This case is of a 41 years old contractor who fell from a height from his construction site in late 2010. He injured his lower back (D12) that led to paralysis down the waist with no sensation and bladder and bowel control. He was immediately hospitalized and surgery was done for spine stabilization as there was partial cord damage with breaking of lower vertebrae bone at D12 level. Once he was operated, he recovered in terms of having partial recovery in the sensations in the upper thigh and could distinguish the pain sensations around the hip joint. He was rehabilitated and showed great progress in his bed mobility and could get on his own from the bed. Still he was not independent in moving and ambulation and never made an effort to stand on his own. He also used condom catheter for urinary incontinence.
Unable to withstand his disabilities, he decided to undergo Stem Cell Therapy hoping for his further recovery and underwent pre investigations in MRI showing marked myelomalacia at D11-D12 and EMG report showing evidence of active and severe motor degeneration affecting the bilateral L12345 S1 fibers suspecting of root level lesion with S1 fibers shows evidence of very early ongoing reinnervation.
Within one week of intensive rehabilitation, his stamina was boosted and he could balance himself while standing and could walk with the help of walker & calipers with one person’s assistance. This routine made him more confident. His Functional Independence Measure (FIM) improved scoring from 87 to 95. He learnt intermittent catheterization under the urologist’s care, which made him independent socially.
The patient visited the centre again after three months for his post stem cell therapy evaluation. The improvements noted in the patient were as follows
- He became independent in walking with walker & calipers and could sense and bear pinching sensation around both the hips.
- He improved in his transfers from bed to chair, wearing the splints and coming to standing position on the walker from bed.
The patient visited the centre again after six months for his post stem cell therapy evaluation. The improvements noted in the patient were as follows
- He could walk with the help of elbow crutches independently and could climb stairs with elbow crutch with the help of side railings.
- He improved further in his transfer activities from bed to floor, floor to bed, floor to standing with walker and transferring in the car showing his upper limb strength improving further.
- His functional independence measure (FIM) after 6 months increased from 87 to 118.
- He could climb stairs from minimal assistance to complete independence.
- His bladder control improved and he could pass the urine and residual urine by himself (about 100cc). He could remove it with self intermittent catheterization.
- His EMG report which was repeated after six months of Stem Cell Therapy showed the evidence of motor unit potentials in bilateral S1 fibers.
What the patient’s parents have to say?
“Everything was going well for our son when an unfortunate incident took his normal life away. We are thankful to those who helped in the recovery of our son. Through your dedication and help, today our son has improved his condition. Today he can walk taking the help of elbow crutches and can even climb the stairs without taking any help. The one thing that worried us constantly was his uncontrollable bowel movement. We are now happy to say that it has improved and he can pass the urine and residual urine without taking help. We are hopeful that his normal life will be restored back very soon.”