Selective Percutaneous Myofascial Lengthening (SPML) is a surgical procedure that aims to lengthen. certain muscles, or to reduce tone in the muscles.
The procedure involves making small cuts through the skin to reach and divide the connective tissue. around muscles.
How Soon Before Starting PT?
Children & adults are allowed to walk when comfortable within a week and sometimes the next day. If not walking the 3rd day,
it's time to start.
It usually takes 1-2 months to regain the before surgery level of activity, then expect monthly improvement up to 4-5 months from surgery.
Physical therapy can be very beneficial and can be resumed immediately following the procedure.
This is only for SPML - if it's combined with some other procedure then it changes things a little and your doctor will let you know
During the SPML surgery you may also be receiving Alcohol Blocks
They work by eroding the myelin sheath over the nerve. That slows the signal down from the brain.
Once the myelin sheath regenerates the signal speeds back up and spasticity is back.
The goal after surgery is to re-wire the brain so that when the spasticity comes back it won't be as bad with lots of rehab!
Once the brain learns a new route around the damage spasticity won't effect movement unless there's a growth spurt then there may be a need for another operation which isn't bad at all.
What exercises are recommended
after SPML procedure.
I decided to have the surgery because my spasticity was causing a number of issues one of which was pain.
I didn't really think walking was going to be a real option for me
as I'm 48 and a full-time
My doctor warned that I "could" be a lot weaker after surgery but we both decided it was worth it for pain managment and mobility improvement.
Little did I know that a week after surgery I was up on my walker and then a short time later using crutches moving toward walking independently as an actual goal.
I still can't believe it. There has been ups and downs just like any rehab but the most important thing is I am moving forward.
Before SPML - therapy did little to nothing for me in all the years I had it. Why? Because spasticity wasn't addressed.
It's the number 1 reason people with spastic CP have pain and lose mobility over time.
It causes bones and joints to
grow abnormally and the spasms are miserable.
I would do it again if I had to. It's the single best surgery I have ever had (and I've had many)
for my legs
Dr. Roy M. Nuzzo, MD
He created SPML Technique
99 Beauvoir Ave,
Summit, NJ 07901
Phone: (908) 522-5801
*Does not take insurance to my knowledge
David Yngve, MD
Department of Orthopedics
301 University Blvd. Ste. 2. 316
Galveston, Texas 77555-0165
Call and ask for Belia
She will send you the packet to fill out and explain what the doctor will need.
This is my doctor
A medical fitness community focused on managing MS,CP and other neurological conditions and symptoms, improving function, and slowing down the progression of MS using the power of exercise.
I pair this online gym with my hands on therapist. My hands on therapist is a functional therapist which is why I picked her she truly understands the body and how it's supposed to move through space and how to help the patient understand.
They have a free program on facebook just search for MSGYM and they have a paid version which I am apart of.
Trevor focuses on Neuroplasticity and how it can re-wire your brain around damage.
is a group of disorders that affect movement and muscle tone and posture.
It's caused by damage that occurs to the immature brain as it develops, most often before birth.
Signs and symptoms appear during infancy or preschool years.
Medical experts recognize four main types of cerebral palsy; they are: Spastic, Athetoid, Ataxic and Mixed.
Physicians consider the main type of movement disorder associated with the condition to diagnose types of cerebral palsy in their patients.
Reasons why these don't work for long term. Tiredness, drowsiness, sedation, fatigue-weakness, dizziness, dry mouth, depression, decreased blood pressure.
Over time they stop working and you have to take them for life if you don't get SPML - I have friends that take 80mg of one and 60mg of another muscle relaxer and it's still not enough...
Pain is a big problem the older we get the worse it gets. Mobility starts to decline around age 10 (at least it did for me, I have spastic dipledgia)
The unlikely collaboration between a veteran choreographer and a young actor (Gregg Mozgala) with cerebral palsy delivers astonishing proof that each and every body is capable of miraculous transformation.
As Tamar Rogoff trains Gregg Mozgala to become a dancer, they discover that her lack of formal medical training and his fears and physical limitations are not obstacles, but the impetus for their unprecedented discoveries.
“Enter The Faun” is the story of a joyous, obsessed journey towards opening night. It challenges the boundaries of medicine and art, as well as the limitations associated with disability.
Brain cells and nerve transmission require a lot of energy and water is an important component in providing that energy.
Water gives the brain the electrical energy for all brain functions.
Hormone and neurotransmitter production require water.
Hormones and neurotransmitters control our thoughts, feelings and actions.
Re-wiring the brain requires lots of water!
I'm very sensitive to "man made drugs" and I have A LOT of pain.
Doctors have given me different medications that have literally made me sicker than a dog and in one case praying for death I was so sick.
So now I only treat my pain with pot and it's increased the quality of my life 100%
Lets talk about FOOD :)
No bigger motivation than to actually see progress! Once spasticity is gone true therapy can begin.
No matter what your limitation you have to move!
Walk This Way is a fantastic intensive rehab program
after SPML - They are located in Texas part of the year.
Therapist: Mike Poole
Feet, What do I need you for when I have wings to fly? - Frida Kahlo