As a neurologist for balance and coordination issues, I help patients with ataxia and gait problems walk better and feel safer. If you or your loved one is swaying while walking, losing balance often, or feeling unsteady, this page will help you understand the cause and how I treat it through clinical exams, therapy, and long-term care.
Hello, I’m Dr. Mitesh Chandarana
I’m a neurologist and movement disorder specialist. Many people come to me saying, “Doctor, I feel unsteady,” or “I keep falling.” These are often signs of ataxia or gait problems, conditions that affect your ability to walk, stand, or move smoothly.
These issues can be mild or severe, but they should never be ignored. Early diagnosis and right treatment can make a big difference.
What Is Ataxia?
Ataxia means lack of coordination. It can affect:
- Walking
- Hand movements
- Speech
- Eye movements
- Balance while standing
Ataxia is not a disease but a symptom, a sign that something is affecting your brain, spinal cord, or nerves.
What Are Gait Disorders?
A gait disorder means you have trouble with walking, such as:
- Walking slowly or with small steps
- Losing balance easily
- Dragging one leg
- Bending forward while walking
- Feet spreading out too much for support
It can happen due to ataxia, Parkinson’s, stroke, or nerve damage.
Common Causes I See
Ataxia and gait disorders can come from:
Brain Problems:
- Stroke
- Tumors
- Multiple sclerosis
- Head injury
- Cerebellar ataxia (damage to the part of the brain controlling balance)
Hereditary Causes:
- Friedreich’s ataxia
- Spinocerebellar ataxias (SCA) These may run in families and need genetic testing.
Nutritional or Metabolic Issues:
- Vitamin B12 or E deficiency
- Thyroid imbalance
- Alcohol-related brain damage
Other:
- Side effects of certain medicines
- Nerve or muscle problems
- Infections
- Functional gait issues (without a structural cause)
How I Diagnose Ataxia & Gait Issues
When you visit me, I take time to:
- Ask detailed questions
- Watch your walking and movements
- Check your reflexes, coordination, and balance
- Test your muscle strength and sensation
If needed, I may suggest:
- Brain MRI – to check cerebellum or other brain parts
- Vitamin and blood tests
- Genetic testing – in young patients or those with family history
- Nerve conduction tests (NCV)
- Spine MRI – if spinal cord disease is suspected
The goal is to find the real cause and not miss treatable conditions.
How I Treat Ataxia & Gait Disorders
Treatment depends on the underlying cause. I focus on:
- Improving balance
- Preventing falls
- Restoring confidence in walking
- Supporting daily activities
1. Treating the Root Cause
- Replacing missing vitamins (like B12 or E)
- Stopping or changing harmful medicines
- Managing thyroid, sugar, or alcohol issues
- Treating stroke or brain injury effects
- Offering genetic counseling if needed
2. Physical Therapy
I strongly recommend balance training, stretching, and strengthening with a physiotherapist.
This helps:
- Reduce falls
- Walk more confidently
- Build strength
I guide you or your therapist with clear goals.
3. Assistive Devices
Some patients need support while walking. I may suggest:
- Walking sticks
- Tripod canes
- Rollators
- Foot braces
- Shoe inserts for foot drop
These improve safety and independence.
4. Speech and Occupational Therapy
If speech or daily activities like dressing, writing, or eating are affected, I work with therapists to improve these too.
My Focus: Prevent Falls & Build Confidence
A fall can change life suddenly especially for older adults. So, I focus on:
- Fall risk assessment
- Balance improvement
- Strength-building
- Mental confidence
Even if you’ve fallen before, I’ll help you walk more safely again.
Frequently Asked Questions (FAQs)
Q1. What is the difference between ataxia and Parkinson’s?
Ataxia is mostly about balance and coordination. Parkinson’s also has tremor and stiffness. I can help you tell the difference, Know More.
Q2. Can ataxia go away?
Sometimes, yes, if caused by a vitamin deficiency or medicines, it can improve. Some types are long-term but manageable. Know More
Q3. Is ataxia genetic?
Some types, like Friedreich’s or SCA, are hereditary. I do testing if I suspect a family link. Know More
Q4. Is falling a sign of brain damage?
Not always. But if you are falling often, we need to check your brain, spine, or nerves. Know More
Q5. Can exercise help?
Yes! Regular guided physiotherapy can improve your walking even if the ataxia cannot be fully cured. Know More
Let’s Help You Walk Better, Safely
If you or someone you love is having balance issues, falls, or difficulty walking, don’t delay. Early care gives better outcomes. I’m here to guide you with experience, patience, and a personalized plan.
Book Your Appointment Today
📞 Call: 8866843843
📍 Medisquare Superspeciality Hospital, Ahmedabad
