Suggestions in India (Rajasthan) for specialist using Botox for spasticity

[physiobob]

Dear members,

Right now I am in Udaipur in India working on elements of our site and enjoying the friendly hospitality of the Udaipur people.

Importantly I have been visiting with my main coders and a lovely family who have two sons (both over 30 yrs of age) with some degree of learning disability. The family had let me know before coming that one of them was born with a club foot. So yesterday I decided to go take a look.

What it looks like to me is an overactive stretch reflex (or an un-modulated one) to his achilles (bilaterally). The end result has been that he walks on the demi-pointe like a dancer or a woman in high heels only without the shoes!

In looking at a possible treatment approach we do need to consider his ability to be compliant with the treatment. His fluctuating emotions would make an orthopaedic (surgical) approach inappropriate however I thought perhaps a combination of the right supportive footware (a large pair of platforms that gradually reduce in heel height over time) with some measured botox for anti spasticity might be worth a go.

I look to the India and foreign physiotherapists in India who might know of someone using this approach for head injured patients as we have been using this for a long time in the UK and Australia.

I would also welcome any comment from anyone who has used this approach as a treatment option and would appreciate any insites into the pros, cons and difficulties in trying this.

Many thanks to all

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