wondering about a neurological condition that would cause a tonal pattern that when the pt flexes his shoulder it causes extension of the elbow and the arm internally rotates, also has ataxic gait with crossing over. Pt is 96, right arm has been that way for years, but now his left arm is doing it and the gait is something new
Hi, Welcome to Chat Doctor forum.  Your patient is of 96 age, when flexes, his shoulder, cause extension of elbow, and arm internally rotates in right arm, and now the left arm also doing it. Recently there is ataxic gait.  It appears to be the ischemia of the brain, probably due to the atherosclerosis, or neuritis, or necrosis of the muscles.  Most probably these are irreversible changes.  I usually prescribe to my patient with such age and symptoms neurotrophic injections for 10 consecutive days, and then periodically. Multivitamin tablets once daily. Physiotherapy is the best way to recovery, from the contractures.  I advise taking more of green leafy vegetables, pulses, sprouts, and protein rich foods.  Wishing for a quick and near complete recovery. Thank you.