Foot drop since age of 2 due to Hemiparesis

Foot drop since age of 2 due to Hemiparesis

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Question ID: 20712
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Hello 

Need your respected opinion about calf lengthening surgery & tendon transfer surgery.

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Suffering from foot drop and wrist drop in the right side since the age of 2 and was constantly doing physiotherapy until I was 13-14 years old .

 

After that I couldn’t able to do physio regularly and now I like to improve my condition better

I am currently 27 yo and looking for a procedure option (if possible) we met different doctors in the last 4-5 years and have not been able to get a definitive answer for my situation 

We recently took a nerve conduction study to my right calf muscle to check the strength and possibilities of doing tendon transfer,  but doctors have suggested not to go with the procedure 

Looking for a second opinion and am happy to share all my related documents via email 

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Posted by SBK
Asked on May 13, 2024 9:37 am
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Hi, dealing with foot and wrist drops is challenging, especially in an old case like yours. Calf lengthening surgery is helpful for TA (Tendo Achilles) tightness. In TA tightness, the foot goes into plantar flexion, which looks like a foot drop. The actual cause of food drop is weakness or paralysis of the tibialis anterior muscles, the muscles on the front of the lower leg. (read my article on foot drop here)
However, both may exist. I do not know whether you have TA tightness or not. Calf lengthening surgery can help bring the ankle joint into a neutral position. However, to bring the movement of the (Dorsiflexion) of the foot, the strength and power of the tibialis anterior muscle is necessary.
You can send your reports here with us for our opinion, but considering all this, your surgeon is the best professional to decide on it.

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Posted by Dr Sunit (Physiotherapist) (Questions: 2, Answers: 8)
Answered on May 16, 2024 3:04 pm
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