About Spastic Hemiplegia
Key Highlights
-
Non-surgical, multidisciplinary approach managed by a neurological specialist.Focuses on reducing muscle stiffness, pain, and improving functional mobility.Personalized treatment plans combining medication, injections, and therapy.Aims to enhance independence and quality of life for the patient.Minimally invasive procedures like Botox injections offer targeted relief with minimal downtime.
Who is this surgery for?
- Diagnosis of spastic hemiplegia, often a type of cerebral palsy.
- Persistent muscle stiffness (spasticity) in one arm and leg on the same side of the body.
- Muscle tightness causing pain, discomfort, or sleep disturbances.
- Difficulty with voluntary movements, walking (gait abnormalities), or fine motor skills.
- Development of muscle contractures or joint deformities due to prolonged spasticity.
- Functional limitations affecting daily activities like dressing, eating, or writing.
How to prepare
- Comprehensive neurological examination and review of medical history, including birth history.
- Diagnostic imaging (like MRI of the brain) may be reviewed to understand the cause.
- Detailed assessment of spasticity severity, range of motion, and functional limitations.
- Discussion of treatment goals, expectations, and all therapeutic options with the neurologist.
- For Botox injections, informing the doctor of any muscle relaxants, allergies, or neuromuscular conditions.
- No specific fasting is required for consultations or most injection therapies.
Risks & possible complications
- Side effects of oral medications: drowsiness, dizziness, fatigue, or potential liver effects.
- Risks of Botox injections: pain or bruising at the injection site, temporary muscle weakness in adjacent areas, flu-like symptoms, or rare allergic reactions.
- Over-correction leading to excessive weakness in the treated limb.
- Under-treatment, requiring additional therapy or dosage adjustments.
- Development of antibodies to Botox over time, potentially reducing its effectiveness.
- General risks of physical therapy include muscle soreness or strain.
Recovery & hospital stay
- For medication management, effects are monitored over weeks with dosage adjustments as needed.
- After Botox injections, it takes 3-7 days for effects to begin, peaking around 2-6 weeks.
- Engaging in prescribed physical and occupational therapy is crucial to maximize benefits.
- Regular follow-up appointments with the neurologist to assess progress and plan next steps.
- Use of splints or braces as recommended to maintain limb position and prevent contractures.
- Parents/caregivers are trained on home exercise programs and stretching routines.
- Effects of Botox are temporary, typically lasting 3-6 months, requiring repeat injections for sustained benefit.
-
Typical hospital stay: Usually outpatient (0 days). Hospitalization is rare unless for complex monitoring or associated procedures.
-
Expected recovery time: Ongoing management. Initial treatment effects seen in weeks, but therapy is long-term.
Frequently Asked Questions
If you are considering spastic hemiplegia in India, these questions and answers can help you make a confident, informed decision.
Popular choices for spastic hemiplegia 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 hemiplegia. 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 hemiplegia compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 50 Thousand – 200 Thousand | Usually outpatient (0 days). Hospitalization is rare unless for complex monitoring or associated procedures. | ~ Ongoing management. Initial treatment effects seen in weeks, but therapy is long-term. | Know More |
| Turkey | TRY 175 Thousand – 700 Thousand | Usually outpatient (0 days). Hospitalization is rare unless for complex monitoring or associated procedures. | ~ Ongoing management. Initial treatment effects seen in weeks, but therapy is long-term. | Know More |
Top hospitals for Spastic Hemiplegia in India
These partner hospitals in India have dedicated neurology teams and experience managing patients undergoing spastic hemiplegia.
Michael Smith, a 42-year-old construction foreman...
Michael Smith, a 42-year-old construction foreman and father of two, suffered a right-sided ischemic stroke 18 months ago. The stroke left him with severe left-sided spastic hemiplegia. His left arm is constantly bent at the elbow and wrist, held tightly against his chest, and his left leg is stiff, causing a scissoring gait with a foot drop. This spasticity causes chronic pain, makes dressing and personal care incredibly difficult for him and his wife, and ended his career. His neurologist, after trying and exhausting oral medications (baclofen, tizanidine) and botulinum toxin injections with only partial, temporary relief, recommended an Intrathecal Baclofen (ITB) pump implantation. The procedure involved surgically placing a small, programmable pump in his abdomen, which delivers a concentrated muscle relaxant directly to his spinal fluid. After a trial dose confirmed effectiveness, Michael underwent the permanent implant. The recovery involved managing surgical site pain and fine-tuning the pump dosage over several weeks. The outcome was transformative: the painful, rigid clenching in his arm and leg released by about 70%. While he still has weakness and uses a cane, his walking is smoother and safer, his pain is drastically reduced, and he can now help with simple household tasks. Emotionally, Michael journeyed from a deep depression and frustration over his lost independence and role as a provider to a cautious optimism. The procedure gave him control over his body again, reducing his burden on his family and allowing him to engage more fully in fatherhood and rehabilitation.
Neurologists for Spastic Hemiplegia
Explore experienced neurologists who regularly perform spastic hemiplegia 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