Foot drop is a common condition in neuromuscular and neurological practice. It refers to the inability to lift the front part of the foot during walking, leading to difficulty in mobility and an increased risk of tripping and falling. Foot drop is not a disease in itself, but rather a symptom resulting from a neurological or muscular disorder. Causes of Foot Drop There are several causes of foot drop, including: Peroneal nerve injury Cerebrovascular accident (CVA) Lumbar disc herniation Spinal cord injuries Peripheral neuropathies Cerebral palsy (CP) Weakness or atrophy of the ankle dorsiflexor muscles Signs and Symptoms Patients with foot drop may present with: Dragging of the foot during walking Excessive knee lifting (steppage gait) Instability and loss of balance Early fatigue during walking Difficulty climbing stairs Diagnosis Diagnosis of foot drop is based on: Clinical examination of muscle strength and neurological function Gait analysis Neurological assessment Electromyography (EMG) and nerve conduction studies Imaging studies when indicated Role of Physical Therapy Physical therapy plays a fundamental role in managing foot drop and may include: Strengthening exercises for ankle dorsiflexor muscles Stretching exercises to prevent contractures Balance and gait training Functional electrical stimulation (FES) Gait pattern correction and functional performance improvement Role of Ankle-Foot Orthosis (AFO) An Ankle-Foot Orthosis (AFO) is one of the most important management tools for foot drop. It: Maintains the foot in a proper position Prevents foot dragging during walking Reduces the risk of falls Improves gait efficiency These orthoses are manufactured from different materials such as: Polypropylene Carbon fiber The type of orthosis is selected according to the severity of the condition and the patient’s specific needs. Conclusion Foot drop is a condition that directly affects a patient’s mobility and independence. However, early diagnosis and appropriate intervention—whether through physical therapy or orthotic management—can significantly improve gait and overall quality of life. Collaboration between the physical therapist and the orthotist is essential for successful rehabilitation.