Patient presents with walking difficulties, also described as gait disturbance, abnormal gait, or difficulty ambulating.  Assessment includes evaluation of gait abnormality, balance problems, and fall risk.  Onset, duration, and character of the walking difficulties were documented, including any associated symptoms such as pain, weakness, numbness, tingling, dizziness, or loss of balance.  Past medical history, including conditions such as stroke, Parkinson's disease, multiple sclerosis, arthritis, neuropathy, and previous falls, was reviewed.  Medications, including any potentially contributing to gait instability, were noted.  Physical examination included assessment of gait, balance testing, muscle strength, neurological examination including reflexes and sensation, and joint range of motion.  Differential diagnosis considered conditions such as cerebellar ataxia, sensory ataxia, peripheral neuropathy, myopathy, and musculoskeletal disorders.  Diagnostic testing may include imaging studies such as MRI or CT scan, electromyography (EMG), and nerve conduction studies, based on clinical findings.  Treatment plan may include physical therapy for gait training and balance exercises, occupational therapy for adaptive equipment and home safety assessment, medication management for underlying conditions, and referral to specialists such as neurology, orthopedics, or physiatry as indicated.  Patient education regarding fall prevention strategies was provided.  Follow-up appointment scheduled to monitor progress and adjust treatment plan as needed.