Doctor insights on:
Spastic Paraparesis Of The Lower Limbs
Hereditary SP: Hsp, is a genetic disorder transmitted as autosomal dominant, meaning one of the parent has the disease in order to pass it to the offspring. It is a progressive spasticity in the legs , may be associated with hypertonic urinary incontinence, seizure, dementia, or peripheral neuropathy. ...Read moreSee 1 more doctor answer
Disorder of sp cord: A subacute condition with impairment of lower extremity >upper extremity function, sensory abnormalities, bladder functioning and girdling lumbar pain. About 80 % of patients with tsp have antibodies to htlv-1 (not aids virus..Htlv-3) the disorder and similar disorders were described in caribbean patients. ...Read more
Treat the symptoms: If the process is stable, and not progressing, best to try anti-spasticity meds, such as baclofen, tizanidine, or even a pump. Botox injections, although off-label, might be useful. Acupuncture has promise. Splints, braces, exercises all may help. If legal in your state, medical marijuana may help, as the research from europe suggests benefit in the spasticity associated with ms. ...Read more
Symptomatic treatmen: Hsp is a group of inherited disorders, often insidiously progressive and severe. There are no effective treatments to the underlying damage to the nerve axons so treatment is symptomatic. Baclofen, dantrolene and tinazidine may help with spasticity; oxybutinin with urinary urgency; gabapentin, Pregabalin and duloxetine for neuropathy. Vitamins, d, e and b6 may also help. Physical therapy also. ...Read more
I have severe spasticity in my lower left limb due to a tbi. A split tendon transfer is not an option, is an amputation a plausible next step?
Unlikely.: It sounds like your spasticity is so tight that it is focal rigidity and is refractory to other treatments. Although the answer is complicated, for brevity, it is unlikely that spasticity producing pain, skin breakdown, or some other secondary effect will require an amputation. In addition, if pain is a problem, you may end with phantom pain thus compounding your problem. ...Read moreSee 2 more doctor answers
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. ...Read moreSee 2 more doctor answers
For lower limb spasticity, are there any other injectables available besides Botox? I also do not like the idea of the baclofen pump.
A couple approaches: Several oral meds may work well for spasticity, such as tizanidine, dantrolene sodium, even diazepam. BOTOX is approved by FDA for upper limb but not yet for lower limb. Baclofen outside of pump is mediocre, but coming soon is long-acting form which will make all the difference (might try Amrix for time being). Also, try physical therapy, biofeedback, acupuncture. ?medical marijuana? ...Read more
Sir i got lower limb weekness since 2004 due to spine TB. it also causes spasticity. I'm using baclofen pump for spasm. how to recover? kindly help me
Only your treating -: -MD can answer. It's been 11 years,so he/her should be asked,as they have much more information to aid them. ...Read more
Paralyzis and hyperalgesia in one limb initiated 2 weeks after scoliosis surgery. sphincter incont Clonus. Spasticity. upper motor neuron lesion? why?
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