinocerebellar degenerative diseases, chronic ethanol poisoning, paraneoplastic syndrome, spinal cord subacute combined degeneration, spinal cord compression, polyneuropathy and multiple sclerosis, etc.;
2. Cerebellar supply disorder, manifested as walking with the feet apart, widening the gait base, tilting to one side when standing, unsteady gait, and deviation to one side, which can be seen in hereditary cerebellar ataxia, cerebellar vascular disease and inflammation.
3. Peripheral vestibular lesions, such as benign episodic positional vertigo, labyrinthitis and Meniere's disease caused by degeneration of inner ear organs, are mostly accompanied by vertigo, nausea and vomiting.
4. Cerebrovascular disease, ischemic cerebrovascular disease, such as cerebral insufficiency caused by atherosclerotic stenosis, cerebral infarction caused by arterial embolism, especially insufficient blood supply to the blood vessels of the cerebellum and brainstem, will lead to long-term dizziness, nausea, vomiting, and balance disorders. Cerebellar hemorrhage can also cause symptoms of dizziness and unsteadiness in walking, which requires timely medical attention.
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The cerebellum is damaged, the cerebellum regulates the balance of the human body, to ensure that the human body can walk normally without falling, if you often walk unsteadily, then you have to go to the hospital for an MRI examination!
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Unsteady walking can be caused by cerebral insufficiency, Parkinson's disease, alcohol consumption, or physical incoordination.
1. Insufficient cerebral blood supply: insufficient cerebral blood supply may be caused by various factors such as atherosclerosis, which will cause dizziness and other phenomena, and in severe cases, there may be unsteady walking;
2. Parkinson's: Parkinson's may be caused by factors such as aging, which will lead to abnormalities in the nervous system, which will cause resting tremor, affect normal walking, and may also cause cognitive impairment;
3. Drinking: If you drink a lot of alcohol, it may lead to nerve paralysis and balance dysfunction, so it will cause unsteady walking or falling;
4. Physical incoordination: When children just learn to walk, their body coordination is not very good, so there will be unstable walking and falling, which is a normal phenomenon, and will soon improve with the development of the body.
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Ataxia can cause unsteady walking, and it is necessary to observe and examine it in time to avoid increasing the burden after it is severe.
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It depends on how old you are, the elderly have cerebellar atrophy, and the young have poor rest.
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What causes unsteady walking? Walking instability is generally due to some central reasons, it may be because the person has a cerebral infarction or cerebral hemorrhage, the cerebellum in the brain is damaged, resulting in a decrease in balance sensation and balance ability, and unstable walking.
Another unstable walking may be cervical spondylosis, severe cervical myelopathy will compress the spinal cord of the cervical spine, which will lead to damage to the downward conduction nerve, resulting in the feeling of stepping on cotton under the soles of the feet when walking, at this time, there will be unstable walking, stumbling, increased muscle tone in the lower limbs, scissor steps, and the feeling of always wrestling, which is particularly unstable, which is also the cause of unstable walking.
Some people may walk unsteadily because of the strength of the muscles of the lower limbs, and some people have neuromuscular diseases caused by congenital muscle abnormalities, and the leg muscles of the lower limbs have no strength, so they always stagger, crooked, and unstable when walking. There are also people who are congenital due to congenital hip dislocation, which will lead to walking pressure and swaying from side to side, because the hip joint is in a state of dislocation, and the femoral head cannot support the body without shaking.
Others are due to lesions in the spinal cord, some syringa, and tethered spinal cords, which cause damage to the muscles and nerves innervating the lower limbs, resulting in insufficient muscle strength and unsteady walking.
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There are four causes of walking instability, the first is the cause of cerebrovascular blood supply: long-term chronic cerebral insufficiency. In particular, when the vertebral posterior circulation is damaged and the blood supply to the vertebral artery is poor, it can cause walking instability.
The second is that lesions of the cerebellum can cause ataxia and can also cause unsteady walking.
The third is that the posterior cord lesion will cause deep sensory impairment, walking and stepping on cotton deeply, one shallow foot and one foot.
The fourth is the unsteady gait and panicked gait that Parkinson's disease can cause, which is also unsteady walking. The above four unsteady walking conditions are all abnormal lesions of the nervous system, and they all need to be treated in time. Early detection, early diagnosis, and timely delivery of the corresponding ** can achieve twice the result with half the effort.
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May be due to cerebellar lesions.
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Unsteady walking is a problem with the body's balance. In general, it may be a problem with managing the body's balanced vestibular function. It is also possible that dizziness causes unsteady walking, and cerebrovascular problems are not completely ruled out.
