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Need some thoughts regarding deteriorating/ weakening muscle

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    #1

    Need some thoughts regarding deteriorating/ weakening muscle

    Hi all,

    I am a T7 incomplete 35 years post injury(55 years old). Recently (last 5 years ) I've my plantar flexion has gotten more and more difficult. I use that foot to drive using only the accelerator, I use a hand brake for braking. I keep thinking it's because my tendons have gotten tighter through the years. So now i'm beginning to stretch them. I've been going to a Rehab place that doesn't really quite know what to do. I'm also thinking maybe some FES? if FES, any recommendations? any thoughts from anyone here would be appreciated!
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    #2
    Have you been evaluated for a syrinx? Any sensory loss in your legs where you previously had good sensation?

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

    Comment

      #3
      Originally posted by SCI-Nurse View Post
      Have you been evaluated for a syrinx? Any sensory loss in your legs where you previously had good sensation?

      (KLD)
      I have not but there's no loss of sensation at all. the strength is there but it just feels like when I lift my foot , its really tight. and since im not as active as I was when I was young, I work it out less.

      Comment

        #4
        I think you need to see a good neurologist who can determine if you have developed some peripheral neuropathy. The problem may be with the cord or the peripheral nerve, and FES is a possible treatment IF you don't have some type of peripheral neuropathy.

        (KLD)
        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

        Comment

          #5
          Originally posted by SCI-Nurse View Post
          I think you need to see a good neurologist who can determine if you have developed some peripheral neuropathy. The problem may be with the cord or the peripheral nerve, and FES is a possible treatment IF you don't have some type of peripheral neuropathy.

          (KLD)
          What kind of FES machine would be best ?

          • Likes 1

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          • SCI-Nurse
            #5.1
            SCI-Nurse commented
            25 Mar 2023, 3:38 PM
            Editing a comment
            FES may not be the best treatment. You need to find what is causing it first; thus seeing a neurologist is first. (KLD)
          #6
          I have an Empi 300. It came very highly recommended by some SCI focused OTs. I don't know if this model is still available.

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