Dear Marco,
I would like to try to understand more about the operation that has been performed by the neurosurgeons of St. Gallen.
I guess that simply removing scar tissue was not the only target of this operation. Have there been other problems or pathologies on your back that forced the surgeons to operate on the spinal cord? (compressions, adhesions, disturbed flow of the cerebrospinal fluid, arachnoiditis or even syringomyelia?)
To prepare for an operation like this there must have been CT-scans or MRI pictures taken which would show the pathology. What are the findings??
The same diagnostics should be done after the operation once again to see it’s effect. Usually there will be a check up by the surgeon between three and six months after surgery.
The effect of the operation should be discussed with the surgeons, rehabilitation specialists and neurologists on that occasion. Often the effect will be seen only after reasonable time after surgery (6 months). Never expect to have it immediately.
To get rid of the spasms within short time you will have to take some antispastic drugs. Usually you begin with Gabapentin and increase the dose until the effect is there or you reach the maximum dose. I think you are experienced??
If there is no effect, there are different drugs as well as combinations of selected drugs.
There is also an article on spasticity in our library. Please read this also.
Maybe you can provide additional information so that I will be able to give directed advice for your problem.
Kind regards
Dr._Hans, 14.7.2015
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