Walking difficulties

Any problem that can interfere with mobility, whether this is simply with using public transport or more seriously involves getting in and out of a chair, can severely affect independence and quality of life.

These are multiple and include weakness, lack of co-ordination and numbness in the feet and legs due to central or peripheral nervous system problems or myopathy (muscle wasting) due to HIV or AZT; painful conditions; breathing difficulties; and visual impairment. General debilitation, weakness and fatigue can also contribute.

Certain problems with mobility with neurological symptoms (such as weakness in the legs) need to be investigated. Early investigation with MRI or CT scans, lumbar puncture and/or electromygraphy (EMG) is important.

Social services and voluntary agencies may help with maintaining mobility and independence and include the provision of taxi cards, transport to and from hospitals and clinics and the mobility component of the Disability Living Allowance. Occupational therapists may help with provision of walking aids, wheelchairs and advice on how to cope at home.