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Treatment for sub acute quadriparesis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :   how can i help you
User :   sir I am in a fix I need your advice
Doctor :   ok
Doctor :   please go ahead with ur medical query
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependents: Yes/ No.
User :   my father is apatient of SUB ACUTE QUADEPARESIS
Doctor :   ok
Doctor :   Please provide your fathers details -Age: Gender: Occupation: Location: Marital Status: Dependents: Yes/ No.
Doctor :   please type in small letters
User :   he reside in xxxxxx
Doctor :   ok
User :   for last two years he is suffering from this desiese
Doctor :   ok
User :   now the condition is such that he is unable to walk and do his daily routine work
Doctor :   ok
Doctor :   so what would u like to know about subacute quadriparesis
User :   he is residing with my mother who is also a orthopedic patient
Doctor :   ok
User :   sir i want to know that what treatment should be done to cure his deasies
User :   sir can i give u the MRI scan report?
Doctor :   sure
Doctor :   what was the cause of this quadriparesis
User :   the MRI cerivical scan saya that Non-Contrast Sagittal T1 SE, T2 TSE, Axial T1SE, T2 TSE and MR Myelogram
Doctor :   ok
Doctor :   what is the impression
Doctor :   or final report
User :   1. cervical spondylysis changes with thecal indentation at C2-3 to C6-7 disc levels causing acquired canal stenosis and focal myelomalacia
Doctor :   ok
Doctor :   did u sustain any injury ?
User :   no
Doctor :   ok
Doctor :   drugs reduce inflammation in the injured area and help to prevent further damage to cellular membranes that can cause nerve death. Sparing nerves from further damage and death is crucial.
Doctor :   Each patient's injury is unique. Some patients require surgery to stabilise the spine, correct a gross misalignment, or to remove tissue causing cord or nerve compression. Spinal stabilisation often helps to prevent further damage. Some patients may be placed in traction and the spine allowed to heal naturally. Every injury is unique as is the course of post injury treatment that follows.
Doctor :   r u able to follow
User :   ok
Doctor :   any doubts please ask me
Doctor :   Narrowing of the dimensions of the spinal canal is called spinal stenosis
Doctor :   Spinal canal is present inside the vertebral bones and it contains the spinal cord, nerve roots and blood vessels supplying the spinal cord and nerves. The vertebral bones form the vertebral column (back bone). The reduction in the size of spinal canal can compress the spinal cord, nerve roots or blood vessels that supply the spinal cord. Spinal stenosis may be congenital (present from birth) or acquired.
User :   SAC at C2-3 is 1.06 cms, at C3-4 is 0.54cms, C4-5 is 0.62cms, C5-6 is 0.70cms, and at C6-7 is 0.85cms
Doctor :   is he diabetic or hypertensive
User :   he is slightly diabetic
Doctor :   ok
Doctor :   Analgesics and physiotherapy are the main stays of medical management.
Doctor :   good physiotherapy is essential since he is bed ridden
User :   what is Analgesics?
Doctor :   pain killer
Doctor :   care must be taken to see that be doesnt develop bed sores
User :   is there anr othet treatment other than surgery?
Doctor :   Surgical decompression for is undertaken when pain and numbness becomes severe in spite of medical management.
User :   he is developing bed sore but in the early stages
Doctor :   it needs to be treated promptly
Doctor :   i suggest u get a water bed
User :   what is that
Doctor :   A bed with a mattress made of a tough plastic that is filled with water.
Doctor :   it will prevent development of bed sores
User :   during winter season and in cold days he is unable to walk
Doctor :   any doubts please ask
Doctor :   he is able to walk now
Doctor :   u told he is paralysed
Doctor :   treatment is basically symptomatic
Doctor :   r u there
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM IST everyday.
User :   i am there doc
User :   pls sir i want your advice
Doctor :   r u there
User :   yes
Doctor :   A physiotherapy (PT) program can facilitate the restoration of muscle strength, flexibility, improve mobility, coordination, and maintain body functions through exercise. Massage, hydrotherapy, and other treatments can help to relieve pain
Doctor :   Gait training may be taught to patients with difficulty walking, which could include teaching the patient how to use assistive devices (e.g., walker, crutches or a cane). physiotherapy benefits the patient be preventing complications
Doctor :   Occupational therapy (OT) teaches the patient how to cope with everyday life. OT encourages independence by helping the patient with daily tasks such as dressing, bathing, food preparation, going to the toilet, and other activities of daily living.
