25 years old male came to my chamber with a complain of low back pain ,unable to walk properly and lost his control from bowel and bladder also suffering from neck pain radiate to lateral aspect of arm and leg, his MRI reports show c1tod1. Dorsal myelinolysis and also d5 to d12 dorsal myelinolysis. I think most probably it is a case of transverse myelinolysis, could you please tell me how can I treat this patient properly, please give me real suggestion?

Dr. Arunima SharmaPhysiotherapist10yrs exp

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- use of tens / ift. - you can teach him exercises for neck, its precautions and for radiating pain to lateral side of arm radial nerve mobilasation. - for lumbar exercises (which includes priopreioception, balancing exercises as sacaral nerve roots are afffected) - stroking of fingers or with brush will enhance his sensations) - strengthening of affected and unaffected muscles. - teach him exercises of upper limb which he could do independendly. - teach him sitting to standing with use of assisted device, whether on wheelchair or using sticks. - initially take small goals which patient wants first to do his ADL, this boost your and patients confidence always. - you can also watch utube vedios also for your special goal related treatment.  

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