Age: 46, Male, Presenting Problem Since: 16 months, Symptom Behaviour: mixed, Symptoms Worse (24hr Behaviour): stiff after waking up, Aggravating Factors:: periods of rest and activity, Easing Factors:: nothing really, Investigations: mri scan shows i may still improve over next 6-12 months, No Diabetes, High Blood Pressure: contolled to normal with candesartan and low salt diet (approx 120/75), Medications: paracetamol for back pain in morning, omeprazole for acidity, simvasatin, b12 vits, candesartan, No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, Bowel & Bladder: i have bladder urgency, Other Info: my 1.5 years of low activity has left me 19 1/2 stone, although I am 5ft 10 and well built normally.
Sorry - accidentally titled my first post 'questionnaire' which was a bit confusing, so I've done it again.
I'm recovering from an av fistula in my brain. It caused pressure for about 6 months before being operated on. Recent MRI suggests I still have 6 to 12 months of possible recovery.
It caused a creeping paralysis in my lower body and forearms and as I weakened I was unable to walk from last may and I have a partial loss of feeling in those areas (can feel touch but not hot/wet/cold).
I was in rehab ward from July to October and managed to progress from wheelchair to frame. I can now walk max10-15 meters with frame. I think I have sufficient nerve control back because I've seen everything move at some point. I'm now struggling to strengthen wated muscles.
My question is about how much or how little I should be doing. I get some days where my legs feel like lead but I can't connect it to a period of extra activity or inactivity. Is this normal to get ups and downs? Should I rest during them or try to work through them? My right leg and foot is weakest and I'm having trouble starting my ankle dorsiflexion although I can wiggle my toes a bit.
Any advice would be gratefully received.
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