Doctor :   Speech and language therapy may be included. These skills cross over to the workplace, helping the patient develop their full potential. This might include teaching the patient how to use different muscles to complete tasks such as writing.
Doctor :   Sometimes more than the support from family and friends is needed to cope
Doctor :   Surgery may be considered if the spinal cord is compressed and when the spine requires stabilization. The surgeon decides the procedure that will provide the greatest benefit for the patient.
Doctor :   Different tissue and bony structures including vertebrae misaligned from the force of injury, a herniated disc, or a haematoma can cause spinal cord compression. An unstable spine may require spinal instrumentation and fusion to build in support.Spinal instrumentation and fusion can be used to provide permanent stability to the spinal column. These procedures correct, join, and solidify the level where a spinal element has been damaged or removed
User :   sir earlier he was able to walk and do his day to day activity quite normally
Doctor :   ok
Doctor :   what was the reason he had this paralysis
Doctor :   was it sudden or gradually
Doctor :   he developed weakness
User :   we thougght that he is curing but suddenly from last month the pain has again statted
Doctor :   ok
Doctor :   did he have fever orcold before he developed this weakness?
User :   actually he has lost all his confidence in him
Doctor :   ok
Doctor :   so what would u like to know about now
Doctor :   YYYY@YYYY
Mobile : 0000
Doctor :   confirm ur details please
User :   sir i want to know that is there any treatment centre that undertake this type of pateint
Doctor :   where are u located
User :   i am locaten near xxxxxx
Doctor :   any multi specialisty hospital with neurology dept
Doctor :   can take care
User :   basically i am residing in xxxxxx
Doctor :   ok
User :   I am in xxxxxx
Doctor :   i suggest u to consult neurologist for further treatment and management
User :   earlier we were treating him with physiotherapy and xxxxxx and yogas
Doctor :   he needs good physiotherapist and regular follow ups with neurologist
Doctor :   to assess his neurological condition
Doctor :   we are bangalore based and as of now operational in bangalore.
Doctor :   anything else u want to us to help u with
User :   can you suggests me any name of some hospitals or institutions atxxxxxx or at xxxxxx that can take care of my father health
Doctor :   we dont have database forxxxxxxor xxxxxx as of now
Doctor :   Is there any thing else that I could help you with?
User :   he is behaving like child
Doctor :   ok
User :   one has to be with him every time
Doctor :   he needs good psychological support
Doctor :   from family along with treatment
User :   at night he is getting up for passing urine for abuot 5 to 6 time
Doctor :   ok
User :   and every time he gets up he calls my mother
Doctor :   ok
User :   he is very much afraid of darkness
Doctor :   ok
Doctor :   I can understand your problem. However, since I am a general practitioner I may not be able to help you much with this. You will have to speak to a qualified specialist who will be able to help you out with this problem.
User :   he thinks that if he go alone he can fall down
Doctor :   k
Doctor :   We offer to fix up an appointment with the specialist to talk to you over phone or chat with you on internet. That will be a paid service.
Doctor :   YYYY@YYYY Mobile : 0000
Doctor :   Could I confirm your contact details so that we can fix the appointment. Your identity will be kept completely confidential.
User :   pls do the needful sir
Doctor :   we would u like to have appointment
User :   i will be available on mobile after 1600hrs in weekdays and all times in saturday and sundays
Doctor :   ok
Doctor :   One of our doctors will get back to you soon with all the relevant details.
Doctor :   since we are operational in bangalore
User :   i can be also available on internet in the evening time at your desired time
User :   sir can i know ur name
Doctor :   i suggest u to consult the counselor
Doctor :   Dr.xxxxxx
Doctor :   i suggest u to see a counselor
User :   r u with some medical institution and where in banglore
Doctor :   We have a long queue of patients waiting for our service. Do log in again after a few hours to clarify other medical doubts.
Doctor :   we provide online medical consultation
User :   i had been there for 3 years when I was doing training
Doctor :   ok
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
Doctor :   I have to close this chat window as you have moved out of the chat. Please log in again if you need further medical advice.
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