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How to to reduce leg shivering problem
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Pediatric Medicine
Question #21188
90 days ago
209

How to to reduce leg shivering problem - #21188

Shreyas

As a CP patient I want to know that is any medical available for CP and why my leg start shivering after the muscles get tensed after exercise so please recommend any exercise for improving the problem

Age: 18
Chronic illnesses: Cerebral palsy
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
90 days ago
5

Hello dear See in your clinical condition definitely there is weakened body response along with excess muscle fatigue Iam suggesting some precautions and medication for improvement Do physical exercise slowly and slowly That includes Toe tapping Hamstring stretch Leg raises Calf stretch Squats and balance training In addition Please take zincovit multivitamin therapy onca a day for 1 month Vitamin d sachet once a week for 2 month Kindly note These exercises are to be done in small sets 5-10 twice daily Donot overexempt In case of no improvement consult neurosurgeon in person for better clarity Regards

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Cerebral palsy (CP) involves various movement-related challenges due to early brain injuries affecting movement control. While there’s no cure for CP, there are treatments to help manage symptoms and improve quality of life. Muscle shivering or spasms, especially after exercise, can be due to muscle fatigue or overactivity of certain muscle groups which is common in CP due to abnormal muscle tone. To address this, a tailored approach combining physical therapy and stretching exercises might be beneficial. Stretching exercises targeting specific muscles that often tighten can help improve flexibility and reduce spasms. Focus on daily routines that include gentle stretching of the hamstrings, quadriceps, and calves. Make sure to hold each stretch for about 20-30 seconds, without bouncing, to avoid further tension. Strengthening exercises designed by a physical therapist can also enhance muscle control and coordination.

Additionally, it’s important to ensure proper hydration before, during, and after exercising, as dehydration can exacerbate muscle cramps and shivering. Talk to your healthcare provider or a physical therapist who specializes in CP management to tailor an exercise program that’s safe and effective for your specific needs. They might recommend techniques like aquatic therapy which can reduce the stress on muscles and joints or other recommended modalities beneficial for spasticity management. In cases where muscle spasms become severe, medical treatment including muscle relaxants, or botulinum toxin injections might be considered, but these need to be discussed with your healthcare provider. If shivering is severely affecting your life quality or there’s a significant change in your symptoms, it’s crucial to consult a medical professional for a thorough evaluation to rule out other underlying issues.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
89 days ago
5

Hello,

In cerebral palsy, leg shivering/tremors after exercise usually happens due to muscle fatigue, spasticity, or overactive reflexes.

Management: No specific “cure”, but medications like Baclofen, Tizanidine may reduce spasticity (doctor-prescribed).

Exercises to help: Slow stretching of calves, hamstrings, quads Strengthening exercises: sit-to-stand, ankle dorsiflexion/plantarflexion, leg lifts Balance & core exercises (using physiotherapy guidance) Avoid sudden fatigue; pace your activity and rest between sets.

Consult a neurologist/physiotherapist for tailored therapy and possible spasticity medications.

I trust this helps Thank you

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Shreyas
Client
86 days ago

Did sit ups squads and walking help me

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
86 days ago
5

Walking yes Squats also yes but only with support

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