There is also the possibility of unsteady walking caused by long and short legs. So. To find the cause of unsteady walking, it is necessary to make a comprehensive judgment in combination with other symptoms of the whole body before a conclusion can be drawn.
A simple walk that is unsteady may involve more diseases.
There are two conditions of walking unsteadily, the first is the decline of muscle strength in the lower limbs, which can be seen in cerebral infarction, cerebral hemorrhage, spinal cord disease or peripheral nerve disease, causing incomplete paralysis of the lower limbs, the patient often walks to the paralyzed side, and drags when walking, the second is ataxia, including deep sensory ataxia and cerebellar ataxia, the patient is manifested as shaky walking, waddling gait or drunken gait, sometimes stepping on cotton, common in cerebellar lesions, posterior cord lesions.
Walking is a basic exercise that everyone has every day, and unsteady walking is mainly related to damage to the central nervous system, i.e., brain-related lesions. There are mainly cerebral cortex, cerebellum, posterior cord of the spinal cord, etc., and the damage to these parts often causes symptoms of unsteady walking. For the elderly, sudden walking instability complicated by muscle weakness is mainly considered cerebrovascular lesions; For those who continue to worsen walking instability, Parkinson's disease is the main consideration.
It is recommended to go to the neurology department of the hospital in time in case of the above situation.
Unsteady walking, most of the thinking may be that there is some slight cerebellar ataxia, and the possibility of some cerebral infarction is not ruled out. Specifically, you need to go to the hospital for a detailed examination, ** you can also take some drugs to invigorate blood circulation appropriately, please follow the doctor's instructions for specific medications, and in recent times, we should pay attention to avoid excessive mood swings, and also pay attention to monitoring blood pressure, if necessary, you can also cooperate with acupuncture**.
Unsteady walking is mostly caused by cardiovascular disease, which may be a precursor to a cerebral thrombosis or stroke. It is advisable to go to the hospital for an examination and laboratory tests to see if there is any abnormality in the vascular system. If the patient has such a condition as the three highs, he should also take some drugs to control the three highs in the body and maintain the stability of various indicators in the body.
It can effectively control the disease and relieve symptoms.
Sometimes it feels unsteady when walking, which is called a sense of imbalance. The normal human body is in a state of balance, and it is necessary to have the three major systems of vision, proprioception, and vestibular system to work together to transmit the felt external impulses to the cerebral cortex, and after integration, to all parts of the body to maintain the balance of the body. Once there is a problem in any of the three major systems, there can be a sense of imbalance.
It is manifested as unsteady walking, no roots on the soles of the feet, and in severe cases, it can fall. Common clinical diseases, such as: refractive error, cataract, peripheral neuropathy, spinal cord disease, subacute combined degeneration, brain lesions, cerebellar lesions, vestibular system dysfunction, etc.
Due to the wide range of lesions, each disease has its own special clinical characteristics, so it is necessary to make comprehensive judgment and analysis to draw a final conclusion.
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Walking instability is mainly seen in the following reasons: 1. Sudden unsteady walking, ask the patient whether there is weakness and numbness of one limb, dizziness, double vision, choking on drinking water, and salivation at the corners of the mouth. If the patient is middle-aged and elderly with hypertension and diabetes in the past, it is necessary to consider that the patient has acute cerebrovascular disease, and needs to go to the hospital for cranial magnetic resonance examination to find out whether there is cerebellar or brainstem infarction and hemorrhage; 2. If the patient is a middle-aged male, ask whether the patient has drunk a lot of alcohol in the past.
Some patients who drink alcohol will cause vitamin absorption disorders, are prone to subacute combined degeneration, may show sudden unsteady, accompanied by numbness and weakness of the limbs, and need to do vitamin B1, vitamin B12 identification and electromyography examination; 3. For those who show sudden unsteadiness in walking, ask whether the patient has any sleep disorders. Some patients with sleep onset disorders may show sudden unsteady walking, which can be relieved by oral administration of sleep-improving drugs.
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It may be a stroke, so go to the hospital system for a check-up.
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Gait instability is a gait abnormality caused by a variety of reasons, manifested as unsteady walking or inflexible movements, wide spacing between legs when walking, or unable to walk in a straight line, left and right, or short stride distance when walking, no back and forth swing of both upper limbs, slow at the beginning, and then faster and faster bending. Gait instability treatment method 1Long-term unsteady walking and inflexible walking movements; 2.
with involuntary limb tremors or paralysis, muscle spasms, weakness or atrophy; 3.with lower extremity soreness, pain, numbness, and sensory disturbances; 4.with swelling and pain, stiffness, deformity, and limited mobility of the lower extremity joints; For reference only!
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