Why Physical Therapy Is Your Secret Weapon for Remission

Beyond the CIDP Infusion: Why Physical Therapy Is Your Secret Weapon for Remission

Physical therapy (PT) uses targeted exercises to increase strength and mobility, but neurologic physical therapy specializes in treating muscle weakness from nerve conditions.

 “Basically, this process involves the nervous system’s ability to reorganize or ‘re-map’ itself in response to specific movement training,” says Dr. Hribick.

Re-mapping doesn’t mean growing new nerves overnight, says Hribick. “It means teaching the nervous system to use the signals it does have more efficiently through repeated, meaningful movement.”

Specialized and Supervised Recovery

“The goal of physical therapy for individuals with CIDP is to promote improvements in muscular strength, endurance, and balance to improve their daily functioning while decreasing fatigue and pain levels,” says Dr. Mikos.

Finding the right balance of exercise intensity while not pushing too hard can be complicated, and supervised exercise can help you gain strength without overdoing it.

 “It is best to work with a specialized neurologic physical therapist who understands demyelination [(myelin sheath loss)],” says Mikos.

“As a neuromuscular physician I trust our neurologically trained physical therapists to create a patient specific plan tailored to their underlying diagnosis, current physical challenges, and goals,” says Rebecca Hurst, MD, the chief of neurology at Tampa General Hospital and associate professor of neurology at University of South Florida Morsani College of Medicine.

Improving Balance and Preventing Falls

After a thorough evaluation, your neurologic physical therapist will design a comprehensive exercise and functional training program to address your specific needs, interests, and goals, says Mikos, adding that therapies may include:

  • Low to moderate intensity strength training to address muscular weakness
  • Flexibility and stretching to address areas of limited range of motion
  • Balance training to promote improved stability when standing and walking
  • Task-specific mobility training such as getting in and out of a chair, going up and down ‌stairs, or getting onto and off‌ the floor
If you can’t always tell where your feet and legs are (sensory ataxia), your therapist can help you learn strategies to stay safe while moving around.

 “Depending on [your] needs, sessions may also include instruction in the use of an assistive device, such as a cane or walker, to promote improved safety and independence with mobility,” says Mikos.

Fine Motor Skills and the Role of Occupational Therapy

Besides physical therapy, which mainly deals with the lower body, your provider may recommend occupational therapy (OT) to strengthen your upper body. Your OT can help you with tasks like dressing, brushing your hair, or preparing and eating a meal.

CIDP can cause weakness or tremor in your hands, and an OT can teach you exercises to build up your strength.

 These could include:

  • Squeezing a ball
  • Making a fist, then spreading your fingers wide
  • Placing your hands palms down on a surface and lifting each finger
Your therapist can also teach you how to conserve your energy and prevent a “crash” that may come after a very active day.