Spasticity is the condition where involuntary signals are sent to some muscles. Excess tone is one of the many manifestations of spasticity in which the signals are sent for hours, days, or forever. I awake at night with one thigh hard as a rock and often sore from the self-abuse; this is an example.

The tone that was crippling my left foreleg was from the muscle group that turns the foot inward about the leg as an axle AND rotates it counterclockwise as viewed from the heel. Think of an evil gremlin pulling the little toe metatarsal under the sole. I was walking on the side of my foot, and God did not design it to be the plantar surface. It was too painful to walk. Moreover, putting the contact inward from a straight weight-bearing line, was causing the knee to flex outwards, and God didn't design that joint to do that.

I hope this detail helps.

Alton

On Mar 2, 2008, at 4:1224 PM, Heather & Pieter wrote:

Thanks Alton,

I'm going to give it a try at least the once anyway. I have right foot drop. Used to wear an AFO but stopped about a year and a half ago. I only get the spasms that wake me in the night or early morning or when I sit watching TV for any length of time. I have a lot of tone in that leg too, however the 'tone' is something I just never quite understand either when the doctor or the physio people talked about it. When I sit or lay down my weak right leg and foot turn in. However when I am standing my right leg and foot turn out. I just can never wrap my poor old head around why it pulls one way when I'm 'at rest' and the other way when I am standing.

Heather In Calgary
----- Original Message -----
From: Alton Ryder
To: Heather & Pieter
Cc: TM Internet Chat ; Jim Lubin
Sent: Saturday, March 01, 2008 4:45 PM
Subject: Re: [TMIC] Question regarding Botox

I have had Botox in my calf, several shots, twice, neither with any effect - I'm immune to food poisoning, I guess.

That was in 1999, I think. I then had a Baclofen pump installed for the excess and asymmetrical tone. The Baclofen significantly diminished my knee jerk spasms, but it did naught for the tone. I had to tackle the tone surgically by rerouting the primary tendons and wearing an AFO.

Alton
p.s. Jim, how do I search the archives? I've written this before one or two or three times.

On Mar 1, 2008, at 5:4917 PM, Heather & Pieter wrote:

Hi

Has anyone had Botox injections in the calf to ease the muscle spasms? I know that Marieke in Montreal has had them. My Physiatrist has suggested it to me. I am one of the 1/3 who can walk in the house without aids unless tired, use a cane or walker or shopping cart outside the home and occasionally use a wheelchair for longer distances.

If you have had them what are the pro's and con's in your case?

Thanks in advance,
Heather in Calgary





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