During the summer months of 1997, we spent the whole summer in serial casting after Botox injections to correct plantarflexion and inversion of the left foot. A splint was to be fabricated with no luck secondary to the heel of the foot raising up when walking. He had recieved another botox injection in July which gave no relief. Currently he is taking 60mg. of Lioresal and 125mg. of sinemet. We still have no relief, and the right foot is now involved, plantarflexion with inversion.
Minor relief is evident.
I would like to have some input to this problem and a possible referal to the Cleveland Clinic. In final, I would like to mention, in September upon returning to school, I noticed the Ritalin increased the spasms in his left leg and stopped giving him the Ritalin. I would also like to mention, he is otherwise a health 12 year old, but has gone from using crutches to the use of a wheelchair because of the fatique and the increase of spasms after 10-20 feet trying to walk. I would appreciate your input. There are certain aspects of your story which do not fully add up, for instance dystonia is a centrally mediated disorder arising from the brain and is not usually attributed to peripheral structures like nerve roots or the spinal cord.