How is spasticity treated?

Updated: Jun 28, 2019
  • Author: Krupa Pandey, MD; Chief Editor: Stephen A Berman, MD, PhD, MBA  more...
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Answer

Interventions for spasticity may vary from conservative (therapy and splinting) to more aggressive (surgery); most often, a variety of treatments are used at the same time or are employed interchangeably. Treatment options do not need to be used in a stepladder approach and indeed should not be. Current spasticity management options include the following:

  • Preventative measures

  • Therapeutic interventions (physical therapy, occupational therapy, hippotherapy, aquatics) and physical modalities (ultrasonography, electrical stimulation, biofeedback) [4, 5]

  • Positioning/orthotics (including taping, dynamic and static splints, wheelchairs, and standers)

  • Oral medications (such as baclofen and dantrolene) [6]

  • Injectable neurolytic medications (botulinum toxins and phenol)

  • Intrathecal baclofen

  • Surgical intervention (including selective dorsal rhizotomy and orthopedic procedures)

See Treatment and Medication for more detail.


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