Doctor insights on:
Hamstring Lengthening Surgery Cerebral Palsy
I have cerebral palsy & am having bad stiffness and pain at night in hamstrings and hips & trouble moving in daytime as well. Is it age? How can I fix?
Common problem: Many people with CP have problems with stiff muscles and pain from that. You can ask your doctor for a muscle relaxant and that is helpful in some people. Also regular stretching or yoga can help a great deal. It may be helpful for you to get a physical therapist to teach you the most helpful stretches to do at home. ...Read more
...is a corruption of French "paralise" from Latinized Greek "paralysis." In the old days it meant any kind of persistent weakness. To this day Parkinson's disease is also called "paralysis agitans" which is a Latin translation of Dr. Parkinson's original name for it, the "shaking palsy." We've obviously reborrowed the full form "paralysis" into English as well; today ...Read more
I was wondering what are some of the newest medications, therapies, surgeries etc that can help people with cerebral palsy?
From ortho standpoin: ...T, we r involved in preventing contractures, ; directing pt ; home stretching programs. Also surgery is done to loosen tight contractures by selective cutting of extremely deforming muscles ; transfer of muscles 2 make up 4 deficiencies of others. Example: heel cord lengthening or transfer of post tib 2 a position that makes it an ankle dorsiflexor, , insteadof an invertor of the foot. ...Read more
Unlikely to happen: By definition, cerebral palsy is a disorder of movement and or posture caused by injury to the brain during the formative years. The brain cells that have been damaged cannot be repaired. Treatment focuses on physical therapy to teach remaining nerves to work around the defects as well as possible. Diligent efforts in therapy can reduce the impact of CP but seldom remove all the effects. ...Read more
I had botox today in my right leg for cerebral palsy. My leg is extremely sore! What can I do to manage this pain and when will it go away?
Is it possible for mild cerebral palsy to cause delay growth, prolonged growth or even stunted growth?
Cerebral palsy is a: Group of disorders of impaired motor functions described by the way they limit mobility, posture, arm/ hand use & oral motor skills. In kids with CP, growth is slower than that of neurotypical peers, the difference is greater with age. Puberty may be delayed & last longer. Poor oral motor function, endocrine problems & gastroesophageal reflux all can impact nutrition, growth & body composition. ...Read more
Why do some parents want their children to act like an adult when they hit their 30's even if they have a disability like cerebral palsy?
Confusing question: An adult is an adult. The majority cerebral palsy patients have no cognitive impairment that would prevent acquiring adult self monitoring & awareness skills. Those that are mentally impaired need help with these issues but can learn them over time. Why wouldn't a parent want his kid to develop acceptable behavior pattern. ...Read more
Not specifically: Herbs can provide nutrients to all of us as part of balanced nutrition.They do not change the perminant brain injury that is the basis for cerebral palsy.Proper assessment and treatment by a team of physical and occupational therapists is the standard of care for cp. Additional support for medical needs and balanced nutrition provide the best chance of optimal function. ...Read more
Trouble with moving: Cerebral plasy specifically refers to a movement disorder caused by damage to an immature brain. So the hallmark is trouble with motor development. ...Read more
Many do: Exercise is recommended for those within the bounds of any physical impairment they have. Most of those who have CP have milder forms & can keep up with the rest of us in many activities. ...Read more
Variable: Cerebral palsy is a term covering a broad range of motor handicap, many of which are associated with intellectual handicap as well. Children with spastic diplegia (legs more involved than upper extremities) may have normal or near normal intelligence. So may choreoathetoid patients, those with writhing movements of the extremities, who communicate with technologiy devices. ...Read more
Hard to say: Cerebral palsy by convention implies an injury to specific areas of the brain controlling motor movements. If other brain areas are affected by the same event, other issues can be linked. This includes more likelihood of seizures, learning, etc. The milder the CP the less likely other areas that control speech, personality, learning, etc. But it is still possible. ...Read more
Same as if not: The issues of compadibility and love do not require a pre-participation exam. All relationships will encounter problems over time and those problems can be dealt with better as a team than solo. Look to your famalies for support. ...Read more
Could be both: Cerebral palsy is a spectrum of many symptoms. Some children have severe physical limitations but little cognitive problems. Others have little physical limitations, but severe cognitive problems. There are people all over the MAP with different combinations. While it is true that the more physical limitations you have, the more your chance of having cognitive problems, this is not always true. ...Read more
If practical, yes: Care for an individual with motor problems may involve the use of whatever assistive aids are practical. Diapers can help with those who with chronic leaking, or difficulty getting to the bathroom when needed. It can increase need for monitoring skin care needs, but it is far less intrusive than some methods. ...Read more
Yes: Because of the wide variation in this process the outcome varies. Cp can be so mile it is unrecognised in a persons lifetime and exists in very subtle findings on a neurological exam. Some is so pronounced, the patient may remain infantile in his/her communication, mobility and self help skills through life. Physical growth tends to vary with the intensity of the disorder. ...Read more
Depends on degree: I have seen a non walking three year old whose family was told not to expect much, grow up to be a happy teen (with some learning problems & difficulty typing). Each case is different and outcome varies with the intensity of the brain injury. Good nutrition, therapy & a suportive environment go a long way to make their lives enjoyable. ...Read more
Maybe: CP is a diverse condition so no one answer fits for all. Some kids will be able to achieve better posture & mobility with PT while others do not. Sometimes it becomes a matter of giving them a chance to develop the mobility they want over a specific time frame. As they get older, they often decide the lure of walking like everyone else fades when they realize they can move faster in a chair. ...Read more
Varies: Cerebral palsy is a label used for a collection of issues that impair normal movement & posture. It can range from so mile that no one is comfortable using the term to so bad the patient is wheelchair bound for most of their life. Many have associated defects in learning/vision/seizures/etc. The effect on any given case is unique to that individual. ...Read more
As normal as possibl: Children with cerebral palsy can lead nearly normal lives. They may need special equipment and some assistance at school, and help with daily activities. However, they should try to achieve as normal function as possible. Many support services are available. A good medical specialist can help to coordinate services. A specific disability can be over come with good support and management. ...Read more
No: You can evaluate and treat just like any other back pain. You can also make sure that your weight is under control, you are not a smoker, and you exercise regularly. Medication and physical therapy can play a role as can specific issues like spasm be addressed with Botox injections if involved with this pain pattern. You need to see an orthopedic spine soecialist for optimal care.. ...Read more
Variable diagnosis: Cerebral palsy is a disorder of movement or posture related to injury to nerves controlling those functions that occurred some time in the developmental period. (pregnancy to age 3y) it implys a permanent but stable process, where new injury or deterioration is not expected, but might occur from lack of use. It is quite a variable diagnosis from very mild to incompasitating. ...Read more
Increased tightness: This is increased tone or tightness in the extremities related to a cerebral insult that occurred around birth. ...Read more