I have spasticity in my lower limb from a tbi. i tried oral and injectable drugs. split tendon transfer is not an option. i'm active. thoughts on amputation?

Need to adapt: You have a permanent deficit. Many children with cerebral palsy learn to live with their disability and are active and participate in regular sports and activities. You now have a form of acquired cerebral palsy. Learn to adapt to it. A good therapy program will help, and trained therapists can be sure that you have the best bracing and stretching methods to provide optimal outcome.

Other options : If oral and injectable drugs have not provided results, pumps that deliver the medication directly to the spinal cord (intrathecal Baclofen pumps)are an option. A full evaluation by a physiatist (pm&r) physician can help you determine the best course of action and insure that all treatment avenues have been explored. In my experience amputation has not been necessary for pts in your situation.

Other options: No amputation is needed. If oral medications and botulinum toxin injections have been tried and do not improve your function, you can also look into intrathecal Baclofen pump therapy (itb). Do you use your spasticity for transfers or for standing? Itb places a small amount of Baclofen where it is most effective and can be adjusted to your needs. It works very well with lower limb spasticity.