Multiple Sclerosis and Spasticity

Controlling Severe Spasticity

In cases where severe spasticity develops, or untreated spasticity has caused permanent muscle shortening, more aggressive intervention may be needed.

Chemical nerve blocks

Botulinum Toxin (Botox) can be used for temporary management of severe spasticity in an isolated area.

A Baclofen pump can also be considered. This is a small disc inserted into the spinal column and programmed to release medication. After the intial operation, it is refilled by injection.

Phenol gives a long lasting reduction in tension in specific muscles. But it is no longer the preferred option, given the effectiveness of the above two chemicals.

Surgery

Surgery may be necessary in severe cases—especially if the muscles have shortened and caused contracted joints. Your doctor will discuss this solution with you.