Doctor insights on:
Spina Bifida Occupational Therapy
Occupational therapy is a type of physical therapy to improve one's engagement of activities of daily living and their occupation. It includes reintroducing daily tasks of living including physical and mental task to help one improve a type of disability. Hand therapy is also a ...Read more
My wife was just diagnosed with spina bifida occulata (age 23). They said it's mild. Her tailbone hurts. What's the treatment for something like this?
See or sew: If the meningocele is covered by intact skin and no neurologic deficits are present, maybe nothing need be done except to be careful about traumatizing the area (see). If neurologic deficits are present or overlying tissues are fragile or breached, then surgery is needed to repair and protect the area (sew). Consult a neurosurgeon for more details. ...Read more
Fetal surgery.: All interventions for open neural tube defects aim at preventing further neuronal loss and cannot restore damage already done. That is why fetal interventions can prove a major breakthrough in prenatally diagnosed cases: the fetal neuronal plasticity and ability to regenerate damaged tissues is such that a much better long-term outcome can be achieved. http://women.texaschildrens.org/fetalcenter/. ...Read more
Is it advisable for a 53yr old to have back surgery for spondylosis. She has possible spina bifida on l-1, 2&3. What are the risks?
Spondylosis: Spondylosis is simply arthritis. This is not a common reason for spine surgery. Now, if pressure is present on the nerves from the arthritis (spinal stenosis) that is a different story. Spina bifida shouldn't affect treatment, as it usually is the occulta (stable) type. I would try nonsurgical treatment first: physical therapy, arthritis meds, nerve blocks, & reserve surgery for failure of above. ...Read moreSee 1 more doctor answer
Yes: Yes, but rarely. This condition is not common and as a family physician, i see only what comes my way. Spina bifida is usually approached in a team concept, usualy dealing with a primary care doctor (pediatrician, family physician or internest) along with physical therapist, neurologists, neuro-surgeons, physiatrist (physical medicine specialists) and a host of others. There are many issues. ...Read moreSee 2 more doctor answers
Spina bifida: Spina bifida is a very generic term that covers a lot of disorders of the spine that occur at birth. These can range from defects in the spinal bone to loss of the muscle and skin covering leading to herniation of the spinal cord and roots. There are a wide variety of causes known. ...Read more
To what degree?: If you are talking about spina bifida occulta, there will be no impact. If you are talking about cases with neurologic symptoms, it depends on whether lower nerve roots (sacral) are involved or if spinal cord is involved. People with spinal cord lesions are more susceptible to life-altering events than are those without. ...Read moreSee 1 more doctor answer