Spasticity management at Mar Sleeva Medicity Palai, Kottayam, helps patients with muscle stiffness and abnormal muscle tightness following stroke, spinal cord injury, brain injury and cerebral palsy. It aims to improve movement, positioning, comfort and day to day function.
Treatment depends on the severity and distribution of spasticity and may include Botulinum toxin injections, nerve or motor point blocks, oral medication, stretching, splinting and serial casting. A Physical Medicine and Rehabilitation specialist combines these treatments with targeted therapy to improve functional movement and prevent complications such as fixed contractures.
Spasticity is assessed and treated by the physiatry team with physiotherapy and occupational therapy, so tightness is reduced and the improvement is converted into real movement.
Examination of which muscles are tight, how much movement remains and what the tightness is actually preventing, since treatment is worthwhile only where it improves function or comfort.
Targeted injection of the overactive muscles to reduce tightness for several months, allowing therapy, splinting and stretching to make lasting gains.
Injections that interrupt the nerve supply to a severely spastic muscle group, used where tightness is widespread or where a longer effect is needed.
Tone reducing medication prescribed and adjusted with attention to drowsiness and weakness, which are the usual reasons patients stop taking it.
Splints, orthoses and positioning programmes that hold muscles at length through the day and night, preventing tightness from becoming a fixed deformity.
Physiotherapy and occupational therapy after injection, which is the part that decides whether reduced tone becomes better walking, easier dressing or better hand use.
Tone management in cerebral palsy and other childhood conditions, planned around growth, school and the child's own goals rather than adult protocols.
Planned review as the effect of injection wears off, with dose and muscle selection adjusted according to what the last cycle achieved.
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