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Recent Injury July 05th 2010

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  • Recent Injury July 05th 2010

    Hello Friends,
    My brother had a T12-L1 fracture last month. He is undergoing PT and OT now.
    He had a complete injury with ASIA level A injury. His injury level was upto L1 but now he has regained sensation from L1 upto L4.
    I remember his neurosurgeon saying that sensation is the last thing to regain.
    Is this information correct? Is there any hope of motor and bladder bowel recovery.

    Regards
    NChopda

  • #2
    There is always hope! As long as he continues to work hard he can have a very rewarding and active lifestyle. My son is ASIA A and has not seen any return but he has gotten much stronger and can do most things he puts his mind to. He is T4 so our focus has been torso/core strength and balance, we have seen tremendous progress there.

    Comment


    • #3
      My son is L1 with function to L3. He has sensation to the ankles (except for saddle area). When he was first injured there was no sensation below the waist. We found that sensation and function returned on their own, when they were ready. No rhyme, no reason. Some things came back, some things didn't. The best thing is to not lose hope and to keep working hard. Exercise has played a key role in his recovery. I can't say enough about making the most of every single muscle that you can control.
      Does your brother have any movement below the level of injury? What have they tried so far in PT? Leg braces? the parallel bars, etc. He continues to gain strength every day. Actual functional return seems to have peaked at about the 2 year mark.

      Don't give up hope.

      Best wishes.
      Ugh, I've been kissed by a dog!
      Get some hot water, get some iodine ...
      -- Lucy VanPelt

      Comment


      • #4
        Thanks Sharon and Lucy. My brother does not have any movement yet, but his sensation has increased from knees to his toes (nothing on the soles yet).
        Also he walked a few steps yesterday with leg braces. He is doing parallel bars etc and also upper body strengthning.
        Lucy did your continue with outpatient PT for 2 years or was he doing his PT from home.
        Also what was his ASIA after the injury. DO let me know.
        Thanks for your help

        Comment


        • #5
          alternative therapy

          Its been 3 and half months since my brother was injured. he has gained sensation in his lower half completely except S2 and S3. No bowel movement control or no motor movement yet.
          what are the options from here
          1. Electrical Stimualtion ( how much current should be applied)
          2. Accupressure and Accupuncture (any side effects)
          3. What else?

          Please let me know if you have anymore leads for him

          Comment


          • #6
            Originally posted by nchopda View Post
            Its been 3 and half months since my brother was injured. he has gained sensation in his lower half completely except S2 and S3. No bowel movement control or no motor movement yet.
            what are the options from here
            1. Electrical Stimualtion ( how much current should be applied)
            2. Accupressure and Accupuncture (any side effects)
            3. What else?

            Please let me know if you have anymore leads for him
            I don't think #1 will work. I have motoneuron damage too
            and stim did nothing.

            Comment


            • #7
              hi buck
              thanks for your comment.
              how do a person know if he/she have motoneuron damage or not. does it mean that since she/he does not have any motor movement yet.
              also is there a certain pattern for recovery, i mean
              does motor come before sensation or vice versa?

              Comment


              • #8
                Originally posted by SharonD View Post
                There is always hope! . . .
                Do you mean "there is always hope" for bladder bowel recovery for someone who has a complete injury?

                Comment


                • #9
                  If you have paralysis, you have motor neuron damage. It may be upper motor neuron, or lower motor neuron, or both, depending on the location and extent of the injury.

                  Return can occur within the first 2 years or longer. There is no way to predict how much or what type of return will occur, if it should occur. Not everyone gets return, but the hope that it will occur should not be discouraged.

                  (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


                  • #10
                    Originally posted by SCI-Nurse View Post
                    If you have paralysis, you have motor neuron damage. It may be upper motor neuron, or lower motor neuron, or both, depending on the location and extent of the injury.

                    Return can occur within the first 2 years or longer. There is no way to predict how much or what type of return will occur, if it should occur. Not everyone gets return, but the hope that it will occur should not be discouraged.

                    (KLD)
                    Thank you for explaining this and thank you for saying "hope that it will occur should not be discouraged".

                    Comment


                    • #11
                      Originally posted by nchopda View Post
                      hi buck
                      thanks for your comment.
                      how do a person know if he/she have motoneuron damage or not. does it mean that since she/he does not have any motor movement yet.
                      also is there a certain pattern for recovery, i mean
                      does motor come before sensation or vice versa?
                      It's specifically lower motor neuron damage. He was injured
                      in the nerve root area below the spinal cord and probably
                      doesn't have spasms. My therapists thought I should be
                      having spasms, but I wasn't, so they stimmed my legs.
                      No contraction and after another nerve conduction test they
                      concluded that I also had lower motoneuron damage.

                      Not to be discouraging, but I haven't regained any function
                      since the day of my injury. My injury is a bit different since
                      I injured the actual spinal cord too, not just nerve roots.

                      This thread should help answer some of your questions about
                      his injury. SOURCE

                      Comment

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