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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Stiffness In Legs

I have scar tissue on an area in my brain that controls my leg reflexes, I forget exactly what it s called but it s the corticospinal something I believe. My legs get tense and stiff and it worsens if I am thinking hard about something, my neurologist said that s because your thoughts run through the same area of the brain apparently. If my thigh muscles are tense and not completely relaxed before I go to bed then I will get a couple hours of deep sleep but when I wake up after a couple hours of deep sleep my deep thigh muscles will be tense and compressed and I will only get light sleep after. If my thigh muscles are loose enough I can sit down for half an hour and when I stand up my thigh muscles will stretch out and loosen up and then I will feel a deep relaxation and tiredness in a part of my brain and I can tell that I will get deep sleep again. It s like my deep thigh muscles are compressing a nerve or something and it s affecting my brain and preventing it from relaxing and getting deep sleep. Can somebody please try and make sense of this for me? Can anything more be done to relax muscle other than baclofen which I am on but isn t having a big effect? Can you inject a muscle with anthing to force it to relax? Is there anything that can be taken to relax the entire nervous system?
Mon, 8 Aug 2022
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Physical Therapist or Physiotherapist,  's  Response
Hello,

Well, the history is making me understand that you have spastic lower limbs. In this case we need to have you MRI brain scan report and also the films of MRI. As the interpretation and also the understanding of the scan may vary little from person to person. As mentioned by you that the area in the brain which controls the lower limb is having a scar, it may be demyelination of the white matter. As grey matter usually don't have a more effects.

So, as per me you need to perform the weight bearing exercises which can help the muscles to go for more neural impulses and then controlled of it. An isometric is the right choice to begin with and later progress to isotonic by which the neural impulses can have a pattern change. Also, you can take advise from a neurologist that Botulinum can be of any help. But usually this drug is advised for people with severe spasticity and contractures.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist
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Suggest Treatment For Stiffness In Legs

Hello, Well, the history is making me understand that you have spastic lower limbs. In this case we need to have you MRI brain scan report and also the films of MRI. As the interpretation and also the understanding of the scan may vary little from person to person. As mentioned by you that the area in the brain which controls the lower limb is having a scar, it may be demyelination of the white matter. As grey matter usually don t have a more effects. So, as per me you need to perform the weight bearing exercises which can help the muscles to go for more neural impulses and then controlled of it. An isometric is the right choice to begin with and later progress to isotonic by which the neural impulses can have a pattern change. Also, you can take advise from a neurologist that Botulinum can be of any help. But usually this drug is advised for people with severe spasticity and contractures. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist