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Warning-sign checks

Walking abnormalities: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services if walking suddenly becomes difficult and you also have facial drooping, one-sided weakness or numbness, trouble speaking, confusion, loss of vision, or a severe new headache.

    These can be signs of a stroke, even if they improve quickly.

    Emergency assessment is also needed for:

    • New leg weakness with loss of bladder or bowel control
    • Numbness around the genitals, buttocks, or inner thighs
    • Inability to stand after a serious head, neck, back, hip, or leg injury
    • Sudden severe loss of balance with other new neurological symptoms
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek same-day medical care if you suddenly cannot put weight on a leg, your walking is rapidly worsening, or you have a painful hot or swollen joint with fever.

    A child with a new limp, fever, or refusal to walk also needs prompt assessment.

  3. 3

    Does any of this apply?

    Book an appointment

    Book a routine appointment if the change lasts, keeps returning, causes falls, or limits daily activities.

    Gradual walking changes should not simply be assumed to be part of aging.

Every sign above is quoted from the sofidex article on Walking abnormalities. If you are not sure, err upward — it is always reasonable to be checked.