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peroneal spasticity

 
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peroneal spasticity - August 21, 2006 11:12:00 AM   
sabby731

 

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I work in outpatient orthopaedics and don't have much experience with kids, but I have a preteen patient with unilateral peroneal spasticity. She had surgery 3 months ago - "medial facet capsulectomy and medial and lateral subtalar mobilization". Before that, she was casted. For 3 months, we have treated her with manual stretching, joint mobs, soft tissue work to peroneals and extensor digitorum, manual resistance to strengthen inversion, proprioceptive activities,strengthening, cryotherapy to reduce spasticity, ultrasound to peroneals, etc. She has had a botox injection. She continues to have severe spasticity that stops her from using her ankle normally and affects her gait. She has been seen by 2 doctors, one doesn't know what else to do, the other thinks she will eventually grow out of it. What else can we try? Anyone else with this experience?
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