Dr. Vinod Dubey

Cerebral Palsy & Gait disorders

What are cerebral palsy gait disorders?

Children with cerebral palsy may have a number of bone, joint and muscle problems that affect their walking (gait).

  • Spasticity or contractures of muscles can cause the the lower limb to flex at the hip knee and ankle which can cause difficulty or increased energy requirement of walking.
  • Internal rotation of the thigh bone, external rotation of the lower legs, and severe flat feet combine to limit the “push-off” ability to move forward, making walking slow.
  • When the muscles are too strong on one side and too weak on the other side, the muscle imbalance can result in gait abnormalities or dysfunction.

Dr. Vinod Dubey your trusted doctor  for cerebral palsy gait disorder treatment across Thane, Malad, Kandivali, and Mira Bhayandar. Dr. Vinod Dubey, a renowned pediatric orthopedic surgeon specialize in advanced gait evaluation, therapy, and comprehensive management for children.

Testing and diagnosis

Before the medical team decides on a surgical treatment for your child with a gait disorder, he will undergo a gait analysis. Gait analysis allows our surgeons to treat your child with more precision, and makes it possible to address all of your child’s gait problems at once.

Most children with cerebral palsy with gait disorders have issues which need to be addressed either with surgery, bracing or medications at multiple levels. We design surgeries to correct as many bony and soft tissue deformities as possible during a single trip to the operating room.

In the case of children with involvement of both legs, this involves the use of two surgical teams, allowing for a more comprehensive approach to treatment. After the one surgical event, your child will only require one course of rehabilitation, rather than multiple surgical episodes and multiple courses of rehabilitation and recovery.

Surgical options

Muscle lengthening procedures

Muscle lengthening procedures may be performed surgically to improve joint motion and gait, and to prevent deformities. Lengthening procedures can also be used to decrease the need for bony surgery in younger children, and reduce tone on a more permanent basis than botulinum toxin.

Tendon transfers

Tendon transfers allow muscles to be partially transferred to a different location in the joint, which can balance the forces across a joint in a better way.

Bony reconstruction

Bony reconstruction allows for direct restoration of anatomic position of joints, or relief of rotational abnormalities which result in brace intolerance.

Joint fusion

In cases where the deformity is too severe to be managed with simple realignment, fusion can provide a durable option to provide long term support of a child’s skeleton.

FAQ's on Cerebral Palsy & Gait disorders

Q1. What is the best treatment for cerebral palsy gait disorders?

Treatment usually includes physiotherapy, braces, botulinum injections, and in some cases surgery like SEMLS for better walking ability.

Q2. Can children with cerebral palsy improve their walking?

Yes. With early intervention, therapy, and proper treatment, many children show significant improvement in walking and mobility.

Q3. Who is the best doctor for cerebral palsy gait disorder in Thane and nearby areas?

Dr. Vinod Dubey, a pediatric orthopedic surgeon, is highly experienced in treating cerebral palsy gait disorders across Thane, Malad, Kandivali, and Mira Bhayandar.

Q4. What is gait analysis in cerebral palsy?

Gait analysis is a detailed assessment of a child’s walking pattern to identify problems and plan personalized treatment.

Q5. Is surgery always required for cerebral palsy gait disorders?

No. Many children benefit from non-surgical options like therapy and braces. Surgery is considered only in selected cases for better mobility.

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