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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.