About Spastic Gait
Key Highlights
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Accurate diagnosis of the underlying neurological disorder causing the walking difficulty.Development of a personalized, multi-modal treatment plan to improve mobility and independence.Non-surgical management options, including oral medications and targeted injections, to reduce muscle stiffness and pain.Coordination with physical and occupational therapists to optimize rehabilitation and gait training.Ongoing management to adapt treatment as needed and prevent secondary complications like joint contractures.
Who is this surgery for?
- Observation of a stiff, dragging, or scissoring walking pattern.
- Muscle stiffness (spasticity) and weakness in the legs, making walking difficult or unstable.
- Underlying conditions such as cerebral palsy, multiple sclerosis, stroke, spinal cord injury, or hereditary spastic paraplegia.
- Frequent tripping, falls, or a significant increase in energy expenditure during walking.
- Progressive difficulty with mobility impacting daily activities and quality of life.
How to prepare
- Compile a complete medical history, including details of any neurological diagnoses, past surgeries, and current medications.
- Wear comfortable, loose-fitting clothing and shoes suitable for a walking assessment.
- Be prepared to discuss the specific challenges faced during walking and any associated symptoms like pain or fatigue.
- Bring any previous relevant test results, such as MRI or CT scan reports.
- For procedures like botulinum toxin injections, the neurologist will provide specific pre-procedure instructions, which may include adjusting certain medications.
Risks & possible complications
- Medications may cause side effects like drowsiness, dizziness, or weakness.
- Botulinum toxin injections carry risks of pain at the injection site, temporary muscle weakness in adjacent areas, or flu-like symptoms.
- Potential for falls and injuries during gait training or due to medication side effects.
- Without proper management, progression to permanent joint contractures or chronic pain.
- Limited or suboptimal response to pharmacological treatments, necessitating alternative approaches.
Recovery & hospital stay
- Recovery is a gradual process focused on functional improvement, not a single event.
- Consistent participation in prescribed physical therapy is critical for strengthening and gait retraining.
- Effects of oral medications are ongoing, while botulinum toxin injections typically show results in days to weeks, lasting 3-4 months.
- Regular follow-up appointments with the neurologist are needed to monitor progress, adjust medication dosages, and plan repeat injections.
- Incorporating home exercise programs and using assistive devices (like canes or walkers) as recommended to maintain gains and ensure safety.
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Typical hospital stay: Typically outpatient (0 days)
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Expected recovery time: Ongoing management; functional improvements seen over weeks to months of therapy
Frequently Asked Questions
If you are considering spastic gait in India, these questions and answers can help you make a confident, informed decision.
Popular choices for spastic gait in India include KMC Hospital Mangalore, Manipal Hospital Gurgaon, Manipal Hospital Jayanagar, Manipal Hospital Kharadi, Manipal Hospital Malleshwaram, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform spastic gait. MediFyr helps you compare neurologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for spastic gait compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 1.5 Thousand – 25 Thousand | Typically outpatient (0 days) | ~ Ongoing management; functional improvements seen over weeks to months of therapy | Know More |
| Turkey | TRY 5.25 Thousand – 87.5 Thousand | Typically outpatient (0 days) | ~ Ongoing management; functional improvements seen over weeks to months of therapy | Know More |
Top hospitals for Spastic Gait in India
These partner hospitals in India have dedicated neurology teams and experience managing patients undergoing spastic gait.
Pari Miller, a 58-year-old high school...
Pari Miller, a 58-year-old high school art teacher, had always been active, but for the past two years, she noticed a growing stiffness and awkwardness in her right leg. It began as a slight drag of her foot, making her trip on curbs. Over time, her right knee would lock, and her foot would scissor inward, forcing her to walk with a pronounced, jerky limp. She felt self-conscious in the hallways at school, and her beloved weekend hikes became impossible. Her primary doctor referred her to a neurologist, Dr. Evans, who diagnosed her with a spastic gait secondary to a small, previously undetected stroke. Dr. Evans recommended a comprehensive treatment plan starting with targeted physical therapy and a trial of oral muscle relaxants. When these provided only modest relief, they proceeded with a series of Botulinum Toxin (Botox) injections into the overactive muscles of her calf and thigh. The procedure itself was quick, done in the clinic with a fine needle. While initially anxious, Pari found the discomfort minimal. Over the next two weeks, the stiffness melted away. Combined with intensive physiotherapy, she regained a smoother, safer stride. Emotionally, she moved from a place of frustration and fear of losing her independence to one of profound relief and reclaimed confidence. She's back to walking the school corridors with ease and is planning a gentle coastal walk with friends.
Neurologists for Spastic Gait
Explore experienced neurologists who regularly perform spastic gait and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurologist
Miot Hospital Chennai, Chennai
- 46 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 25 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 13 Years Experience
- Neurologist
SIMS Hospital Vadapalani, Chennai
- 13 Years Experience
- Neurologist
SIMS Hospital Vadapalani, Chennai
- 19 Years Experience
- Neurologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 26 Years Experience
- Neurologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 8 Years Experience
- Neurologist
Kamineni Hospital, Tadigadapa, vijayawada
- 9 Years Experience
- Neurologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 5 Years Experience
- Neurologist
Kamineni Hospital, Tadigadapa, vijayawada
- 3 Years Experience
- Neurologist
Kamineni Hospital LB Nagar, Hyderabad
- 32 Years Experience
- Neurologist
Kamineni Hospital LB Nagar, Hyderabad
- 11 Years Experience
- Neurologist
Manipal Hospital Gurgaon, Gurgaon
- 7 Years Experience
- Neurologist
Kamineni Hospital LB Nagar, Hyderabad
- 8 Years Experience
- Neurologist
Manipal Hospital Ghaziabad, Ghaziabad
- 32 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 14 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 13 Years Experience
- Neurologist
Metro Hospital, Sector 11, Noida