A Brief Review for Managing Spasticity in Multiple Sclerosis

Spasticity is a common problem in MS. The stiffness often is minimal and not bothersome. Stiffness may become painful and may interfere with performing activities of daily living. Reducing spasticity produces greater freedom of movement and strength and frequently also lessens fatigue and increases coordination. The major ways in which spasticity is reduced include stretching exercises, physical therapy, and the use of medications. If spasticity does not respond to these measures and causes discomfort, a surgical procedure may be necessary. These management methods discussed in brief here. Treat problems: The first management strategy is to alleviate associated problems that magnify spasticity. These include infection, pain, skin breakdown, and any similar process that may stimulate spasticity. Stretching: A thorough stretching program includes a series of exercises that are performed in certain sitting or lying positions that allow gravity to aid in stretching specific muscles. Some kind of these methods has been discussed in details in main page. Mechanical aids: Specific devices (orthose) sometimes are made for certain individuals to counteract spasticity and prevent what are termed contractures. Medications: Spasticity often is managed most effectively by medications such as Baclofen, Tizanidine, Dopa-agonists and Levodopa, Diazepam, Dantrolene, Cyproheptadin, Gabapentine and others that have been discussed in details in main page. BTX: A better, more modern technique is the use of botulinum toxin, made by bacteria. This paralytic agent causes a temporary blockage of the nerve and muscle. Intratecal baclofen: A better approach to the management of severe spasticity involves the use of a pump that delivers baclofen directly into the spinal canal. Surgical management : For those who have severe intractable spasticity, the kind that causes problems with all functions and is not responsive to exercise or medication, a spasticity-decreasing procedure may be necessary.