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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Muscle Tightness When Diagnosed With Cerebral Palsy?

My son has a disease that the muscles are so tight it is like wringing a mop.He was born with the disease and it was hereditary from his father.First we thought it was a form of cererable palsy.He is on some pretty high meds but his pain is so severe that I was looking for medical marajuana.But it is illegal in our state Wis.He will not smoke it neither as he has never done drugs and does not feel right.So now I am looking for a sauve that might help relieve some pain.His back is black from using heat all these years the skin is dead.He finally was diagnoist just a few years ago.There is no cure
Wed, 10 Jan 2018
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Cerebral palsy (CP) is a heterogeneous group of permanent, nonprogressive clinical syndromes that are characterized by motor and postural dysfunction.
In the case of your child, your major concern as i can make out is stiffness of muscles, medically called as spasticity.

Medications and/or surgery may help to reduce spasticity although they do not improve weakness and incoordination. I have listed down a few clinically proven beneficial therapies for the same.
1. Botulinum toxin — Injection of botulinum toxin type A (BTX A) into affected muscles decreases tone by limiting muscle contraction. It is injected into several areas of the muscle. Injections must be repeated every three to eight months to maintain the effect
2. Oral antispastic drugs — Benzodiazepines (diazepam), dantrolene, and baclofen have been used by some clinicians to treat spasticity in CP but are generally less useful than BTX. .
3. Intrathecal Baclofen - It involves giving the drug directly in the spine (CSF) to achieve higher drug levels and better response.
4. Selective dorsal rhizotomy and deep brain stimulation are some of the surgical therapies that have been tried with limited success.
Remember, I have given you an overview of the available treatment options. Final decision can be taken by your neurologist after assessing the functional limitations and extent of disease.
The pain will also subside once his muscles relax and stiffness is decreased.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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What Causes Muscle Tightness When Diagnosed With Cerebral Palsy?

Cerebral palsy (CP) is a heterogeneous group of permanent, nonprogressive clinical syndromes that are characterized by motor and postural dysfunction. In the case of your child, your major concern as i can make out is stiffness of muscles, medically called as spasticity. Medications and/or surgery may help to reduce spasticity although they do not improve weakness and incoordination. I have listed down a few clinically proven beneficial therapies for the same. 1. Botulinum toxin — Injection of botulinum toxin type A (BTX A) into affected muscles decreases tone by limiting muscle contraction. It is injected into several areas of the muscle. Injections must be repeated every three to eight months to maintain the effect 2. Oral antispastic drugs — Benzodiazepines (diazepam), dantrolene, and baclofen have been used by some clinicians to treat spasticity in CP but are generally less useful than BTX. . 3. Intrathecal Baclofen - It involves giving the drug directly in the spine (CSF) to achieve higher drug levels and better response. 4. Selective dorsal rhizotomy and deep brain stimulation are some of the surgical therapies that have been tried with limited success. Remember, I have given you an overview of the available treatment options. Final decision can be taken by your neurologist after assessing the functional limitations and extent of disease. The pain will also subside once his muscles relax and stiffness is decreased.