The disease is considered to be affection of the brain and the spinal cord or nervous system .There can be varied presentations.
One or more muscles may not work optimally. This causes inability to move one or more joints of the finger or wrist.
Conventional neurology teaches muscle strengthening as the treatment. This may be of frustratingly of limited usefulness.
We aim to significantly improve the function of the affected hand through surgery.
For example, the person may not be able to lift up(extend) the finger. Or he may not be able to lift up(extend) the thumb.
It may not be possible to surgically manage the brain in this condition. But a more straight forward approach is to reshuffle the muscles of the hand in such a way that the weak muscles are augmented using certain sparable muscles.
An analogy is if in an organization 10 people are working and 3 go on leave.
The organization is not shut down but the available manpower is reshuffled to carry on the routine business.
Similarly in a hand, if a certain more necessary muscle has become inactive, a sparable muscle is utilized to best restore the function.
This forms the basis of surgery in a weak hand or a paralyzed hand.
The general principle of treatment remains the same in all these conditions.
The more required functions are restored and augmented by transferring sparable muscles. Nature has provided numerous sparable muscles.
Like a person has two kidneys but can live life normally with only one.
Once the disease has stopped progressing and the weakness is not worsening, the patient is evaluated for remedial measures.
The remedy is to restore the function of the finger and the hand by surgery on the forearm or wrist and fingers.
The spine or the brain is not surgically treated.