Man Walks Again After Surgery to Reverse Muscle Paralysis

After four years of confinement to a wheelchair, Rick Constantine, 58, is now walking again after undergoing an unconventional surgery at University of California, San Diego Heath System to restore the use of his leg. Neurosurgeon Justin Brown, MD, performed the novel 3-hour procedure.

“Following a car crash, Mr. Constantine had a brain stem stroke that caused paralysis on the right side of his body.  His leg muscles became so severely spastic that he could not walk,” said Brown, director of the Neurosurgery Peripheral Nerve Program at UC San Diego Health System. “Our team performed a delicate surgery to reduce input from the nerves that were causing the muscles to over contract to the point of disability.”

“After my injury, I was told I would never walk again. All I could to was move from my wheelchair to my bed or a chair,” said Constantine, a former NASCAR crew member. “After surgery with Dr. Brown, I could put my foot flat on the ground to walk. With physical therapy, everything just gets better and better. I’m a firm believer in never giving up.”

Prior to surgery, Constantine underwent botox treatments and physical therapy in an attempt to restore the use of his leg. The results were positive but minimal. An additional nerve conduction study, called an electromyogram (EMG), identified the muscles causing the dysfunction.

“When all other options did not produce satisfying results, we opted for surgery,” said Brown. “With the EMG, we identified the over-excited nerves that needed to be downgraded. Mr. Constantine had surgery on a Friday and within days was in physical rehabilitation. Two weeks later he was walking without a walker and has even completed a 1-mile race without assistance.”

The surgery, called a selective peripheral neurotomy, is a procedure performed under a microscope.  Brown makes an incision behind the knee to reach the tibial nerve. He then selectively trims back the troublesome nerve branches by up to 80 percent.  Cutting the nerve reduces the “noise” being relayed back to the spinal cord which causes the spasticity.

More here

Notes

  1. tryintosucceedinhappiness reblogged this from ucresearch
  2. bplace2550 reblogged this from ucresearch
  3. welaughandplay reblogged this from ucsdhealthsciences
  4. inspirationac reblogged this from ucsdhealthsciences
  5. caligusabs reblogged this from ucresearch
  6. policedontconsultamateurs reblogged this from ucsdhealthsciences
  7. k-911 reblogged this from dieselotherapy
  8. dieselotherapy reblogged this from ucsdhealthsciences and added:
    Man Walks Again After Surgery to Reverse Muscle Paralysis After four years of confinement to a wheelchair, Rick...
  9. teamalby reblogged this from ucsdhealthsciences and added:
    Amazing!!
  10. lebiochimiste reblogged this from ucsdhealthsciences and added:
    prospects alone are beyond exciting! This warms my heart
  11. goldroadtonowhere reblogged this from aspiringdoctors
  12. everything13else reblogged this from ucresearch
  13. rebelwatermark reblogged this from ucresearch
  14. adespain reblogged this from ucsdhealthsciences and added:
    This is amazing.
  15. ucresearch reblogged this from ucsdhealthsciences and added:
    This is an amazing story. Congrats to Steven, Rick, and Dr. Brown.
  16. justinjazzitup reblogged this from aspiringdoctors
  17. pureeminence reblogged this from blue-lights-and-tea
  18. inochi-merodi reblogged this from ucsdhealthsciences
  19. myrouteintomedicine reblogged this from ucsdhealthsciences
  20. hlk3 reblogged this from ucsdhealthsciences

About

News from UC San Diego Health Sciences
Media Contacts: 619-543-6163
HealthSciComm@ucsd.edu

