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neeed help
hi
i hav a patient shez been on dialysis frm abt 22 yrs...she also do hav the laminectomy at c4,c5 level....
she had the signs f quadriplegia... now she complains the severestiffness in hands...nd othes gross joints f body..she has the severe sensory neuropathy as well... non diabetic...
can anyone suggest me the proper management...specially for the presenting complain(stiffness of hand)...shortening of extensors and flexors...
thx
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