Post-Stroke Spasticity: Best Treatment Options

Spasticity occurs due to damage to the brain or the spinal cord (upper motor neuron). It causes involuntary muscle contractions due to hyperexcitability of the stretch reflex. You can manage this problem conservatively including stretching, and movement retraining. However, when spasticity is moderate to severe, it may require medical interventions including medication, injections, and/or surgery.

Medication
1. Baclofen
2. Alpha 2 Agonist
3. Anticonvulsants
4. Muscle relaxers
Injections
1. Botulin toxin
Surgery
1. Baclofen pump implantation
2. Tendon transfer
3. Joint fusions
4. Tendon lengthening

Related Videos:
What is spasticity? https://youtu.be/6H5Q_XcYZrM
Conservative management for spasticity: https://youtu.be/SpRx_G4nfz4

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