Blogroll

  • nursingmonkeymomma
  • huffingtonpost
  • comedycentral
  • nursefocker
  • science-and-logic
  • azspot
  • afro-dominicano
  • scientificillustration
  • awomaninscience
  • salon
  • melon-collies
  • inothernews
  • molecularlifesciences
  • scienceyoucanlove
  • psydoctor8
  • pubhealth
  • wayfaringmd
  • latimes
  • oupacademic
  • exploratorium
  • neurosciencestuff
  • bbglasses
  • amnhnyc
  • mothernaturenetwork
  • katiecouric
  • kqedscience
  • newyorker
  • madsweat
  • usatoday
  • thisisfusion
  • therumpus
  • prnewswire
  • jtotheizzoe
  • medresearch
  • americanpublicmedia
  • theweekmagazine
  • publicradiointernational
  • blue-lights-and-tea
  • currentsinbiology
  • yaleuniversity
  • staff
  • nbcnightlynews
  • think-progress
  • forum-network
  • healthcareinfoguide
  • yahoonews
  • cancerninja
  • pulitzercenter
  • msnbc
  • mashablehq
  • sdzoo
  • buzzfeed
  • npr
  • nprfreshair
  • alscientist
  • houseofmind
  • fastcompany
  • longform
  • breakingnews
  • washingtonexaminer
  • aspiringdoctors
  • scishow
  • scipak
  • pozmagazine
  • officialssay
  • theonion
  • whitehouse
  • cnbc
  • timelightbox
  • mathcat345
  • topherchris
  • forbes
  • sdzsafaripark
  • boston
  • newswatchtv
  • nydailynews
  • scientificthought
  • science-junkie
  • pbstv
  • usagov
  • cenwatchglass
  • doublejack
  • brookhavenlab
  • explore-blog
  • md-admissions
  • tballardbrown
  • rollingstone
  • infographicjournal
  • instagram
  • shortformblog
  • doctorswithoutborders
  • nypl
  • ucsciencetoday
  • austinstatesman
  • peacecorps
  • wnyc
  • usnews
  • ucresearch
  • thenewrepublic
  • libertasacademica
  • sesamestreet
  • scinerds
  • blamoscience
  • theskygazer
  • nprglobalhealth
  • csmonitor
  • plannedparenthood
  • researchchla
  • lakeconews
  • sciencefriday
  • sciencenetlinks
  • bbsrc
  • todaysdocument
  • newshour
  • thebrainscoop
  • actgnetwork
  • medindia
  • fuckyeahcardiovascularsystem
  • nysci
  • newsweek
  • guardian
  • pbsthisdayinhistory
  • cranquis
  • fuckyeahnervoussystem
  • smithsonianmag
  • seltzerlizard
  • mindblowingscience
  • prochoiceamerica
  • medicalstate
  • ari-abroad
  • scienceisbeauty
  • thevancouversun
  • wired
  • statedept
  • markcoatney
  • artandsciencejournal
  • ucsdspecialcollections
  • dodgemedlin
  • pritheworld
  • 3rdofmay
  • nbcnews
  • ottawahealth
  • abcworldnews
  • scienceandfood
  • wsudiscovery
  • colchrishadfield
  • artneuroscience
  • photojojo
  • today
  • queerability
  • natgeofound
  • nprontheroad
  • discoverynews
  • unicef
  • medicalschool
  • jayparkinsonmd
  • soupsoup
  • thedailyshow
  • mediclopedia
  • sciencesoup
  • stemcellculture
  • aarp
  • highcountrynews
  • onaissues
  • sciencenote
  • columbusdispatch
  • skunkbear
  • matthewkeys
  • thisissandiego
  • reuters
  • artpoweratucsd
  • robertreich
  • phdr
  • hospitalreina
  • nurse-on-duty
  • nprradiopictures
  • robotmuesli
  • oh4theloveofscience
  • journalofajournalist
  • kateoplis
  • codeit
  • htdeverything
  • mediamed
  • tmagazine
  • fyeahmedlab
  • pneupnurse
  • wnycradiolab
  • ucsdcancer
  • missmdisme
  • shortyawards
  • timemagazine
  • ziyadnazem
  • medethicslady
  • themedicalchronicles
  • denverpost
  • kpcc
  • psychotherapy
  • ohyeahdevelopmentalbiology
  • lewisandquark
  • ucsdcareerservicescenter
  • science
  • princeton-medbloro
  • biocanvas
  • pacificstand
  • clearscience
  • michiganengineering
  • bitesizedbiology
  • ohscience
  • poptech
  • futureofscience
  • galindoyadira
  • minnpost
  • wgbhnews
  • genannetics
  • laboratoryequipment
  • ucsd
  • ucsdmedialab
  • joshherigon
  • thescienceofreality
  • post-mitotic
  • motherjones
  • ladyjournos
  • articulomortis
  • fuckyeahneuroscience
  • theatlantic
  • anaofta
  • sciencechicks
  • ucsdcrossculturalcenter
  • auditoryinsomniac
  • chronicleofhighered
  • vetstail
  • neurolove
  • ajebsary
  • neuroanatomyblog
  • goodideapublichealth
  • tedx
  • huffpostscience
  • thecoloradopursuit
  • brainmtters
  • bobedwardsradio
  • paraphyletic
  • sci-fact
  • nationalpost
  • carlzimmer
  • life
  • dailymedical
  • oceanportal
  • bklynmed
  • wellcomebrains
  • aljazeera
  • reportingonhealth
  • ucsfbioengineering
  • coolhealthinfographics
  • thedailywhat
  • villagevoice
  • nbclatino
  • guardiancomment
  • scientificbritain
  • adschu