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Suggest Treatment For Mild Spastic Paraplegia When Diagnosed With Mild Cerebral Palsy

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Posted on Wed, 7 Oct 2015
Question: Hi! When I was 18 months old, I was diagnosed with mild Cerebral Palsy that affects my left side. I have mild spastic paraplegia in my left foot and it required a heel cord lengthening at 8 yrs of age. As an adult, I've been suffering from Chronic Lymphedema (Primary) with no official known cause. As a result, this disease has affected both legs, but the left is much worse.

My question is, even with the specialized treatment I am currently receiving, is there a possibility that I would have to undergo another heel cord lengthening after 40 yrs?

Thank you!
doctor
Answered by Dr. Olsi Taka (39 minutes later)
Brief Answer:
Unlikely

Detailed Answer:
I read your question carefully and I understand your concern.

It is true that some times surgery to counter spasticity has to be repeated. However that is because of the changing body during the growth process. Since you are over 40 years old now, I do not think such type of surgery will become necessary now, to whatever extent spasticity has affected your muscle and tendons length it has reached its peak already.

I understand your lymphedema is worsening your use of the lower limbs but it's not something which can be acted upon by that type of surgery.

I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (11 hours later)
Okay, thank you, Dr. Take! You are probably right. After doing some reading on the Lymphedema, I have learned that in some cases, any invasive procedure could exacerbate the disease. I plan to discuss my concerns with my physician at my next appointment.

Thank you again for your help.
doctor
Answered by Dr. Olsi Taka (1 minute later)
Brief Answer:
You're welcome

Detailed Answer:
Glad to have been of help.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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Suggest Treatment For Mild Spastic Paraplegia When Diagnosed With Mild Cerebral Palsy

Brief Answer: Unlikely Detailed Answer: I read your question carefully and I understand your concern. It is true that some times surgery to counter spasticity has to be repeated. However that is because of the changing body during the growth process. Since you are over 40 years old now, I do not think such type of surgery will become necessary now, to whatever extent spasticity has affected your muscle and tendons length it has reached its peak already. I understand your lymphedema is worsening your use of the lower limbs but it's not something which can be acted upon by that type of surgery. I remain at your disposal for other questions.