Hello all,

first of all! I'm from norway and I'm studying physiotherapy in Holland.

I have a patient now at internship and he has got MS.
He has had the diagnose since 1992, then they treated him with "cortison" and that really helped alot. The symptoms almost disappeared but after 6-7 years, they came back after alot of stress. Hig biggest and "only" problem is the dropfoot.

He has strength 2 MRC on ankle dorsiflexion and hip flexion 3+ MRC. They have trained with him for the last 2 years now and very specific on the ankle problem. but the results are not good. I feel when checking his ROM that he is very stiff and have some spasticity in the M. gastrocnemius and the akilles is very tense. Is it possible to stretch that area so that it will be better after some time. or is a surgery the only way? any treatment options would be very much appreciated!

Thanks!!

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