How should I tackle walking difficulties in multiple sclerosis (MS)?

Walking difficulties may be due to balance trouble, weakness, spasticity, loss of sensation in the feet, vertigo, and visual troubles. Those underlying problems should be first tackled directly. Then other measures can be taken.

When spasticity creates walking trouble, a specially designed shoe, called a rocker shoe, may help the patient have a totally normal or more normal gait. This shoe was made popular by Carolyn Clawson, a woman with multiple sclerosis (MS) who discovered that a pair of clogs received from a friend who brought them from Denmark, helped her walk. Clawson had spent two years in a wheelchair and walked with great difficulty using a cane.

At the time she said, "I was reprieved from a prison."The "Clawson clog" is now available for both men and women with about 6,000 pairs distributed. The rocker shoe is most effective for people with a particular combination of spasticity and muscle weakness. The curved sole of the shoe, which looks much like a clog, brings about knee flexion (bending motion) in a more normal manner.

This is also supposed to conserve energy and help reduce fatigue. To benefit from such shoes, however, the patient must have fairly good strength and be able to walk independently. As a general rule (with any consumer product), the rocker shoe is best tried before purchase.

If you cannot find the rocker shoe locally, you can contact the largest supplier at 1-208-356-6100. Or write:Clawson Rockerdo New Freedom, Inc.P.O. Box 428Rexberg, ID 83440In conclusion, the patient with walking difficulty probably has the most to gain from physical therapy, the best approach. If the walking difficulty is handled properly, using good therapy, appropriate devices, and common sense to avoid fatigue, it is often possible to improve the situation to the point where the patient walks normally.

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