By Randall T. Schapiro MD FAAN
Univ. of Minneapolis, MN. shopper textual content explores each symptom of a number of sclerosis and discusses clinically established and confirmed equipment for the administration of every. additionally features a thesaurus of universal clinical phrases and an summary of the features of MS. Halftone illustrations. DNLM: a number of Sclerosis--therapy.
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Adapt the fasteners on a child’s clothing for easier dressing. Have a child stand on a footstool while helping him or her dress or wash. Sitting and Desk Work • • • • • Arrange your desk and chair heights to facilitate maintaining proper posture, which reduces slumping of the shoulders and neck flexion. Use a chair that has good back support. Arrange your office so that your file cabinets, computer terminal, and other equipment are easily accessible. Use small lazy Susans on the desktop for pens, paper clips, tape, stapler, and so on.
Serially casting the joint (as if it were broken) by slowly stretching it with the casts may be helpful. In extreme conditions surgery may be required to release the muscle tendons to allow the joint to move. Joints usually freeze into a contracted position, but they occasionally become fixed in the extended or straight position. Although this usually is less of a problem in terms of overall function, it is not considered an acceptable outcome, and this type of frozen joint generally is treated in a similarly aggressive manner as a contracted joint.
However, if the dose must be continually increased and the person is using the medication not for spasticity but as a crutch to escape the realities of the world, it should no longer be used. Cyproheptadine (Periactin®) is an antihistamine that has antispasticity properties and may be a good add-on medication at certain times. Its sedating effect limits its use, but doses of 4 mg taken when needed may be helpful. A drug that is commonly used for spasms in the muscles of the back is cyclobenzaprine HCl (Flexeril®).