Author Topic: I have CP & have been told that I need to change my gait.  (Read 3888 times)

leg_iron

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I've had chronic knee pain for a couple of years now. I have been under the care of a consultant orthopaedic surgeon at Southmead hospital which is the regional orthopaedic centre for where I live. He initially thought I'd got a torn cartilage but when he performed the arthroscopy there was no tear though my knee was showing early signs of osteoarthritis.

 I saw an orthopaedic physio today who told me that there was nothing more that they could do for me. Though she did say that I need to increase my baclofen & then change my gait because the way I walk is causing the pain in my knee. The physio got me to turn my feet inwards so that the toes were pointing in a "normal" position. As soon as she did that I was getting pain in my hips and my feet soon reverted back to their usual position.

I have CP (spastic diplegia) that I've had all my life. How the hell am I supposed to change my gait without causing me further problems.

auntieCtheM

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Hi Leg, what did the Dr say when you asked her that?

Defying Gravity

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I don't have CP but I do have a gait that causes me back pain (my right hip and foot turn out further than average, for no particular reason other than that's the way I walk). I found an osteopath helpful in identifying the problem and suggesting ways to train my muscles into a different habit. However I would have thought someone with CP would need specialist help and advice so I find it bizarre that they just told you to change your gait and sent you on your way.

leg_iron

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She suggested that I went to a decent physio & that could mean seeing a private physio.

leg_iron

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Auntie, I was rather shocked when she said that. I didn't ask how she suggested I changed my gait. She said that once I've increased my baclofen, I would need to do hip stretches to enable me to alter my gait. She did check my feet & commented on how much my feet were in spasm. The increase in baclofen might help with the spasming in my feet & legs.

independentgirl84

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Change your gait, as in walk differently? If only you'd thought of that before! Honestly, the way doctors go on you'd swear you were walking that way just to piss them off! grrrr. Nothing helpful to add; just wanted to say that I totally empathise. I've been told to stop turning in my left leg and was even made to wear splints for a while to keep foot straight. Had to stop wearing them as I intensely dislike being physically forced to use my body in a certain way.

Hugs and  >chocolate<

Fiz

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She suggested that I went to a decent physio & that could mean seeing a private physio.

She's more or less saying not only is she a rubbish physio but that the NHS are unlikely to have any good ones!  >doh<

I think she's right in that your gait could be causing the pain and I would think you would need to see a physio with knowledge of and who's experienced with people with cp to know whether your gait is a part of your cp that cannot be changed or whether certain exercises for certain muscles, ligaments and tendons could improve things. She's saying she's out of her depth here.

I would go back to your GP and see whether they can source a suitable physio, if the NHS don't have any but they exist in the private sector then the NHS can and do pay for you to see that physio. I had my physio at the Nuffield funded by the NHS.


leg_iron

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I'll talk to my GP & see if they can refer me to have my gait properly analysed.

seegee

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I wear orthoses in my boots & they definitely do change my gait (not CP but hypermobility is why I walk "wrong"). 
As the old ones start to wear out I get pain in my feet, knees & hips because I'm stressing the joints.  They are ordered via the podiatry clinic, made specifically to suit my peculiar feet & help me to walk without ruining my joints even more.  Podiatry/ biomechanics are the people who generally look at problems with gait, at least here.

leg_iron

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I've had orthotic insoles in my boots for years. They don't make any difference with the pain in my knee.

leg_iron

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I've been to see my GP this morning & he's increased my baclofen as well as referring me to a neuro physio. Also he's going to look into getting my gait analysed. He was very surprised that I've not had my gait analysed when I had a load of surgery on my feet. I did forget to ask to be referred to a pain clinic.

Yvette

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I did forget to ask to be referred to a pain clinic.

You can ask for a telephone consultation to save going back to the surgery and explain you forgot to ask for a referral last time.   >thumbsup<