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Spasticity [SPAS-ti-si-tee] is when your muscles increase in tone and stiffness due to nerve damage between the brain and the spine. Your muscles normally have a small amount of tone, which helps keep them in the right shape even when you’re not using them. Spasticity increases the amount of tone, which can make your muscles contract all the time, and it also makes the muscles stiff and harder to move.
Spasticity can interfere with anything you use your muscles for, including aspects of daily living like walking, movement, or speech. The condition can interfere with your ability to walk, move, and talk, and can be painful. Spasticity can happen as a result of other injuries or conditions, such as:
Spasticity can be mild or severe. In mild cases, there is only a bit of muscle stiffness or paraparesis [par-uh-puh-REE-sis], which is partial paralysis of the limbs. In severe cases, the muscles will spasm, and there will be lots of pain.
Spasticity can start to interfere with aspects of one’s daily life, like walking, movement, or speech.
Other disorders like dystonia [dis-TOH-nee-uh] — which causes spasms of the trunk, shoulder, and neck muscles — and athetosis [ath-i-TOH-sis] — which impacts the fingers, toes, hands, and feet — can also cause stiff muscles. However, these disorders have different causes and treatments than spasticity.
The symptoms of spasticity can include:
These symptoms depend on the severity of the condition. Those with more severe cases will experience more of these symptoms and might have worse pain. In addition to spasms and pain, spasticity can also cause nerve weakness and poor coordination.
You should contact your healthcare provider if you think you have spasticity, or if you have recently had an injury that can cause this condition. If you have already been diagnosed with this condition, you should talk to your doctor if:
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Spasticity is caused by damage to the nerves that control muscle movement and run between the brain and the spinal cord. This damage can happen because of other conditions, illnesses, and injuries, such as:
Normally, muscles maintain enough tension and tone to keep a straight posture and allow for function and movement. Muscles that have spasticity have mixed-up signals from the brain about how much tension and tone to flex, and that makes it hard for you to keep a normal posture.
When you visit your doctor, they will do a physical exam and ask about your symptoms. Some of the questions they might ask include:
Once your doctor finds the location and cause of the spasticity, they can start to work on a treatment plan for you. Sometimes, your doctor might recommend a few different treatments that work together to help you feel better. For example, a medicine might help more if it’s combined with physical therapy.
The main treatment method for spasticity is physical therapy. At physical therapy, you will do exercises to stretch and strengthen the affected muscles. Some of these exercises can be done at home.
Your medical care team will consider many factors when they decide how to treat your spasticity, including:
There are several kinds of physical therapy that may help with spasticity.
For best results, other treatment methods (typically combined with physical therapy or each other) include:
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