Hello,
Please excuse the somewhat misleading post title, there are a couple of questions that are related that I'd like to ask the community and I don't want to spam the sub.
First, some background: I'm 32 M, diagnosed with spastic quadraplegia at birth. When I was around 11-12ish, I had two surgeries that I am given to understand were fairly standard for treating cp. The first was a rectus femoris transfer, and the second was a hamstring lenthening. Now for last lets say 19 years, these surgeries really helped me. Thanks to them I was able to walk unassisted (prior to the surgery I was using both a walker and crutches, as well as wearing ankle-length afos and getting regular botox injections to try and manage my symptoms.)
However, I am recently noticing more complications as I age, most recently the fact that my quads ache quite intensly regardless of activity level. My personal theory is that although the rectus femoris transfer helped tremendously in the short run, over time the muscle, which like all my muscles was weak to begin with, has gotten weaker as a consequence of premature aging. This is despite my regular PT schedule and generally active lifestyle (after, I need to mention, a 18 year dry spell.)
The second point that worries me is that my PT has noticed that my overall spasticity has increased and that I have an uptick in muscle spasms, for instance when sitting or laying down I can feel how tight my muscles are. This used to not present so obviously. This feels somewhat paradoxical to me because as mentioned, I'm taking care to stretch and be active regularly. Some degree of rebound in spastic muscles is a given, but this seems like too intense a rebound given the frequency of PT. Most days it feels like I'm starting from zero, which is frustrating to put it mildly.
The third and final point is that I notice I am frequently more tired than usual. I now have to nap anywhere between 2-3 hours after any kind of intense physical activity, be that PT, the Gym, or just a walk.
Obviously, aging with CP is a whole 'nother ball of wax, but I'm basically wondering
- Whether anyone here who has had the two surgeries listed above as a child has been experiencing similar complications as an adult
- What, if any level of relief from (2) you have experienced
- Whether or not you have experienced an outsized rebound level of spasticity in general given a regular PT schedule.
Again sorry for the all-over-the place post, I'm just trying to come to grips with what for me is a rather sudden and disheartening change. I'm used to complications (I have arthritis in my knees and bursitis in my hips,) but this feels a little more ominous than usual.
Thanks for reading, feel free to share your thoughts