What could be the source of a new-onset neuropathy? I know little of the president’s medical status. The same holds for structural problems, and that moves neuropathy up the differential list. It would be odd to have an injury that involved two areas not be reported, especially involving the president. So now, we have issues with two sets of muscles: the legs and arms. Because while the gait disturbance has multiple causes, the lifting of the glass suggests a problem of muscular strength.* From a diagnostic point of view, that changes the differential. He tilts his head down to get closer to the glass before using his left hand to fully raise the glass to his lips. In the video, the president raises a glass, but he can't quite lift it to his mouth. To be fair, his explanation that is was a slippery incline may indeed be true.īut let's now consider the video of him pausing his speech to drink a bit of water. In watching the video of President Trump walking down the ramp, he does seem to be favoring one leg. And there can be neurologic causes, related to nerve injury, that leave the muscles weaker or altering proprioception – the sense of the position of the body in space, which is sensory feedback necessary for balance. There can be issues related to injury think of how we might “limp” after injuring our knee. I am, unfortunately, most familiar with structural alterations, e.g., loss of a portion of the foot, or unequal length of limbs. There are many diagnostic possibilities responsible for a change in our gait. I am sure many of you have seen individuals who have suffered from a stroke with partial loss of their leg, which results in a walk that is less fluid. As a vascular surgeon, I am well acquainted with what we call “gait disturbances,” an abnormal walk.
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