The patient had laser treatment in cervical area two years back. Then she started recovering by the help of physiotherapy treatment. She started walking but had frequent fall due to withdrawal of left leg(involuntary flexion). Later one stupid quack burnt the knee applying hot packs. It took nearly 8 months to heal.
Now prob is thr s lot of involuntary movemnet in both leg, comparatively more on left leg which knee is burnt Its very tough to do weight bearing for lower limbs. Whenever I try to stabilize the knee or hold the knee it starts flexion and takes time to stabilize.
Patients who controlled the movement disorder and managed to overcome it with Magnetotherapy of medium intensity that is greater than 200 gauuss with magnet closures methodical annexes nerve path I have improved by 80% momvimiento disorder in patients over 50 years old
In patients who controlled the movement disorder and managed to overcome it with Magnetotherapy of medium intensity that is greater than 200 gauuss with magnet closures methodical annexes nerve path I have improved by 80% momvimiento disorder in patients over 50 years old
Laser treatment of cervical regions (presumably not spinal cord) resulting in abnormal movements in the legs is highly suspicious for a functional disorder.
I agree with Michael Angel. As far as managing the involuntary movement is concerned, it needs to be defined if this is just imbalance and instability that is causing the movement or is it a real involuntary movement??
I agree with Michael Angel too. Anyway, Sidarth, if you think, it is "functional astasia" or "loss of postural tone", all signs and symptoms, including case history, could make shure the neurologic diagnosis, before MRI- or PET-scans should be made to look for a lesion in a higher than cervical region.
Why did the lady have cervical treatment? What was the problem. WHat was the cause? Was she in some kind of accident? Could it have been that other parts of the spine were involved? In this case you might test the function and control of the pelvis and lower back!
I work with patients who have had cervical lesions from a variety of causes resulting in what clinically appears to be ataxia, apraxia and general incoordination and instability. One patient particularly stands out who after cervical surgery exhibited severe truncal and LE ataxia, with multiple falls daily, bilateral LE clonus and severe limitations to ADL. Use of foot-drop stimulators bilaterally resulted in an immediate change in balance, coordination and movement. Over the course of 18 months he was able to wean from the stimulators. I am convinced the sensory stimulation as much as the motor was beneficial to his movement patterns. His deficits was primarily posterior column. As with the practitioners above, a detailed physical examination and understanding as much as possible of the underlying pathology is critical.
After a second reading of the responses I am wondering what is ment by functional disorder? Do we mean a possible psychological cause? I would really urge everyone to be very very carefull with such suggestions. Proprioceptive feedback can play strange tricks on the human body. I have seen many patients who were told they had some conversion or otherwise 'functional' problem, which in the end appeared to be an absolute problem with physical feedback. So please be reluctant with psychological labelling....
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