Get your Health question answered in 3 easy steps

180 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Child keeps leg tightened, looks like paralyzed. Is this normal. What should be done?

Answered by
Dr.
Dr. Balaji Chinnasami

Pediatrician

Practicing since :2005

Answered : 262 Questions

default
Posted on Thu, 25 Apr 2013 in Growth and Development in Children
Question: Hi, i have a 16 month old son, he tightens up his legs and can not move at all, doctor told to a head scan. he has them sitting laying down and when walking it is like he is paralized.
Please suggest is it normal and what can we do for him working properly.
doctor
Answered by Dr. Balaji Chinnasami 19 minutes later
Hi,

Thanks for your query to XXXXXXX

I am not able to clearly understand your complaints.

Kindly answer below questions which helps me to understand the problem better and opine specifically.
Is your child not able to walk at all till date?
Is your child only able to sit and lay down?
Is your child tightening his legs always when he attempts to walk?
How long has it been happening? How was the child at birth? Did he cry immediately? What was his birth weight? I need more information about the problem.

If your child has never been able to stand/walk till date, then it is not normal.

Probably your child’s development is delayed. In such scenario a head scan as advised by your doctor will help in diagnosis. He needs exercise and physiotherapy to decrease the tightening, so that he will be able to stand and walk.

If the tightening of his legs were only momentary (ie only for few minutes & in between he is normal) it could be seizure disorder. We need to evaluate him in a different manner.

Kindly give me more detailed information for clear guidance.

Waiting for your response,

Take care.

Dr. Balaji Chinnasami
Assistant Professor-Pediatrics

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Balaji Chinnasami 24 hours later
Please find more information for my Child.....

1.My child is Pre mature born, he has very low eye site in right eye.He would only can see clearly through left eye.we had a surgoery of both eye's and now its been follow up with L V XXXXXXX hosp.

2.Also he sits with folded legs at back side(just like WC) and he stands with some support with tightening legs and also walks some distance with support and shakes his legs.

3.at the time of birth, he had cried, and he was in NICU for 25 days, as his wight was 1.13kg.
doctor
Answered by Dr. Balaji Chinnasami 16 hours later
Hi dear,

I am really thankful for giving me much needed information.

Your child was premature with weight of 1.13kg requiring NICU care. Premature babies are at risk of developing a condition called cerebral palsy with diplegia. It predominantly affects lower limbs causing increased tone (spasticity) and hence difficulty in walking. Brain scan helps in confirming diagnosis.

It is a non-progressive condition which means he is not going to further worsen but will improve with age. Since he was preterm, his corrected age should be about one year. If we do good physiotherapy and occupational therapy, he will be definitely able to walk and stand, although a bit later than other children. His tone of the limbs will be improved by doing exercises (Physiotheraphy)

Usually premature babies have only difficulty in walking with abilities like talking. Intelligence is not that much affected.

So dear, be patient. Be under the guidance of a multidisciplinary team of doctors, opthalmologist, orthopedician, physiotherapist, occupational therapist and he will do better.

Take care. If you have any other queries I am happy to help or else close the query and rate it.

Dr. Balaji Chinnasami
Above answer was peer-reviewed by : Dr. Mohammed Kappan
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Treatment/Therapy

Recent questions on  Diplegia

doctor1 MD

Hai sir my name is ramcharan suffering with spastic diplegia from my birth now i an 26 years old in aug 2012 soft tissue release has been done for me.Now my condition is better than before but i am walking with knees in flexion Plese suggest me the atlernative that can help me to move independently such as any externel equiptment. http://youtu.be/-LzuMtdbeB0 please check this Thank you

doctor1 MD

Hi, our daughter is at moment 2y. 5m. old and is diagnosed with an atypical form of a mild Cerebral Palcy (it appears to be under the symptoms of diplegia). Our main problem is her sleep disorders since 6 months old. We tried almost everything with no success (melatonin, light sedative medication, etc.). Any suggestion or practical advise? This problem causes us a lot of nerves and a non calm everyday life... Thanks a lot ! I ll appreciate any helpful answer or advice! S.P. (Bulgaria)

doctor1 MD

Hello, Two MRI's show the following diagnosis: "There is a slight prominence of the cerebella folia". Recently, my daughter has been falling, experiencing consistent leg tremours, and an inability to maintain balance. The second MRI states...

doctor1 MD

hi, i am a 12 year old female who lives in sydney, australia. i was just wondering if i could start a workout program because i have a condition called cerebral palsy, i have the mild form which is spastic diplegia, it would be greatly appreciated if you could reply as to your convinience, i look forward to hearing from you yours sincerely, anonymous i obtain to remain anonymous for the privacy of my identity

doctor1 MD

My baby boy is 3 months old. He was a straight forward vaginal delivery at 40 weeks and was a big baby at almost 9 lbs. He is alert, holding his head, communicative, smiley, batting for toys and also is now reaching and grasping toys around him...

doctor1 MD

hi my 4 year old boys runs ackward and very slow he cant jump hop skip pedal bike or alternate stairs with each foot he has knock knees which he has custom insoles for he goes to physio cause his hip calf and heel muscles keep tighting dosent seem...