Monday, March 10, 2014
Monday's Image of the Week: Abnormal Heel Wear as a Sign of Gait Problems
As this patient walks, his right heel scuffs the ground terribly causing tripping and foot slap. This is a neurological problem related to his low back. It is seen primarily at the heel of his right shoe (on the left side of the image below). As a podiatrist, I am trained to look for clues in shoe inserts and shoe outer sole wear patterns. Usually the clues are more subtle. This patient was having major nerve problems in the right low back, and the nerves were not firing appropriately.