One of the most important developments in public health in the recent years has been the implementation of multi drug therapy (MDT) to cure all leprosy patients.
Leprosy is classified into paucibacillary (PB) or multibacillary (MB) leprosy. 1-5 patches and involvement of 1 trunk nerve, refers to paucibacillary leprosy. More than 5 patches and involvement of more than 1 nerve, refers to multibacillary leprosy. For treatment: PB regimen is for 6 months; MB regimen is for 12 months. Patient can develop reactions, which are part of the natural course of the disease.
When treatment is not prompt, leprosy disease manifests in different forms in later stage.
Facilities available to treat Complications in Leprosy
Identify difficult to diagnose cases of leprosy – we have facilities like Skin Smear and Histopathology.
Management of drug allergy – serious drug allergies are tackled and alternative regimens are provided to the patients.
Recognizing relapses – in addition to the above facilities, we have Mouse Foot Pad facility.
Managing serious leprosy reactions – we have IP and OP facilities providing excellent medical and nursing care. Physiotherapists are available for helping patients with neuritis – providing static and dynamic splints and exercises.
Rehabilitation Surgery – Reconstructive Surgery and follow-up done by Surgeons and Physiotherapists (Decompression of nerve for neuritis, lagophthalmos correction, clawing correction, foot drop correction, ulcer management).
Physiotherapy – Provision of sensory and motor assessment, exercise, splinting, plastering, self care teaching, modalities, pairing (callosity removing). Splint for hand – Neuritis splints, gutter splints, knuckle bender splint, long flexor slab, thumb web splint, cylindrical splint, functional slab, lumbrical slab, leg – BK with BI cast, MDRS POP, Window POP, foot drop – below knee posterior slab.
Orthopaedic work shop – MCR chappals for anesthetic foot, Medial Arch Support for flat foot, Anterior spring shoe for foot drop, special foot wear for deformed foot.
POD services – training patients in self care practice so that patients with permanent Nerve Function Impairment (NFI) can practice lifelong self care.
Occupational Therapy – Vocational training related to their work. Training to handle the assistive devices for deformed extremities. Foot soak and trimming of callous are provided.
Social Work – socio economic assistance to the needy leprosy affected patients, health education, counselling and guidance are given. Railway concession forms are given to the needy leprosy patients.
Leprosy patients’ psychological needs are met through counselling. Psychological assessment is done to look for depression, anxiety, behavioural problems, psychosis etc. Psychiatric referral is given when needed, where counselling can be augmented with appropriate psychiatric medicines in the minimum effective dosage.
Training services – training Government and NGO personnel (DLO / SLO Medical Officers, Physiotherapists and Paramedical staff)