What should I do about abnormal lower extremity function after spinal cord embolization?

  For patients with spinal cord embolism syndrome, a successful surgery can only mean that the treatment is half successful, because the sequelae caused by the embolism, without good functional exercise and correction after surgery, will persist, especially in the lower limb dysfunction. The release surgery can only delay the further progress of the lower limb deformity, so what should be done if you want to walk normally?  First of all, the most puzzling question is why the spinal cord problem would involve walking on both legs. In fact, the function of the 1st to 5th lumbar vertebrae of the spinal cord controls the motor and sensory functions of the leg muscles. When the spinal cord is embolized, the spinal nerves there will be strained and the blood supply will be inadequate, and the corresponding nerves will not be able to “work”. As the spinal nerve is unable to innervate the movement of the lower limbs for a long time, the muscles of the lower limbs are not exercised and muscle atrophy occurs. Especially in children who are growing and developing, the development of the lower limbs will be limited, and over time, both bones and muscles will develop deformities.  Spinal cord embolism release surgery can stop the development of lower limb deformity, but if the lower limb deformity or even walking disorder has already appeared before surgery, it cannot be recovered by release surgery alone, and often requires post-operative rehabilitation training for correction, such as wearing corrective shoes. In cases where severe lower limb deformity has already occurred, orthopedic surgery of the lower limbs is also required for further recovery.  In general, those who have lower extremity dysfunction before surgery will have to undergo rehabilitation or even surgery to correct the deformity. If the preoperative lower limb dysfunction is relatively mild and the corresponding nerves have not been irreversibly damaged during surgery, then the mild lower limb dysfunction will be restored after surgery as the nerve function is repaired.  In the process of post-operative functional exercise, Chinese medicine rehabilitation physiotherapy and other modalities can also be selected appropriately. Postoperative patients try to avoid strenuous exercise and heavy labor, otherwise it will aggravate the strain of lumbar spine. The self-care of daily life is basically not affected. One month after the operation, you can do some basic exercises, such as children can do recreational exercises, etc.

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