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Doctor insights on: Rehabilitation For Muscle Atrophy

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Good treatments for hypotonia/low muscle tone?

Good treatments for hypotonia/low muscle tone?

Hard to say: Is this part of a condition? Can u excercise? If you have recurrent pain issues coming from the body an snri would help, like cymblata 30mg but unsure if you are out of shape or have a muscle disease. ...Read more

Muscle (Definition)

It is a body tissue that has the ability to contract. It shortens and generates force. It relaxes and returns to its original length. Muscles move joints, stabilize the body, move air and food through the organs, act as valves for bladder, bowel and other organs. They control movement of the eyes. They help us express ourselves by changing the shape of our ...Read more


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Do antiinflammatories and muscle relaxants cause muscle atrophy?

Do antiinflammatories and muscle relaxants cause muscle atrophy?

Muscles: Nsaid's (anti-inflammatory meds) block certain prostaglandins that are necessary for muscles to grow, and possibly recover, so indirectly yes, they could cause risk of atrophy. Muscle relaxants work mostly on nervous system, so primarily indirect impact - primarily if used to reduce pain, it is the lack of use that causes atrophy. Any direct impact on muscle would depend on specific drug. ...Read more

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Patient with excellent result of prior (x3) spinal fusion. Severe paraspinous muscle spasm with MRI showing paraspinous muscle atrophy edema. Rx?

Patient with excellent result of prior (x3) spinal fusion. Severe paraspinous muscle spasm with MRI showing paraspinous muscle atrophy edema. Rx?

Physical Therapy: I will probable have him/her continue with pt/hep focused in strengthening the paraspinal musculatures. Tens units can be tried to see if it can also help. ...Read more

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What's the best physical therapy for an upper quad muscle injury?

What's the best physical therapy for an upper quad muscle injury?

Quad injury: Initially for any injury you want to ice, rest and elevate for the first 24-48 hours. Add in nsaids like ibuprofen. Once pain has diminished, start gentle stretching of the quads - after injury we tend to get tight b/c of disuse. After a week, you can add in isometric exercises: wall sits are great. Gradually increase strength exercises w/ weights and squats to prevent reinjury. Good luck! ...Read more

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Best muscle relaxers for muscle pain?

Best muscle relaxers for muscle pain?

Ask your PCP : Various drugs have been developed to affect the muscle contraction. Commonly used centrally acting muscle relaxants includes Lioresal, Soma, Flexeril, Skelaxin, (metaxalone) and Robaxin. Infrequently used muscle relaxants include Norflex) and Zanaflex. Many side effects include drowsiness, dizziness, headache and lethargy. Ask your PCP to adjust the medication for your needs. ...Read more

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What different between muscle weakness and muscle atrophy?

What different between muscle weakness and muscle atrophy?

One is observed: Generally speaking, muscle weakness is something a patient perceives and something that we can test for in physical examination by doing a manual muscle test, etc. Atrophy is something we observe or visualize. In some cases they can be caused by the same thing (ex. nerve injury, immobilization, joint trauma), sometimes they are separate issues. ...Read more

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What are good exercises for strengthening quad muscles?

What are good exercises for strengthening quad muscles?

Quad exercises: The muscles of the quadriceps femoris include the rectus femoris and the three vastus muscles (medius, intermedius, and lateralis). They primary function to help extend the knee, but the rectus also helps flex the hip. Exercises that strengthen the quads include leg extensors, squats, lunges and leg presses. Cardio exercises that condition the quads include running, cycling, and stair climbing. ...Read more

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Can progressive muscle atrophy be stopped?

Depends on cause: A physiatrist, or doctor of physical medicine and rehabilitation can evaluate the individual and come up with a plan to maximize function. The prognosis depends on the cause of the symptoms. ...Read more

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History of chronic neck muscle spasms. Now dx reversed cervical lordosis. Advised to wear neck brace during day & exercises. Scared of muscle atrophy.

History of chronic neck muscle spasms. Now dx reversed cervical lordosis. Advised to wear neck brace during day & exercises. Scared of muscle atrophy.

One in the same.: The reversal of the cervical lordosis (normal spinal curvature) to which you refer is due to the spasm of the neck muscles. The neck brace is meant to allow for natural relaxation of that muscle spasm. ...Read more

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Spinall cord injury atrophy both legs spasticity and lowe lumbar pain which is making my rehabilitation slow and frustrating.Incomplete para ?

