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Conditions We Treat

Rhizotomy and PERCS

Spasticity is a challenging condition characterized by the stiffening or tightening of muscles, disrupting normal movement patterns. At Paley European Institute, we are committed to addressing the complexities of spasticity and providing comprehensive care to those affected.

Spasticity typically arises from damage or disruption to the brain and spinal cord regions responsible for muscle control and reflexes. This disruption often stems from an imbalance in signals that regulate muscle activity, leading to sustained muscle contraction. Individuals with conditions such as brain injury, spinal cord injury, cerebral palsy, or multiple sclerosis are prone to experiencing spasticity, which can profoundly impact their mobility and quality of life.

The symptoms of spasticity vary widely in severity, ranging from mild muscle stiffness to debilitating spasms. Common indicators include:

  1. Muscle stiffness, impeding precise movements and everyday tasks.
  2. Painful and uncontrollable muscle spasms, significantly affecting comfort and mobility.
  3. Involuntary leg crossing, posing challenges to posture and gait.
  4. Muscle and joint deformities, which may worsen over time without intervention.
  5. Muscle fatigue, complicating physical activity and endurance.
  6. Inhibition of longitudinal muscle growth and protein synthesis, potentially leading to further complications.

At Paley European Institute, we prioritize patient-centered care, emphasizing compassion, collaboration, and excellence in every interaction. Our goal is to empower individuals affected by spasticity to reclaim their independence and enjoy an improved quality of life.

Rhizotomy and PERCS

Spacity treatment at the Paley European Institute

At Paley European Institute, our multidisciplinary approach to spasticity management integrates advanced medical techniques with personalized care. Our team of specialists collaborates closely to develop tailored treatment plans, which may include:

  1. Physical therapy: Targeted exercises to improve muscle strength, flexibility, and range of motion.
  1. Medications: Prescription medications to alleviate muscle stiffness and reduce spasms.
  1. Orthotic devices: Custom orthoses to support proper alignment and enhance mobility.
  1. Interventional procedures: Minimally invasive techniques such as nerve blocks or intrathecal baclofen therapy to alleviate spasticity symptoms.
  1. Surgical interventions: Surgical options like selective dorsal rhizotomy or tendon lengthening to address severe spasticity and associated deformities.

Selective Dorsal Rhizotomy (SDR) plays a crucial role in managing muscle tone in children with cerebral palsy. By selectively targeting sensory nerve fibers originating from the muscles, SDR aims to rebalance the messages within the spinal cord, allowing for better coordination between commands for stiffness and flexibility. This surgical intervention offers a means to address the primary cause of spasticity at its source, thus facilitating smoother and more controlled movement. While SDR primarily targets muscle tone, it’s essential to recognize that cerebral palsy encompasses various movement-related challenges beyond spasticity. Therefore, SDR serves as a significant step in improving mobility and functional abilities, but it may not address all aspects of motor impairment. Integrating SDR into a comprehensive treatment plan tailored to each child’s unique needs is key to maximizing their potential for independence and quality of life.

At the Paley European Institute, we follow a comprehensive approach to the treatment of patients who undergo Selective Dorsal Rhizotomy (SDR) surgery. While SDR effectively relieves spasticity, some patients may require additional muscle and tendon lengthening procedures to address contractures and optimize their mobility. Below is an outline of the conditions we treat, the procedures we perform, and the post-operative care involved in the treatment of SDR at our institute.

Rhizotomy and PERCS

In the realm of cerebral palsy treatment, the journey toward enhanced mobility often involves a multifaceted approach.

Selective Dorsal Rhizotomy (SDR) stands as a cornerstone in addressing spasticity, yet for some patients, the quest for optimal mobility extends beyond SDR. Enter PERCS, an innovative procedure that synergizes seamlessly with SDR to propel patients toward newfound freedom of movement.

SDR surgery represents a pivotal moment in the lives of individuals with cerebral palsy, offering relief from spasticity and laying the foundation for improved motor function. However, the journey toward optimal mobility doesn’t end with SDR alone.

Enter PERCS, a revolutionary approach to tendon lengthening that aligns seamlessly with the objectives of SDR. While SDR targets the root cause of spasticity, PERCS addresses residual contractures and stiffness, unlocking a realm of possibilities for enhanced mobility.

At the Paley European Institute, we champion the precision and efficacy of PERCS over traditional tendon lengthening methods. By leveraging minimally invasive techniques and strategic incisions, PERCS minimizes weakness and accelerates the path to recovery, complementing the transformative effects of SDR.

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Rhizotomy and PERCS

The synergy between SDR and PERCS is undeniable.

Together, these procedures form a comprehensive approach to cerebral palsy treatment, empowering patients to reclaim their independence and embrace a future filled with possibilities.

Join us at the Paley European Institute and embark on a journey toward enhanced mobility and freedom. With SDR and PERCS as our guiding lights, we are committed to unlocking the full potential of every patient we serve. Together, let’s redefine possibilities and transform lives for the better.

At the Paley European Institute, our multidisciplinary approach ensures comprehensive treatment for patients undergoing SDR surgery, including additional procedures for muscle and tendon lengthening. Through minimally invasive techniques, personalized rehabilitation plans, and attentive post-operative care, we aim to optimize mobility and enhance the quality of life for our patients with cerebral palsy and related conditions.

Rhizotomy and PERCS

Procedures We Do