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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In Hips And Legs With History Of ALS?

My husband was diagnosed with ALS but his mother and her whole side of her family have hereditary spastic paraplegia. I am strongly wondering if he has been diagnosed. His upper body is fine except his tongue twitches at the very end. His arms are strong. It s only his lower body and his legs where he has trouble walking and his legs shake and are weak. The neurologist did a nerve conduction study last week. He has terrible pain in his hips and back. The doctor said he shouldn t have this kind of pain with ALS. I am determined it s hsp which is not terminal.
Mon, 16 Nov 2015
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  Anonymous's Response
's  Response
Hi dear , I have gone through your question and i understand your concern.
Pain can sometimes occur as a result of passive injury to joints where the controlling muscles are already weak.This can include injuries or joint dam-
age as a result of assisted transfers, or improper use of mobility equipment.Braces (called orthoses) can be prescribed to support weak muscles and
joints and, in certain circumstances, to reduce discomfort.Joint pain and stiffness can occur because of lack of movement and use of one's limbs. For many, joint pain can be alleviated by moving around and not sitting in the same position for a long length of time. Those who are immo-
bile should have a caretaker assist with movement exercises.
Cramping and light pain can be alleviated by keeping the muscle warm and having a caregiver stretch out the areas causing discomfort.A regular stretching/range of motion program has also been shown to reduce spasticity and spasms. A physiotherapist can help teach you and your care-
givers these exercises.
Pressure relieving equipment may also be available through the Equipment Loan.Program at the local provincial ALS Society.
Hope you find the answer helpful, please do get back for further queries I will be happy to assist you.Please rate 5 stars for finding some benefits with this information it will ignite me to help more.
Wishing your good health.
Regards
Dr.Vigyan Mishra


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What Causes Severe Pain In Hips And Legs With History Of ALS?

Hi dear , I have gone through your question and i understand your concern. Pain can sometimes occur as a result of passive injury to joints where the controlling muscles are already weak.This can include injuries or joint dam- age as a result of assisted transfers, or improper use of mobility equipment.Braces (called orthoses) can be prescribed to support weak muscles and joints and, in certain circumstances, to reduce discomfort.Joint pain and stiffness can occur because of lack of movement and use of one s limbs. For many, joint pain can be alleviated by moving around and not sitting in the same position for a long length of time. Those who are immo- bile should have a caretaker assist with movement exercises. Cramping and light pain can be alleviated by keeping the muscle warm and having a caregiver stretch out the areas causing discomfort.A regular stretching/range of motion program has also been shown to reduce spasticity and spasms. A physiotherapist can help teach you and your care- givers these exercises. Pressure relieving equipment may also be available through the Equipment Loan.Program at the local provincial ALS Society. Hope you find the answer helpful, please do get back for further queries I will be happy to assist you.Please rate 5 stars for finding some benefits with this information it will ignite me to help more. Wishing your good health. Regards Dr.Vigyan Mishra