Symptom 10: Foot Abnormalities – A Subtle Shift in Step
An often-overlooked symptom of spinocerebellar ataxia is the emergence of foot abnormalities. This can manifest as changes in the shape of the foot or alterations in the way an individual walks.
In the early stages of SCA, individuals might notice a subtle shift in their gait. They may feel they’re not stepping as firmly as before or may notice their feet seem to drag slightly. Their shoes may wear out unevenly, which is another indicator of altered foot mechanics.
As the disease progresses, the changes can become more pronounced. The arch of the foot might collapse, leading to what’s known as flatfoot, or there could be the development of clawfoot, where the arch is too high. These changes can lead to balance issues and make walking more difficult and painful.
The changes aren’t just physical. They can also lead to emotional and psychological distress, as they represent a further loss of normal function and independence. Footwear may need to be specialized, adding another layer of complication to daily life. Treatment options for these foot abnormalities can include orthotic devices, physical therapy, and in severe cases, surgery. They are designed to alleviate discomfort and improve function.
This symptom underscores the fact that SCA impacts more than just coordination and balance. If you or a loved one notice changes in foot shape or walking patterns, it’s essential to consult a healthcare professional. They can help identify the cause and offer the most suitable treatment options. (10)
