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What are some treatment options for upper limb spasticity?

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Your doctor will recommend a treatment based on how healthy you are and the symptoms you have. There are several options that may work for you, such as:

If your condition gets better, you may be able to reduce your treatment. It’s important to stick to your therapy plan and tell your doctor about any changes in how you feel.

  • Exercises, like stretches, may help your joints and muscles become more flexible. A physical therapist can teach them to you.
  • Braces or splints hold your muscles and joints in the right position and keep them from getting too tight.
  • OnabotulinumtoxinA (Botox) and abobotulinumtoxinA (Dysport), used for the treatment of upper and lower limb spasticity, can relax muscles and ease spasms. Your doctor can give you a shot of it directly into your muscles. Botox and Dysport have some potentially serious side effects such as breathing and swallowing issues, so make sure to discuss them with your physician.
  • Drugs like clonazepam (Klonopin), diazepam (Valium), and tizanidine (Zanaflex) also make your muscles more relaxed.
  • Baclofen is a drug that corrects the way your nerves send signals to your muscles. Intrathecal baclofen therapy (ITB) delivers it through a pump to an area of the spinal cord, called the intrathecal space, to prevent spasms.
  • Nerve block injections, shots of drugs that numb the nerves that cause muscles to twitch, may stop spasms when other medicines don’t work.
  • Surgery can cut connections between nerves or tendons and muscles that spasm. Your doctor may recommend this if other treatments don’t work.

From: Upper Limb Spasticity WebMD Medical Reference

SOURCES:

American Stroke Association: “Spasticity.”

American Stroke Association: “What Is Stroke?”

Wake Forest University Baptist Medical Center: “New Hope for the Treatment of Upper Limb Spasticity.”

American Association of Family Physicians: “Upper Limb Spasticity.”

National Institute of Neurological Disorders and Stroke: “Spasticity Information Page.”

University of Miami Miller School of Medicine: “Rehabilitation of Moderate to Severe TBI: Movement Disorders, Spasticity and Contractures.”

University of Vermont Fletcher Allen Health Care: “Spasticity.”

University of Vermont Fletcher Allen Health Care: “Spasticity Treatment.”

Central Peninsula Hospital (Arkansas): “Caring for Muscle Spasticity or Spasms.”

American Stroke Association: “Finding Support: You Are Not Alone.”

Business Wire. “Ipsen announces FDA approval of Dysport® (abobotulinumtoxinA) for injection in the treatment of upper limb spasticity in adults in the United States.”

 

Reviewed by Neil Lava on March 15, 2017

SOURCES:

American Stroke Association: “Spasticity.”

American Stroke Association: “What Is Stroke?”

Wake Forest University Baptist Medical Center: “New Hope for the Treatment of Upper Limb Spasticity.”

American Association of Family Physicians: “Upper Limb Spasticity.”

National Institute of Neurological Disorders and Stroke: “Spasticity Information Page.”

University of Miami Miller School of Medicine: “Rehabilitation of Moderate to Severe TBI: Movement Disorders, Spasticity and Contractures.”

University of Vermont Fletcher Allen Health Care: “Spasticity.”

University of Vermont Fletcher Allen Health Care: “Spasticity Treatment.”

Central Peninsula Hospital (Arkansas): “Caring for Muscle Spasticity or Spasms.”

American Stroke Association: “Finding Support: You Are Not Alone.”

Business Wire. “Ipsen announces FDA approval of Dysport® (abobotulinumtoxinA) for injection in the treatment of upper limb spasticity in adults in the United States.”

 

Reviewed by Neil Lava on March 15, 2017

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How should you take care of yourself if you have upper limb spasticity?

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