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Symptoms Paroxysmal tonic spasms (flexor or extensor): can be painful or painless, most commonly occurring as a chronic symptom of long-standing spasticity. Sustained increase in muscle tone Notes: Cold weather is one of the most common precipitating factors for worsening spasticity. Spasticity can also be worsened by noxious stimuli including full bladder, full bowel, pressure sores and pain. Some degree of spasticity may be required to support weakened extremities and promote functional mobility. Paroxysmal tonic spasms (flexor or extensor): can be painful or painless, most commonly occurring as a chronic symptom of long-standing spasticity. Sustained increase in muscle tone Notes: Cold weather is one of the most common precipitating factors for worsening spasticity. Spasticity can also be worsened by noxious stimuli including full bladder, full bowel, pressure sores and pain. Some degree of spasticity may be required to support weakened extremities and promote functional mobility.
Treatments Botox injections" c-nmssatomrichtext_nmssatomrichtext-host="">Spasticity can range from relatively mild to quite severe, and treatment is approached in a step-wise fashion. Rehabilitative PT: stretching, gait assessment, and balance training, if needed Oral medications: baclofen, tizanidine, dantrolene, clonazepam, diazepam Intrathecal baclofen pump Botox injections Botox injections" c-nmssatomrichtext_nmssatomrichtext-host="">Spasticity can range from relatively mild to quite severe, and treatment is approached in a step-wise fashion. Rehabilitative PT: stretching, gait assessment, and balance training, if needed Oral medications: baclofen, tizanidine, dantrolene, clonazepam, diazepam Intrathecal baclofen pump Botox injections
Psychosocial Implication Spasticity can increase fatigue and interfere with functioning at home and at work Spasticity can interfere with sexual activity and comfort Oral medications may increase fatigue and weakness Surgical implantation of pump in abdomen can be frightening Spasticity can increase fatigue and interfere with functioning at home and at work Spasticity can interfere with sexual activity and comfort Oral medications may increase fatigue and weakness Surgical implantation of pump in abdomen can be frightening
Managing Spasticity