Dr. Rami Hamed Medical Blog

What causes foot drop in patients with lumbar spine conditions

Written by Dr. Rami Hamed | August 08, 2025

Have you ever noticed that your foot drags while walking or that you have to lift your knee higher than usual to avoid tripping? This condition—commonly referred to as foot drop—can be both alarming and frustrating. At Dr. Rami Hamed Center (DRHC) in Dubai, we often see patients experiencing foot drop due to underlying issues in the lumbar spine.

We understand how frightening it can be to suddenly lose control or strength in your leg. Fortunately, many cases can be improved or even reversed with timely and appropriate treatment. Let's explore how problems in the lower spine can lead to foot drop, and what you can do about it.

What Is Foot Drop?

Foot drop is not a disease but a symptom. It refers to difficulty lifting the front part of the foot, causing it to drag while walking. People often compensate by raising their thigh higher with each step—this is called a "steppage gait."

While foot drop can have several causes, one common origin is nerve compression in the lower back, especially in the lumbar spine region.

How the Lumbar Spine Affects the Foot

The lumbar spine contains nerves that control the muscles in your legs and feet. When one of these nerves—especially the L4, L5, or S1 nerve roots—is compressed or damaged, it can affect the ability to lift the foot.

Common lumbar spine conditions that may cause foot drop include:

  • Lumbar disc herniation: A slipped or bulging disc can press on a spinal nerve.
  • Spinal stenosis: Narrowing of the spinal canal can compress nerve roots.
  • Spondylolisthesis: When a vertebra slips out of place, it can irritate nearby nerves.
  • Nerve root injury during surgery or trauma: Rare but possible.

The L5 nerve root is most often involved in foot drop, as it controls the muscles responsible for lifting the foot and big toe.

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When to Seek Help

If you’re noticing any new weakness in your foot, trouble walking, or persistent numbness or tingling in your leg, don’t ignore it. These could be signs of nerve involvement in the lumbar spine, and early diagnosis offers the best chance for recovery.

At Dr. Rami Hamed Center (DRHC) in Dubai, our team of spine specialists and neurologists work together to accurately diagnose and treat the underlying causes of foot drop. Whether you need conservative care or a more advanced intervention, we are here to guide you every step of the way.

Conclusion: Hope Begins with the Right Diagnosis

Foot drop can be a distressing symptom, but it doesn’t have to define your future. When caused by lumbar spine conditions, timely treatment can make all the difference in restoring function and preventing further nerve damage.

If you or a loved one is experiencing signs of foot drop, we invite you to schedule a consultation at DRHC Dubai. Our multidisciplinary approach ensures that you receive compassionate, personalized care—focused on helping you walk with confidence again.

Dr. Rami Hamed
Consultant Spine & Orthopedic Surgeon
Founder, DRHC – Dubai Healthcare City
📞 ‪+971 4 279 8800‬
🌐 www.drhc.ae
📍 Dubai Healthcare City, Building 52