Treatment methods

Being able to walk safely again

Once the cause has been found, gait disorders can often be well treated, even if not all factors can be influenced equally in old age. In the therapy team and with you, we discuss which disorder can be improved and how. If possible, we start by treating the cause of your disorder. Sometimes, treating the symptoms is also in the foreground. In particular, physiotherapeutic procedures, i.e. physiotherapy with gait training and fall prevention, are important for the treatment of gait disorders in neurological diseases. Sometimes, additional medication, operations or behavioural training are necessary to improve the symptoms.

Conservative treatment methods

Conservative gait disorder treatment: Physiotherapy and fall prevention

Physiotherapy is a fixed treatment component for almost all patients with stance and gait disorders. It is important that you practice actively and intensively. In some cases, you will be supported by equipment for learning to walk and for balance training. In addition, you will learn techniques for training at home as well as for the targeted avoidance of falls and injuries.

Conservative gait disorder treatment: drug treatment

Drugs are used, for example, for Parkinson’s disease. The choice of medication is specially adapted to the gait disorder. Cerebellar ataxia can sometimes also be improved with medication. Many patients also have to stop taking medication in order to improve walking and reduce the risk of falling.

Behavioural therapy for gait disorders

If fear contributes considerably to your walking insecurity, psychotherapeutic procedures can be helpful. Sometimes, depression or an adaptation disorder can express itself mainly with physical symptoms. We also recommend an adapted treatment here.

Regular positioning and medical treatment

First of all, it is very important to transfer the newly paralysed patients every two to three hours, position them correctly and, if necessary, use aids such as seat cushions. Such measures help to prevent muscle cramping and pressure sores. Permanent redness of the affected parts of the body is an important early sign. Although often no or only few complaints exist, a deep wound can develop quickly or there may already be pronounced tissue damage deep down, although the skin is closed. Any nerve pain is treated with medication, which reduces it by up to 80 per cent.

Surgical treatment methods

Surgical gait disorder treatment

In some cases, an operation can improve the gait disorder, for example if the cause is a relative overproduction of spinal fluid (normal pressure hydrocephalus) or if the spinal canal in the spinal column is narrowed (spinal stenosis). At Schoen Clinic, neurologists work closely with experienced neurosurgeons and orthopaedists to provide you with detailed information about the necessary procedure.