I have a 17 y/o friend who had injuried at his high spine (C4-6) and undergone the operation on 27/10. Now he is putting on the ventilator. Only has the limited movement and sesation up to his elbow. No active movement to his hands, fingers and legs. I seek for some information for his condition:
1. Can he able to resume the finger movement?????
2. His bladder/bowel or even his sexual function?
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Quadraplegia
Started by
*Guest_Mickey*
, Nov 08 2005 03:14 PM
9 replies to this topic
Top#2
wheelie182
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Posted 08 November 2005 - 03:24 PM
Before posting up questions, you should really try and do some of your own research, 
by either looking in google, pas posts or try link below
http://www.apparelyz.../paralysis.html
by either looking in google, pas posts or try link belowhttp://www.apparelyz.../paralysis.html
That's what she said!
#3
Apparelyzed
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Posted 08 November 2005 - 04:23 PM
Hi Mickey,
If your friend has a complete spinal cord injury, and there is no recovery, at his level he will have no finger function as a C6 Quadraplegic. However, he will be able to bend his wrist backwards, a movement called wrist extension, which will give him a passive grip.
If your friend has a C5 injury, then he will not have his wrist extensors, and will have no grip.
In both cases, his bowel and bladder will not function as normal, and will require a management routine.
Once your friend has strengthened his diaphragm, which he now depends on for his breathing, he may be able to come off the ventilator.
As a male with Quadraplegia, he should be able to achieve a reflex erection by stimulating the penis manually, but it is unlikely he will be able to achieve an erection by thought alone. It is also unlikely that he will be able to achieve ejaculation without the use of an assistive penile vibrator, but this can happen in some quadraplegics, as no two injuries are the same.
I hope this helps
Simon.
If your friend has a complete spinal cord injury, and there is no recovery, at his level he will have no finger function as a C6 Quadraplegic. However, he will be able to bend his wrist backwards, a movement called wrist extension, which will give him a passive grip.
If your friend has a C5 injury, then he will not have his wrist extensors, and will have no grip.
In both cases, his bowel and bladder will not function as normal, and will require a management routine.
Once your friend has strengthened his diaphragm, which he now depends on for his breathing, he may be able to come off the ventilator.
As a male with Quadraplegia, he should be able to achieve a reflex erection by stimulating the penis manually, but it is unlikely he will be able to achieve an erection by thought alone. It is also unlikely that he will be able to achieve ejaculation without the use of an assistive penile vibrator, but this can happen in some quadraplegics, as no two injuries are the same.
I hope this helps
Simon.
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#4
Simon
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Posted 08 November 2005 - 05:58 PM
Hi
Not much to add except to look at what can be done, not what has been lost or can no longer be done.
I'm C4 complete (22 years), I'm a lot better off than many who holiday with us, who have progressive diseases such as MS, Multi System Atrophy, Parkinsons, Motorneurone disease etc.
Providing he is looked after and he looks after hjimself, quadriplegia is a static disability. You get used to the new ways of doing things, adapt and live. Its hard initially but not as hard as having something which is continually getting worse.
Simon
Not much to add except to look at what can be done, not what has been lost or can no longer be done.
I'm C4 complete (22 years), I'm a lot better off than many who holiday with us, who have progressive diseases such as MS, Multi System Atrophy, Parkinsons, Motorneurone disease etc.
Providing he is looked after and he looks after hjimself, quadriplegia is a static disability. You get used to the new ways of doing things, adapt and live. Its hard initially but not as hard as having something which is continually getting worse.
Simon
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#5 *Guest_mickey*
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Posted 12 November 2005 - 07:02 AM
Hi all,
I visited my friend yesterday and he claimed he'd got somethings to his feet. I asked him what did he want to tell me... such as sensation, pain, numbness, can not move, can be move later even the splint applied.....etc....... at last he presented he got some feeling, but could be described it? But at least, that feeling was located to his limb. So i want to know that, is it a good sign?? or that feeling is just like phatom pain in amputated patient??? Or in his denial phase????
Also, I asked his family about whether the doctor has broken bad news? His family and nurse told me that, the doctor said he was still unstable. SO i dont know what is the UNSTABLE can be?
mickey
I visited my friend yesterday and he claimed he'd got somethings to his feet. I asked him what did he want to tell me... such as sensation, pain, numbness, can not move, can be move later even the splint applied.....etc....... at last he presented he got some feeling, but could be described it? But at least, that feeling was located to his limb. So i want to know that, is it a good sign?? or that feeling is just like phatom pain in amputated patient??? Or in his denial phase????
