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Dr James Le Fanu: spinal injuries
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2-3 people in the UK become paralysed daily due to a spinal cord injury
Stockbroker and racehorse owner Andy Stewart, who has an estimated fortune of
His generous gesture was prompted by the experience of his 28-year-old son Paul, who broke his back when caught in an avalanche in the Alps. Transferred to the internationally renowned spinal centre at Stoke Mandeville Hospital, he was apparently advised to prepare for "life in a wheelchair". But after intensive physiotherapy and "electrical impulse therapy" at private hospitals here and in the United States, he is now walking with a stick.
The optimum management of those with spinal injury remains much disputed. The conventional view favours a conservative approach on the grounds that early surgical intervention might further aggravate the damage to the spinal cord.
There are, however, some who believe that urgent efforts should be made to restore the integrity of the blood supply at the damaged site, as this is the single most important factor in preventing paralysis. This would require the establishment of dedicated specialist units with the capacity to perform the necessary investigations and initiate treatment within two hours of the original accident.
Those who wish to know more should contact the charitable trust DISCS, which recently launched a research programme into back-related problems (www.discfoundation.org).
Further to last week's comments on the pitfalls of referred pain, a reader writes describing his wife's two years' worth of ineffective painkillers and physiotherapy for her painful knee before an X-ray revealed the cause to be severe arthritis of the hips. "Five weeks ago she had her hip replaced - and now has no knee pain."
This misdiagnosis is more common than it should be as it is possible to have chronic pain in the knee without there being any signs of arthritis. It can be due to misalignment of the kneecap in relation to the femur - known as patellofemoral syndrome - which improves with exercises to strengthen the quads or thigh muscles.
James.LeFanu@telegraph.co.uk
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Additional information:
Arthritis Care :
Running and Arthritis Running and Jogging Exercises for Arthritis
Proof That Exercise Helps Arthritic Knees eOrthopod.com
Tai Chi has major benefits for arthritic knees Alternative
The Arthritic Knee FeedAgg.com
Strengthening exercises Exercise and Arthritis .
Arthritis Knee Exercises Strengthen the Muscles That Support the Knee
Arthritis Knee Exercises to Do at Home Life123
Hip and Leg exercises Flexibility strengthening exercises for
Try water exercises for arthritic joints Sun Sentinel
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