Pain & Spasticity

Stroke, paralysis brings with it a host of compounding issues apart from dysfunction and pain psychological issues. Two most common are PAIN and SPASTICITY. PAIN- After a stroke, around 30% of survivors experience pain. This is most likely to happen soon after a stroke, but can also develop sometime later. Types of post-stroke pain include muscle and joint pain such as spasticity and shoulder pain. Some people get painful sensations like tingling, known as central post-stroke pain. This is evaluated thoroughly by our Rehab doctors and necessary interventions done. Pain can significantly reduce a patients capacity and willingness to participate in therapy programs. SPASTICITY- After a stroke, muscles may become stiff, tighten up and resist stretching. Muscle contractions become more intense. The contractions may involve one muscle or a group of muscles. For some, spasticity may be mild muscle stiffness, for others it may be severe, resulting in pain or spasms. Spasticity may also lead to fixed joints (contracture). Joints can become stuck in one position and quite hard to move. Everyday tasks may become much harder when an arm or hand is affected. Simply grasping and using objects, reaching overhead or taking care of personal hygiene can be a challenge. Walking becomes much harder when the legs or feet are affected. The risk of falling increases. We at REHABANA adopt a multimodal approach for spasticity management. This includes Frequent movements of all joints, Regular stretching of affected joints , Bracing and splinting of joints, Oral medication, Botox injections into specific muscle groups.

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