SCI-Nurse
Super Moderator
Joined: 24 Jul 2001
Location: USA
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The therapy will help a lot. The VA SCI centers are very flexible. There should be shower days-those are the ones he should not refuse! But Showers/baths should make him feel better and best time to assess the skin also. CWO -
Everyone is different and not sure why. I had patients it made little difference( a small # and some that it continued to work for many years. I would say the most common would be that it worked 6 months(maybe longer in the beginning) and they could get off meds for a while. Repeat Btx worked but started...Leave a comment:
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Yes biofilms can be the cause of recurrent infections. What were your symptoms of the UTI? Elevator fever, fatigue, increased spasms? The prostate normally produces a white discharge. That is normal and is not an infection. CWOLeave a comment:
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Sorry , too finish… consideration and while dosing. It is complex but possible. CWOLeave a comment:
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Have you seen a spasticity specialist? Phenol injections can be injected in the larger muscles and Botox and similiar in smaller muscles. If these don’t work then baclofen pump is considered. Baclofen pump dosing always starts with lowest dose. But can’t be too high or you won’t be able to walk...Leave a comment:
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Similiar but FES is to stimulate the muscle. TENS and similiar is to decrease pain by the “gate theory”. Basically won’t feel the pain as the electrical stimulation will change it. Diclofenac gel on hands also might be helpful if inflammation related. CWOLeave a comment:
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You can take it as long as effective. Unfortunately it seems to not work after a while in some. A”holiday “ of 2 years May be tried. New medications such as Mirgabetron in conjunction with an anticholinergic may be used during that time. Research continues! CWOLeave a comment:
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Your provider has to write the prescription for the antiviral. If painful can use lidocaine topical gel twice a day. CWOLeave a comment:
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Shingles on the trunk usually follows the nerve pathways along the ribs. It usually includes small blisters too.
Have you been vaccinated for shingles? Antiviral drugs for shingles must be started within 2-3 days of the onset of symptoms to be effective. Failure to treat properly can lead...Leave a comment:
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You don't have your location listed in your profile (please correct) but in parts of CA it is illegal to wash your vehicle at home unless you have a way to recycle the water, so it's off to the car wash for us (all are required to recycle their water). (KLD)Last edited by SCI-Nurse; 5 Feb 2023, 11:05 PM.Leave a comment:
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This is a difficult problem. A letter writing campaign to the a state licensing board of LPNs may be helpful. Has your physician talked to the physician and head nurse at the nursing home? Have you provided them the clinical practice guidelines for bowel care for persons with SCI?
https://pva...Last edited by SCI-Nurse; 5 Feb 2023, 4:35 PM.Leave a comment:
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When I was working we used almost exclusively Joerns products. (KLD) -
You have pronation and supination at C6 so these probably would not work for someone without those motions such as at C4. Generally you have to have fully intact C5-6 to have supination and pronation. (KLD) -
Better yes, but also much more expensive, and powered ones don't have battery back-up in case of a power outage. The ones I listed are mainline prevention products. The two you listed are on the border of prevention and treatment of pressure injuries.
(KLD)Leave a comment:
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Have you tried Lyrica? Tegretol? Marijuana?
Do you have metal hardware in your neck? If not, TENS might be worth a trial.
Some people have had some relief with acupuncture.
Root pain is difficult to differentiate from pain due to the cord lesion itself, especially...Leave a comment:
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Yes, there are people with incomplete SCI who can walk who use baclofen pumps. It is critical that you have a surgeon and a follow-up physician who know what they are doing and are very experienced in this with those with incomplete injuries. Your follow-up physician adjusts the dosage which can be...Leave a comment:
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It is hard to say. Botox started being used in the 1990s, so we have at the most 30 years of experience with it in SCI. It also differs from person to person. It is not the scarring that is an issue (and which is minimal) but some people develop a resistance to the chemical over time. The duration that...Leave a comment:
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Pretty specific to the UK system of health care and SCI Care. (KLD)Leave a comment:
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Might work best for those who are incomplete with Central Cord Syndrome. (KLD)
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