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Spinal injury problem from 1 and half yr
I have injury in d11 and d12 or my surgery was done next day before injury doctor has fixed d11 and d12 with rods or screws and doctor sad injury was incomplete i take many medicines from last 1.5 year but there was no movement in my legs i have sensations or pain in legs but my legs are stiff with spascity i have tried LIOFEN-XL BACLOFEN 80 mg GABANTIN NT 400 MG TAB GAPENTIN 400 MG + NORTRIPTYLINE,DALSTEP 10MG
DALFAMPRIDINE.JUVIANA PLUS CAPSULE COMBINATION 1 UNITS + L-ARGININE 500 MG
+ PALMITOYLETHANOLAMIDE 300 MG) but no stiffness was removed from legs i do physiotherpy from 10 months with pysio i got my upper body balance but no improvement in lower body i stand with help of callivars but regular exercise but please suggest me about rigidity of legs unable to fold by myself with help of hands or how much time injury will more take to recover or suggest something about to reduce stiffness from legs
Answers (14)
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This is a very difficult journey and I understand how frustrating it must be. The important positive here is that you still have sensations and pain in your legs â this confirms your injury is truly incomplete, meaning some nerve pathways are still intact, and recovery in incomplete spinal cord injuries can continue for up to 2-3 years after the injury. For the leg stiffness and spasticity that is not fully responding to oral Baclofen â two options worth discussing with your neurosurgeon are (1) Intrathecal Baclofen pump, which delivers Baclofen directly into the spinal fluid and is far more effective for severe spasticity, and (2) Botulinum toxin injections into the specific stiff muscle groups, which can temporarily reduce rigidity and help physiotherapy work better. Regular stretching, passive range of motion, and warm water hydrotherapy are also important to prevent permanent joint stiffness (contractures).
Next Steps
Consult a Physiatrist (Rehabilitation Medicine specialist) and your neurosurgeon together to discuss Intrathecal Baclofen pump or Botox for spasticity management. Continue intensive physiotherapy. Please consult me directly on Practo for a detailed evaluation.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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The spasticity of the lower limb muscles could be eased by dedicated physiotherapy sessions, muscles relaxants like baclofen , botulinum injections.Depending on the vertebral fractures and degree of spinal nerve injury damage,it may take time to see the results
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Leg muscles are controlled by nerves from the Brain and from the SPINAL CORD. The BRAIN nerves relax the leg muscles. The SPINAL CORD nerves contract the leg muscles.
Now the BRAIN nerves are cut at D11 and D12. The intact SP CORD nerves keeps contracting the leg muscles causing stiffness and spasticity.
Overtime the leg muscles lose elasticity, accumulate connective tissue, and experience structural shortening (fibrosis), which manifests as a constant, structural leg stiffness.
Next Steps
Other problems you will face are:
1. Overfull bladder.
2. Urinary tract infection.
3. Bed sores.
Health Tips
Treatment:
The following treatments will help you stay flexible, reduce spasticity, and prevent contractures:
1. Stretching or doing range of motion exercises at least twice a day will help you reduce muscle tightness and maintain flexibility.
2. Cyclic activities, such as arm or leg cycling (on its own or with functional electrical stimulation (FES).
3. Weight-bearing exercise, such as standing or walking with support, will help stretch your muscles.
4. Splints, braces, or progressive casting into the desired position will provide constant muscle stretching. They will also help you maintain flexibility.
5. Direct activation of the muscles or nerves with electrical stimulation, or with focal or whole-body vibration may improve spasticity.
Medications: Take anyone or two to relax muscles.
1. Baclofen.
2. Benzodiazepine muscle relaxers. Examples are diazepam or clonazepam.
3. Dantrolene.
4. Tizanidine.
5. Anticholinergics (oxybutynin, tolterodine, trospium)
6. Beta-3 adrenergics (mirabegron, vibegron)
7. Injections of botulinum toxin for a spastic bladder.
Do slow leg exercises as fast movements will cause more contractions.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Meds revision
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NOT A CASE FOR OPEN PLATFORM
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Orthopedic doctor concerns required in your case.
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Hi,
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help you
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Dr. R S Disodia
General Physician
31 yrs exp
Gurgaon
Passive movements & physiotherapy
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