
A severely antalgic gait or posture refers to an unnatural limp or position that develops in response to pain caused by inflammation or injury.
The spine has a complex architecture that gives it flexibility and stability. It helps the body perform bending movements and load-bearing functions. Rather than being one continuous structure, the spine is composed of ring-like bones called vertebrae with cushioning tissue called intervertebral discs in between. Various nerves of the spine affect different parts of the body.
Conditions that cause inflammation in the bones or discs and presses on these nerves can cause intense pain. In response to this pain, a person may develop a specific walk or posture. Usually, the pain affects the hips, legs, and feet.
8 causes of antalgic gait
- Osteoarthritis: Osteoarthritis is an age-related (degenerative) condition that causes joints in the body to erode, including the spinal bones.
- Rheumatoid arthritis: This is an autoimmune disorder where the body produces abnormal antibodies that attack healthy tissues rather than foreign bodies. This causes wear and tear to bones and ligaments in the spine.
- Bone infection: Tuberculosis or osteomyelitis due to bacteria can cause erosion and swelling of bones.
- Bone injury: Direct hit or trauma can damage the spine and vertebral discs.
- Cancer or tumor: Cancer cells often invade the limited space between spinal bones and compress discs and nerves, causing extreme pain.
- Sciatica: Irritation of the sciatic nerve can result in pain in the legs and pelvic region.
- Autoimmune diseases: Inflammation of the spinal discs due to autoimmune diseases, such as ankylosing spondylosis, can cause pain that leads to antalgic gait.
- Other inflammatory causes: Other causes may include rickets, vitamin D deficiency, and gout.
What are the symptoms of antalgic gait?
Pain symptoms vary depending on the nerve being compressed, but antalgic gait is typically associated with:
How is antalgic gait diagnosed?
Joints are examined for redness, stiffness, tenderness, and swelling. Imaging tests may also be ordered to assess bone conditions:
- X-rays: X-rays on the affected joint are compared to those done on a healthy joint.
- Magnetic resonance imaging (MRI): MRIs provide greater details than X-ray imaging.
- Ultrasound: Ultrasounds may be used to check for the presence of fluid in the joints.
- Inflammatory markers: Bloodwork that comes back positive for these markers may indicate infections or autoimmune diseases.
How is antalgic gait treated?
- Pain-relief medications such as nonsteroidal anti-inflammatory drugs to decrease pain and inflammation in the affected joint.
- Hot compresses in conditions such as sciatica in which heat can alleviate pain and inflammation.
- Physiotherapy to improve joint stiffness and deformation.
- Antibiotics can be helpful if a joint or disc is infected.
- Supports such as canes or crutches to decrease the pressure on affected joints and prevent further progression of the disease.
- Adequate rest which promotes healing in the body.

SLIDESHOW
What Is Rheumatoid Arthritis (RA)? Symptoms, Treatment, Diagnosis See SlideshowAuerbach N, Tadi P. Antalgic Gait in Adults. [Updated 2021 Sep 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021. https://www.ncbi.nlm.nih.gov/books/NBK559243/
The Cure Back Pain Network. Antalgia. https://www.cure-back-pain.org/antalgia.html
Top What Does Severely Antalgic Mean Related Articles
Arthritis (Joint Inflammation)
Arthritis is inflammation of one or more joints. When joints are inflamed they can develop stiffness, warmth, swelling, redness and pain. There are over 100 types of arthritis, including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, and gout.Arthritis: Causes and Treatment for Joint Stiffness and Pain
Arthritis and injuries can leave your joints swollen, tender, and damaged. Discover treatments for morning stiffness, sore joints, hip pain, and other conditions. Learn when it’s time to call a health care professional, as well as joint-friendly exercises that can bring pain relief and ease of movement for arthritis sufferers and others.Physical and Occupational Therapy for Arthritis
Physical therapy can help a patient with arthritis to work out stiffness without damaging their joints. Occupational therapy teaches the patient how to reduce joint strain during daily activities. Those receiving occupational or physical therapy will learn about their arthritis, be given a dietary plan if they are overweight, get foot care advice, and learn methods of relieving discomfort.Do Anti-Inflammatories Help Rheumatoid Arthritis?
Rheumatoid arthritis is a chronic inflammatory disorder. Anti-inflammatory medications can help address symptoms of rheumatoid arthritis.Osteoarthritis (OA or Degenerative Arthritis)
Osteoarthritis, or degenerative arthritis, is a type of arthritis caused by inflammation, breakdown, and eventual loss of cartilage in the joints. Osteoarthritis can be caused by aging, heredity, and injury from trauma or disease.Osteoarthritis and Treatment
Painful swelling of the joints due to wear and tear over many years is called osteoarthritis. Osteoarthritis may develop in any joint that includes the fingers, hips, and knees. There are many treatment options available to curb the complications of arthritis.OA & Your Joints
Dealing with joint pain and arthritis? Learn why weight matters--and why NOT to stretch before exercise. See these solutions for joint pain and tips to protect your joints from damage.Osteoarthritis Slideshow
Osteoarthritis (OA) is a degenerative joint disease most often affecting major joints such as knees, hands, back, or hips. Osteoarthritis symptoms include pain, swelling and joint inflammation.Osteoarthritis Quiz
How does osteoarthritis differ from other types of arthritis? Learn about osteoarthritis with this quiz.Rheumatoid Arthritis (RA)
Rheumatoid arthritis (RA) is an autoimmune disease that causes chronic inflammation of the joints, the tissue around the joints, as well as other organs in the body.RA Slideshow
What is rheumatoid arthritis (RA)? Learn about treatment, diagnosis, and the symptoms of juvenile rheumatoid arthritis. Discover rheumatoid arthritis (RA) causes and the best medication for RA and JRA.RA Quiz
How is rheumatoid arthritis different from other forms of arthritis, such as osteoarthritis and gout? Take the Rheumatoid Arthritis (RA) Quiz to rest your RA IQ.What Are the Four Stages of Osteoarthritis?
The four stages of osteoarthritis (OA) have been graded on the basis of X-ray findings. Higher grades indicate more severe signs of OA and the need for surgery. Grade 0 is the stage when the joint is healthy, Grade 1 is doubtful narrowing of the joint space with possible bone spurs, Grade 2 is the definite bone spurs with possible reduced joint space, Grade 3 is definite moderate joint space narrowing (at least 50%), and Grade 4 is the most severe stage.What Is the Best Treatment for Arthritis?
Arthritis refers to the inflammation of the joints. It presents as pain and swelling of the joints in the body. Painkillers, along with physical therapy, is usually considered the best treatment for arthritis in the early stages. Natural remedies and medications may also be used to treat arthritis, while surgery for arthritis is an option when a patient can't resume normal activities.