Spasticity Management

Spasticity is when muscles make over-active movements in ways the person can’t control.

It’s a result of damage to the brain and spinal cord, which together form the central nervous system. Spasticity shows itself in a variety of ways depending on the size, location and age of the damage. There can be a number of harmful secondary effects such as pain, deformity and impaired function.

Physiotherapy addresses several spasticity issues:

  • Pain relief
  • Reduction of involuntary movements (eg associated reactions, spasms)
  • Prevention of contractures and deformity
  • Passive function (making it easier to care for the affected limb)
  • Active function (using the affected limb)
  • Mobility

The Rehab Physio are experts in managing neurological tone and spasticity. The traditional role of a neurological physiotherapist focuses on postural management and specialist handling; at The Rehab Physio we go further. We cover all the options to make sure everything is done to manage our patients’ spasticity. State-of-the-art technology and advanced practice help us achieve more in treating spasticity than most traditional physiotherapy clinics. And every aspect of our service matches the latest guidelines as recommended by The Royal College of Physicians – View guidelines.

Complete spasticity management includes:

  • Full physiotherapy assessment
  • Therapeutic handling
  • Positional and seating assessment- provision of seating
  • Splinting and equipment
  • Functional electrical stimulation
  • Consultation regarding pharmaceutical management and delivery of Botulinum Toxin (‘Botox’).

Botulinum toxin – ‘Botox’.

Botulinum toxin – or Botox – is often used to treat spasticity. It works by blocking the chemical signal between nerves and muscles that makes the muscle contract or tighten. The result is reliable relief from symptoms of spasticity , including pain and muscle stiffness.

Our physiotherapists have extensive experience in injecting Botox, and they’re always there to advise on and explain the most appropriate management strategy to improve each patient’s symptoms.

People often receive Botox through the NHS but once the effects wear off, they are left right back where they started. For Botox injections to achieve maximum results it’s essential that they’re part of a complete spasticity management service. This is how we help to improve movement and provide therapy as the Botox is taking effect. Experience shows that including Botox in an overall therapy program is the best way to achieve a person’s goals.

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Patient Stories

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Terry's Story
For sports enthusiast, Terry, a goals-based rehabilitation programme has made a huge impact on his recovery journey following a brain injury, and he’s been able to hit his targets of walking his daughter down the aisle, dancing at his 60th birthday party and returning to Liverpool FC’s home games…
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Marellis' Story
Marellis was 13 when he suffered paralysis and a cardiac arrest following a major spinal stroke. Funding from The Frenkel Topping Charitable Foundation and the Rooprai Spinal Trust enabled his family to access The Rehab Physio's specialist intensive rehabilitation services to explore his full potential..
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Christine's Story
Following a stroke, Christine was in a wheelchair when she first approached the Rehab Physio but after a series of physiotherapy sessions with us, she achieved her ultimate goal of going on Safari in Africa and can now walk independently.