Spinall cord injury atrophy both legs spasticity and lowe lumbar pain which is making my rehabilitation  slow and frustrating.Incomplete para ?

Understand needs: You hve been doing the right hting. The physical is very important long term. You may need re-evaluation by your neurologist to be certain you are on the correct pathway. Persistence is the key to your success. ...Read more

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How could ampyra (dalfampridine) work as a drug for muscular dystrophies?

How could ampyra (dalfampridine) work as a drug for muscular dystrophies?

Ampyra (dalfampridine) is FDA-: approved for use in Mulitiple Sclerosis. If a physician is recommending it for treatment of one of the Muscular Dystrophies, please ask him or her your question. I will refer your question to HT neurologists, as well. ...Read more

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What are some good exercises to strenghten a damaged hip flexor muscle?

Stretch first!: With any muscle injury, rehabilitation starts with stretching the muscle, then start strengthening. Hip flexors can be worked with a straight leg raise while lying on your back, with the knee bent or straight, with or without an ankle weight. Isometrics can be performed in the sitting position by pushing down on your knee with your hand while lifting the knee. ...Read more

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How can stimulation help in muscle rehabilitation?

Exercise substitute: Inactive muscle cells eventually die, and they can't be replaced. Neuromuscular electrical stimulation is designed to deliver small electrical stimulations to trigger skeletal muscles (as opposed to gut muscles) to contract without needing to physically perform exercise. Such treatments are only helpful in certain conditions, with more effectiveness at maintaining rather than building muscle mass. ...Read more

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How can strength training prior to a spinal cord injury (paralysis) affect recovery?

How can strength training prior to a spinal cord injury (paralysis) affect recovery?

A good start: Having good musculature before a neurologic injury may aid in recovery as the availability of neuromuscular junction receptors may be more primed towards stimulation. Also, post injury atrophy may not be as bad, so again more muscle to work with. ...Read more

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What are some good rehab exercises for a knee ligament injury?

What are some good rehab exercises for a knee ligament injury?

Depends: My answer to you is to see pm&r physician and see good physical therapist for home exercises program. Do not search internet to save money. ...Read more

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M77 , biopsy of vastus laterilus muscle says "secondary neurogenic atrophy with super imposed inflmatory myopathy" which disease this may be?thanks

M77 , biopsy of vastus laterilus muscle says "secondary neurogenic atrophy with super imposed inflmatory myopathy" which disease this may be?thanks

Your doctor needs: to findout if you have any cause for your neuropathy. This can be from many causes - usually diabetes or alcohol or other drugs are the cause. You need to go over with your doctor what possible things in your life are responsible for it. The secondary inflammation suggests you have a compromised immune system or slightly weakened one. People usually do not get inflammation of the muscle. ...Read more

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What are treatment options for nerve damage in leg due to quad strain (possibly sciatica/FM). Rest and gradual training?

What are treatment options for nerve damage in leg due to quad strain  (possibly sciatica/FM). Rest and gradual training?

1st need diagnosis: You may not have actually suffered "nerve damage" by virtue of your injury. You should get a good neurological examination performed of the lower extremity and then, the treatment for the "nerve damage" will be more clear. Of course, for a quad strain no one can argue the points of rest and gradual training to get back into things. That makes perfect sense. ...Read more

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What are the possible causes of right armpit, elbow, and thenar hand muscle atrophy and the pain associates with all three?

What are the possible causes of right armpit, elbow, and thenar hand muscle atrophy and the pain associates with all three?

Complicated: Thenar branch, median nerve (c8) is responsible for the innervation of the abductor pollicis brevis and opponens pollicis. The adductor pollicis is supplied by the deep branch of the ulnar nerve (c8-th1 to affect both, must be from an area where both nerves are in proximity. Disease/compression in the armpit or the neck would make sense. Investigate cervical spine and thoracic outlet syndrome. ...Read more

Atrophy (Definition)

Atrophy usually refers to the skin-as you get older or if you have had alot of sun in the past-the dermis (that is the layer below the top layer which is called the epidermis) gets thinner and the skin looks more wrinked. Muscles and fat can also get thinner -this is another form of atrophy. Even the top layer gets thinner ...Read more


Dr. Jay Rosenfeld
518 doctors shared insights

Rehab (Definition)

Rehab is an abbreviation for rehabilitation. Rehabilitation is the process of restoring one back to good physical or mental health ...Read more