Many of the physical and neurological disabilities that are being treated in our clinic are a result of poverty or hazardous living conditions.
Not all conditions require or benefit from surgical intervention, which always carries a risk. In mild cases and where a patient is able to handle himself, physiotherapy and suitable orthopaedic appliances like custom-fitted orthopaedic boots or good crutches can make a big difference.
The clinic also supplies special seats to children who are unable to sit up by themselves, often in cases with cerebral palsy.
Below is a description of some of the conditions we frequently encounter and treat in our small and big patients.
Cerebral palsy is caused by damage to the motor control centers of the developing brain and can occur during pregnancy, child birth or at an early age. In some patients the condition appears together with epilepsy. All types of cerebral palsy are characterized by abnormal muscle tone (i.e. slouching over while sitting), reflexes, or motor development and coordination.
Treatment is limited to treating the complications.
Club foot (CTEV)
A club foot, or congenital talipes equinovarus (CTEV) is a congenital deformity of one or both feet where the affected foot appears rotated internally at the ankle. It can even look like the foot is upside-down.
If diagnosed and treated soon after birth, the clubfoot can be corrected using the serial plaster method (Ponseti) which needs to be followed up by braces.
If the treatment starts later, the clubfoot needs to be corrected by surgery.
This deformity can gradually appear in childhood. Knees knock or rub together, making walking difficult in more extreme cases.
It is often caused by bones not growing regularly.
Hydrodcephalus is also commonl y known as 'water on the brain'. Fluid accumulates in the brain, excerting pressure on the sinside of the skull. This leads to a progressive enlargement of the skull bones, and can cause visual and mental impairments. left untreated it can lead to death. Today treatments include shunts and other operations to drain the liquid off the brain.
Microcephaly is a neurodevelopmental disorder in which the circumference of the head is noticeably smaller than average for the person's age and sex.
It often reduces the life expectancy of the patient and usually causes developmental delays. The patients also often have stunted growth.
Spina bifida is a birthdefect where the spinal cord or its covering is not completely closed during the development of the embryo. The causes for this occurring are largely unknown. If detected before the birth, it can be operated as soon as possible, but in remote and poorer areas this is difficult.
In severe forms the spinal cord and its covering can push through the hole. In those case there is usually some paralysis. The condition is also often linked to Hydrocephalus and loss of bowel- and bladdercontrol.