What You Should Know About Spasticity
Spasticity is like a charley horse that never ends. Symptoms include painful, stiff, rigid muscles, involuntary contractions or muscle spasms, and overactive reflexes.
Effects of spasticity:
- Bent elbow and arm pressed against the chest
- Stiffness in arms, fingers
- Tight fist
- Stiffness in legs or knees
- Pointed foot
- Curled toes
About 25 to 43% of stroke survivors will have spasticity in the first year after their stroke.
Complications from spasticity:
- Atypical posture
- Contractures (permanent contraction of the muscles and tendons)
- Bone and joint deformities
- Difficulty with care and hygiene
- Skin irritation due to spasms
Treatments for spasticity:
While there’s no cure for spasticity, a combination of these and other therapies and medications can lessen the symptoms and improve strength and movement.
- Targeted injections of botulinum toxin to block nerve pain and relieve tight muscles
- Oral medications to help relax the nerves and muscles
- Neuromuscular electrical stimulation or vibrations applied to spasmatic muscles
- Intrathecal baclofen therapy may be used to deliver continuous medication to ease severe muscle contractions and spasms
- Applying a brace or splint to an affected limb or joint
- Gentle stretching of tighter muscles
- Range-of-motion exercises
- Frequent movement and repositioning of body parts
- Surgery on affected muscles, tendons or joints to block pain and restore movement
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