Also, I asked his family about whether the doctor has broken bad news? His family and nurse told me that, the doctor said he was still unstable. SO i dont know what is the UNSTABLE can be?
mickey
#6 *Guest*
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Posted 12 November 2005 - 03:43 PM
I'm not sure if that is good or bad. Nerve pain can make it seem as if you are feeling something you are not. For months and months, my husband swore he had sensation and he could move his feet but I never saw him do it. I would just tell him that was great...keep working on it. When he was ready to admit it, he said he really wasn't feeling anything. He had to keep that hope alive until he was ready to accept what happened to him.
On the other hand, maybe he is really feeling something and that is great!
On the other hand, maybe he is really feeling something and that is great!
#7
wheelie182
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Posted 12 November 2005 - 07:05 PM
hi Mickey,
These few months in hospital will now be all about him learning his body,
when i was on bedrest, after injury, i would be moaning all the time to the nurses, telling them to move my feet because they were touching and it was uncomfortable, turns out, they were nowhere near each other, phantom pain, unfortunatly, unless you can physicly see them move, i wouldn't hold up your hopes,
can he actually see his legs?.....if not then that can also play huge tricks on the mind, because when im in bed and i turn off the light, somtimes i get phantom pain, as though my legs are touching, and it drives me crazy, and because i can't see it, the phantom pain continues, but if i turn on the light and then look at my feet, i can see that there not touching, and the phantom, pain usually goes away,
the mind is weird thing,
hope this helps,
(ps, i hope i wasn't being rude in my first post, but somtimes the same questions are asked over and over again,)
These few months in hospital will now be all about him learning his body,
when i was on bedrest, after injury, i would be moaning all the time to the nurses, telling them to move my feet because they were touching and it was uncomfortable, turns out, they were nowhere near each other, phantom pain, unfortunatly, unless you can physicly see them move, i wouldn't hold up your hopes,
can he actually see his legs?.....if not then that can also play huge tricks on the mind, because when im in bed and i turn off the light, somtimes i get phantom pain, as though my legs are touching, and it drives me crazy, and because i can't see it, the phantom pain continues, but if i turn on the light and then look at my feet, i can see that there not touching, and the phantom, pain usually goes away,
the mind is weird thing,
hope this helps,
(ps, i hope i wasn't being rude in my first post, but somtimes the same questions are asked over and over again,)
That's what she said!
#8
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Posted 12 November 2005 - 07:12 PM
For the first two months after my accident, my legs felt as though they were bent, even in bed when they were straight.
That was because at the time of my accident, I was in a sitting position in a car, and when my neck was broken, the last thing my brain registered was sitting with my legs bent!
Tricks of the brain, you've got to love 'em!
Simon
That was because at the time of my accident, I was in a sitting position in a car, and when my neck was broken, the last thing my brain registered was sitting with my legs bent!
Tricks of the brain, you've got to love 'em!
Simon
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#10 *Guest_mickey*
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Posted 13 November 2005 - 03:16 PM
Thank you all of yours' opinion!
Indeed, I am a nurse and working in HK. I just want to gain more information about my patient, now he is being my friend. At this moment, i really hope to help him to know himself, to support him. I do know that that could be the nerve/ imagine pain and some muscle fasciculation but that is the reflex action. So I come here wanna share his story and want someone to tell me what can be done for him, i am a nurse, i do know how to care him. But i really dont know his heart, his feeling! Hope you all can tell me more about it! Such as pain?! and today he asked me to cover his feet, because he was afraid his feet would feel cold!
Mickey
Indeed, I am a nurse and working in HK. I just want to gain more information about my patient, now he is being my friend. At this moment, i really hope to help him to know himself, to support him. I do know that that could be the nerve/ imagine pain and some muscle fasciculation but that is the reflex action. So I come here wanna share his story and want someone to tell me what can be done for him, i am a nurse, i do know how to care him. But i really dont know his heart, his feeling! Hope you all can tell me more about it! Such as pain?! and today he asked me to cover his feet, because he was afraid his feet would feel cold!
Mickey
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