Treatment at Mayo ClinicBy Mayo Clinic Staff
Mayo Clinic's spinal cord injury rehabilitation team offers several spasticity treatment options, including:
Dec. 11, 2014
- Exercises. You may participate in stretching, positioning and exercise activities taught by physical and occupational therapists.
- Oral medications. Your doctor may prescribe medications given by mouth (orally) that may help reduce your muscle spasticity.
- Intrathecal therapy. You may have medications administered 24 hours a day into the fluid surrounding your spinal cord through an implantable pump and catheter system. Doctors and staff perform a test dose to determine the effect and benefits of this therapy for each person.
Injections. Botulinum toxin (Botox) injections into affected muscles may decrease the muscle signals that cause spasticity. The injections provide temporary relief, allowing you to move and strengthen your muscles. You may have injections every three months.
Phenol or alcohol injections into your peripheral nerve near the spastic muscles may reduce your muscle spasms.
- Neurosurgery and orthopedic surgery procedures. Surgical procedures to destroy (ablate) motor nerves of sensory spinal roots may stop the spasticity.
- Abrams GM, et al. Chronic complications of spinal cord injury and disease. http://www.uptodate.com/home. Accessed Nov. 8, 2014.
- NINDS spasticity information page. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/spasticity/spasticity.htm. Accessed Nov. 9, 2014.
- Khurana SR, et al. Spasticity and the use of intrathecal baclofen in patients with spinal cord injury. Physical Medicine and Rehabilitation Clinics of North America. 2014;25:655.
- Provider profile. CARF International. http://www.carf.org/providerProfile.aspx?cid=8020. Accessed Nov. 9, 2014.
- Riggin EA. Decision Support System. Mayo Clinic, Rochester, Minn. Nov. 17, 2014.
- Baker GS. Spinal cord injuries. Minnesota Medicine. 1949;32:1094.