Chronic Inflammatory Demyelinating Polyneuropathy - CIDP

[Nandi Moffett]

Has anyone experience of electrotherapy with CIDP (Chronic Inflammatory Demyelinating Polyneuropathy) patients???

Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is an acquired immune-mediated inflammatory disorder of the peripheral nervous system but often can have central nervous system involvement. The disorder is sometimes called chronic relapsing polyneuropathy. CIDP is closely related to Guillain-Barre syndrome and it is considered the chronic counterpart of that acute disease. Its symptoms are also similar to progressive inflammatory neuropathy.

I just knew it had something to do with Guillain Barre. So, ... I have done the Wikipedia thing and there you go. I had lots of Guillain Barre patients, but never one that was given such a specific diagnosis.

Cheers,

Andrea

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[Gawaine]

would you do e-stim on a guillian-barre patient??

[Fyzzio]

My favourite answer: "it depends".
But as a general quick answer: no.

Cheers,
Fyzzio

[Canuck Physio]

Has anyone experience of electrotherapy with CIDP (Chronic Inflammatory Demyelinating Polyneuropathy) patients???

Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is an acquired immune-mediated inflammatory disorder of the peripheral nervous system but often can have central nervous system involvement. The disorder is sometimes called chronic relapsing polyneuropathy. CIDP is closely related to Guillain-Barre syndrome and it is considered the chronic counterpart of that acute disease. Its symptoms are also similar to progressive inflammatory neuropathy.

I just knew it had something to do with Guillain Barre. So, ... I have done the Wikipedia thing and there you go. I had lots of Guillain Barre patients, but never one that was given such a specific diagnosis.

Cheers,

Andrea

I recently had a patient of this type,

although the condition was being the result of mercury poisoning or something of that sort (has been a while now can't remember the notes of by heart).

Came in with basically GBS symptoms like a blue moon, but did not show the typical GBS symptoms over time,

Ended up with significant Gastroc and soleus shortening causing intense and acute pain during stretch. The hands also became like this, but because the flexor and extensor wrist muscles have no significant pull was able to use hands to a minmimal extent.

The course of action was an excellent course of physio to prevent shortening (orthoses), and maintaining mobility