Douglas.Zachary@p0.f10.n137.z1.fidonet.org (Douglas Zachary) (12/14/90)
Index Number: 12490 BACLOFEN PUMP Spasms can be more disabling than the disability itself as many of us have found out the hard way. At times the spasms affect the parts of the body that are still mobile and are brought on by movement or touch. Other times the spasms affect the lower extremities with enough force to throw the person from the chair or cause injury to the lower legs and feet. Spasms can be strong enough to resist range of motion, cause embarrassment, disconnect urinary drainage systems and cause major depression. Until recently there were very few remedies for this problem. Lioresal (Baclofen) is probably the most prescribed drug for neuro spasms but many people get no relief or experience drowsiness, weakness and lethargy from the drug. Dantrium is another drug used to counter spasms but carries almost two pages of side affects and possible organ damage. Valium is sometimes used but has similar side affects to Baclofen. Rhizotomy is a surgical procedure in which nerve rootlets which control abnormal motor responses are severed. Rhizotomy is irreversible. Other surgical methods of dealing with spasticity have included tendon cutting and amputation, also quite irreversible. When Baclofen is taken orally it is estimated that only 15% of the drug reaches the point where it is needed with an equal portion going to the brain. The SynchroMed Infusion System from Medtronic, Inc. is the world's first implantable, programmable system. This system may be just what many spasm suffering people with Cerebral Palsy, head injury, spinal injury and MS need. The pump is connected to a catheter in the spine and implanted beneath the skin where its reservoir can be filled with a needle every two or three months. The amount of Baclofen administered by the pump can be changed with the use of a computer and radio waves so it only needs to be removed to change the battery. The pump costs about $6,000 but hospital stay and other costs can drive the price up to $20,000. They say that most private insurers will pay for the treatment. Clinical testing is now taking place in 12 locations across the country. While spinal baclofen has been available overseas for years, the FDA requires a certain number of patients to have this, with documented results, before releasing it for general use. -- Uucp: ..!{decvax,oliveb}!bunker!hcap!hnews!137!10.0!Douglas.Zachary Internet: Douglas.Zachary@p0.f10.n137.z1.fidonet.org
Douglas.Zachary@p0.f10.n137.z1.fidonet.org (Douglas Zachary) (12/14/90)
Index Number: 12491 OTHER SPASM-REDUCERS DISCOVERED New research has indicated that injections of a toxin that causes food poisoning may help to control spasticity. According to information in "Newsday", some doctors are injecting patients with botulinum toxin to treat diagnoses such as wryneck, writers cramp and spasms of the vocal cords, neck and face. The data says some 75% of those treated for local spasms have experienced temporary improvement of their conditions without having surgery. In the meantime, researchers in Vancouver, Canada, have conducted a study with multiple sclerosis patients. They successfully used the toxin to treat eight MS patients who had experienced severe spasticity in their legs. According to the article, the botulinum toxin proved successful when injected into the affected muscles. Researchers involved in using it believe it chemically blocks the connection between the nerve and the muscle, allowing patients to move more freely. Injections must be repeated every three to five months to be effective. The FDA has approved the drug for use in treating adult strabismus, otherwise known as crosseye, and blepharospasm, a condition in which an individual will experience a tightening of the eyelid muscles and, in some cases, become functionally blind. The information was recently reported in "Reader's Digest." -- Uucp: ..!{decvax,oliveb}!bunker!hcap!hnews!137!10.0!Douglas.Zachary Internet: Douglas.Zachary@p0.f10.n137.z1.fidonet.org
Douglas.Zachary@p0.f10.n137.z1.fidonet.org (Douglas Zachary) (01/08/91)
Index Number: 12682 BACLOFEN PUMP Spasms can be more disabling than the disability itself as many of us have found out the hard way. At times the spasms affect the parts of the body that are still mobile and are brought on by movement or touch. Other times the spasms affect the lower extremities with enough force to throw the person from the chair or cause injury to the lower legs and feet. Spasms can be strong enough to resist range of motion, cause embarrassment, disconnect urinary drainage systems and cause major depression. Until recently there were very few remedies for this problem. Lioresal (Baclofen) is probably the most prescribed drug for neuro spasms but many people get no relief or experience drowsiness, weakness and lethargy from the drug. Dantrium is another drug used to counter spasms but carries almost two pages of side affects and possible organ damage. Valium is sometimes used but has similar side affects to Baclofen. Rhizotomy is a surgical procedure in which nerve rootlets which control abnormal motor responses are severed. Rhizotomy is irreversible. Other surgical methods of dealing with spasticity have included tendon cutting and amputation, also quite irreversible. When Baclofen is taken orally it is estimated that only 15% of the drug reaches the point where it is needed with an equal portion going to the brain. The SynchroMed Infusion System from Medtronic, Inc. is the world's first implantable, programmable system. This system may be just what many spasm suffering people with Cerebral Palsy, head injury, spinal injury and MS need. The pump is connected to a catheter in the spine and implanted beneath the skin where its reservoir can be filled with a needle every two or three months. The amount of Baclofen administered by the pump can be changed with the use of a computer and radio waves so it only needs to be removed to change the battery. The pump costs about $6,000 but hospital stay and other costs can drive the price up to $20,000. They say that most private insurers will pay for the treatment. Clinical testing is now taking place in 12 locations across the country. While spinal baclofen has been available overseas for years, the FDA requires a certain number of patients to have this, with documented results, before releasing it for general use. -- Uucp: ..!{decvax,oliveb}!bunker!hcap!hnews!137!10.0!Douglas.Zachary Internet: Douglas.Zachary@p0.f10.n137.z1.fidonet.org
Douglas.Zachary@p0.f10.n137.z1.fidonet.org (Douglas Zachary) (01/08/91)
Index Number: 12683 OTHER SPASM-REDUCERS DISCOVERED New research has indicated that injections of a toxin that causes food poisoning may help to control spasticity. According to information in "Newsday", some doctors are injecting patients with botulinum toxin to treat diagnoses such as wryneck, writers cramp and spasms of the vocal cords, neck and face. The data says some 75% of those treated for local spasms have experienced temporary improvement of their conditions without having surgery. In the meantime, researchers in Vancouver, Canada, have conducted a study with multiple sclerosis patients. They successfully used the toxin to treat eight MS patients who had experienced severe spasticity in their legs. According to the article, the botulinum toxin proved successful when injected into the affected muscles. Researchers involved in using it believe it chemically blocks the connection between the nerve and the muscle, allowing patients to move more freely. Injections must be repeated every three to five months to be effective. The FDA has approved the drug for use in treating adult strabismus, otherwise known as crosseye, and blepharospasm, a condition in which an individual will experience a tightening of the eyelid muscles and, in some cases, become functionally blind. The information was recently reported in "Reader's Digest." -- Uucp: ..!{decvax,oliveb}!bunker!hcap!hnews!137!10.0!Douglas.Zachary Internet: Douglas.Zachary@p0.f10.n137.z1.fidonet.org