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My husband is a C3 - C6 quaud. His arms are drawn up because he has functional biceps but no triceps. He has had range of motion from the time of injury but it has not prevented them from drawing up. Does anyone have any suggestions as to therapy or surgery. He was injury was in March of 2007.
Poor positioning and inadaquate ROM can lead to elbow contractures, esp. in someone who has a C5 injury (you cannot have a C3-6 spinal cord injury...does he have biceps? Wrist extensors)?
What does his physiatrist and OT say? Have dynamic splints been tried? Botox? Is surgery being considered?
In the hospital he had splints that they made by casting his arms. We also tried splints that have the wratchet mechanism at the elbow. Neither prevented the contractures. The physiatrist gave him medication to relax his arms a bit. Have not tried Botox. We do not have an OT. We were told the only thing that we could do for him is ROM. Seems that once you are released from the hospital you are pretty much on your own. Thats why I am posting these questions to see where we can go from here.
He should still be seeing a physiatrist who can evaluate the severity of his contractures and see if they can be corrected with splinting, exercise, Botox, and therapy or if surgery is needed...and if so a good physiatrist will be able to refer him to the right surgeon.
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