You can also do desensitization since it sounds like it is nerve pain being treated by Neurontin. I have found that desensitization works best when the patient is the one that is putting different textures on their skin. Good things to use are lotion, cotton balls, cotton fabric, corduroy fabric, etc working up to tolerating having your hand/arm in sand, rice, beans and other strange textures. It all is working toward getting the nerves to process the information correctly again. It doesn't always work because sometimes the pathways stay broken. If that seems to be the case, you have to teach compensation.
That is a quick and dirty answer. Sorry to be so brief. I have to run feed hungry children! Mary Alice On Jan 22, 2007, at 4:19 PM, Orli Weisser-Pike wrote: > Hullo, > > I have a lady who is 44 y.o. s/p CVA affecting the left, non- > dominant side, with hemianesthesia. Her motor strength is fine, her > FMC is poor due to decreased proprioception, etc. She is > increasingly suffering from pain in her left arm, side of her face, > ear, sometimes down to her toes. Her neurologist has put her on > Neurontin which seemed to help at the start, but her symptoms are > increasing. > > Does anyone have any knowledge about this, and what may help > facilitate functional use of her left arm? > > One therapist told me to teach her to regard her arm as a > prosthesis and learn how to use it again--this makes sense to me. > > Any other advice will be helpful! > > Thanks again, > Orli > > Orli Weisser-Pike, OTR/L, CLVT, SCLV > Low Vision Rehabilitation > Baptist Rehabilitation Germantown * 2100 Exeter Road * Germantown, > TN 38138 > http://www.baptistonline.org/facilities/germantown/services/ > lowvision.asp > *(901)757-3458 ext. 308 *(901)757-3497 > MailTo:[EMAIL PROTECTED] > > This message and any files transmitted with it may contain legally > privileged, confidential, or proprietary information. If you are > not the intended recipient of this message, you are not permitted > to use, copy, or forward it, in whole or in part without the > express consent of the sender. Please notify the sender of the > error by reply email, disregard the foregoing messages, and delete > it immediately. > > > <<Orli Weisser-Pike.vcf>> > > > > ----------------------------------------- > Smart Medicine. Inspired Care. And the awards to prove it. > Recognized as a Top 50 Healthcare Network. > To learn about other recognition and awards Baptist has earned, > visit: > > http://www.bmhcc.org/aboutus/awards/index.asp > > This message and any files transmitted with it may contain legally > privileged, confidential, or proprietary information. If you are > not the intended recipient of this message, you are not permitted > to use, copy, or forward it, in whole or in part without the > express consent of the sender. Please notify the sender of the > error by reply email, disregard the foregoing messages, and delete > it immediately. > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] > > ********************************************************************** > **************** > Enroll in Boston University's post-professional Master of Science > for OTs Online. Gain the skills and credentials to propel your career. > www.otdegree.com/otn > ********************************************************************** > **************** -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
