Cerebral Palsy Treatment and Care

Comprehensive Child Healthcare & Specialized Treatment

Pediatrics provides specialized medical care for infants, children, and adolescents. Learn about routine screenings, vaccinations, and treatments.

We're Here to Help.
Get in Touch.

Send us all your questions or requests, and our expert team will assist you.

Doctors

A Multidisciplinary Management Approach

Cerebral palsy cannot be cured, but many treatments can help people reach their full potential and improve their quality of life. Care is ongoing and involves a team of specialists who focus on movement, pain relief, preventing problems, and encouraging independence. The team often includes doctors, surgeons, therapists, and social workers. At Liv Hospital, we work closely with families to set treatment goals, whether that’s helping a child walk better or making sure they are comfortable and well cared for.

Physical and Occupational Therapy

Therapy is the main part of treatment and should start as soon as cerebral palsy is suspected.

Physical Therapy (PT)

PT focuses on gross motor skills such as sitting, standing, and walking. Therapists use exercises to build strength, improve balance, and prevent muscle atrophy. Stretching programs are vital for managing spasticity and preventing contractures. PT also involves training in the use of mobility aids like walkers, crutches, or wheelchairs.

Occupational Therapy (OT)

Occupational therapy helps with fine motor skills and daily activities. Therapists teach children how to dress, eat, and take care of themselves. They also work on hand-eye coordination and upper body strength. Sometimes, they suggest specialized tools or equipment to make daily life easier and help children become more independent at home and at school.

Speech and Language Therapy

placeholder LIV Hospital

Speech therapy helps with communication problems and issues with the muscles used for speaking and eating.

  • Communication: For children with dysarthria, therapy focuses on improving speech clarity. For those who are non-verbal, therapists introduce augmentative and alternative communication (AAC) systems, which can range from simple picture boards to high-tech voice-generating devices.
  • For feeding and swallowing, therapists help strengthen the muscles of the mouth and throat. This makes chewing and swallowing safer, helps control drooling, ensures adequate nutrition, and reduces the risk of food entering the lungs.

Pharmacological Management

placeholder LIV Hospital

Medications are used to manage spasticity, dystonia, and seizures.

  • Oral Medications: Drugs like baclofen, diazepam, and tizanidine are muscle relaxants used to reduce generalized spasticity. For dystonia, medications like trihexyphenidyl may be prescribed.
  • Botulinum Toxin (Botox) Injections: Botox is injected directly into specific spastic muscles (often the calves or hamstrings). It temporarily paralyzes the muscle, allowing it to relax and stretch. This effect lasts several months, providing a window of opportunity for intensive therapy and casting.
  • Intrathecal Baclofen Pump: For severe, generalized spasticity that does not respond to oral meds, a pump can be surgically implanted in the abdomen. It delivers baclofen directly into the spinal fluid, allowing for a lower dose with fewer systemic side effects.

Surgical Interventions

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

Orthopedic Surgery

Orthopedic procedures address bone and muscle issues. Tendon lengthening surgeries can release tight muscles that restrict joint motion. Osteotomies (cutting and realigning bone) are performed to correct hip dislocations or severe rotational deformities in the legs. Spinal fusion surgery is used to correct severe scoliosis that compromises sitting balance or lung function.

Selective Dorsal Rhizotomy (SDR)

SDR is a neurosurgical procedure used to reduce spasticity, primarily in the legs, permanently. It involves cutting specific sensory nerve rootlets in the lower spine that are sending abnormal signals to the muscles. This surgery is most effective for children with spastic diplegia who have good underlying muscle strength and the potential to improve walking. It requires intensive physical therapy post-operatively to relearn movement patterns.

Selective Dorsal Rhizotomy (SDR)

SDR is a neurosurgical procedure used to reduce spasticity, primarily in the legs, permanently. It involves cutting specific sensory nerve rootlets in the lower spine that are sending abnormal signals to the muscles. This surgery is most effective for children with spastic diplegia who have good underlying muscle strength and the potential to improve walking. It requires intensive physical therapy post-operatively to relearn movement patterns.

Assistive Technology and Orthotics

placeholder LIV Hospital

Devices are important for helping people with cerebral palsy move and manage daily life.

  • Orthotics (Braces): Ankle-foot orthoses (AFOs) are the most common braces. They hold the foot and ankle in a correct position to prevent toe-walking and provide stability.
  • Mobility Aids: These range from walkers and gait trainers to manual and power wheelchairs. The choice depends on the child’s GMFCS level and endurance.
  • Adaptive Equipment: This includes standers to promote bone health, specialized bathing chairs, and toilet supports to ensure safety and comfort during hygiene routines.

Managing Associated Conditions

Treatment also includes managing other health problems that can come with cerebral palsy.

  • Seizure Management: Antiepileptic drugs are prescribed and monitored to control seizures.
  • Gastrointestinal Care: Treatments for reflux, constipation, and nutrition (including gastrostomy tubes for feeding) are managed by gastroenterologists and dietitians.
  • Pain Management: Chronic pain is a significant issue. Management includes medication, therapy, and positioning strategies to alleviate discomfort caused by muscle spasms or joint strain.

30
Years of
Excellence

Trusted Worldwide

With patients from across the globe, we bring over three decades of medical expertise and hospitality to every individual who walks through our doors.  

Book a Free Certified Online Doctor Consultation

Doctors

Table of Contents

We're Here to Help.
Get in Touch.

Send us all your questions or requests, and our expert team will assist you.

Doctors

FREQUENTLY ASKED QUESTIONS

What is the best age for surgery?

Timing varies, but orthopedic surgeries are often done between the ages of 7 and 10 to correct deformities before adulthood. SDR is typically performed between ages 4 and 7.

Therapy cannot cure the brain injury, but it can significantly improve independence, prevent deformities, and help the child reach their maximum potential.

No, the effects of Botox injections typically last 3 to 6 months. Injections often need to be repeated to maintain the benefits of reduced muscle tone.

The main goal is not just “normal” movement, but maximizing function, independence, and quality of life, while minimizing pain and preventing secondary complications.

The pump itself needs to be replaced surgically every 5 to 7 years due to battery life, and the medication reservoir needs to be refilled by a doctor every few months.

Spine Hospital of Louisiana

Let's Talk About Your Health

BUT WAIT, THERE'S MORE...

Leave your phone number and our medical team will call you back to discuss your healthcare needs and answer all your questions.

Let's Talk About Your Health

Contact Us to Get Information!

Contact
Your Comparison List (you must select at least 2 packages)