Patient’s gross motor functions have improved moderately, all programs on his device are still working. The patient is able to flex his ankle, hip, and knees, as well as perform knee extensions - both kicking and pushing out. Patient’s dynamic standing balance has improved moderately as well. The patient has noticed an increase in muscle mass in legs since the epidural stimulation device was implanted.
The patient has noticed significant improvements during standing and stepping exercises. The patient is still able to stand up straight, has good static standing balance, and improved trunk control. Patient is still able to lock his hips and bears weight equally on both legs. However, patient is still not able to lock his knees completely and requires assistance in keeping his knees locked.
During stepping exercises, the patient is still able to lift his feet and set them down by himself without any assistance. Significant improvement was noticed in the patient’s foot coordination while taking steps. Patient is able to lock his left knee the majority of the time, however, requires assistance in locking his right knee. Patient also reports improvement in strength and stamina, his core muscles have become stronger.
The patient has reported mild improvement in his neuropathic pain. Patient is now taking 300mg of Gabapentin per dose instead of 600mg.
Patient noticed an increase of spasm and spasticity after receiving stem cells this time. Patient reports that he is not able to switch on the overnight program on the epidural stimulation device due to the sensation of the electrical current, which does not allow him to sleep. When the stimulator is on, the patient does not experience spasms, but sometimes does when it is off. Patient has not noticed any improvement in bowel functions and sweating ability, however mild improvement is noticed in his bladder functions. Patient has also regained his sexual functions. Patient has noticed an increase in sensation when his bladder is full and before he has to go to the bathroom.