Movement Disorders / Neurological Rehabilitation
Spasticity
Dr. Mit Ankur Raval
Spasticity can affect movement, posture, pain, hygiene and function, particularly after stroke and other neurological injury.
Understanding spasticity
What may be affected.
Movement
Walking, reaching and opening the hand may become difficult.
Posture
Abnormal limb positioning and loss of range may develop.
Comfort
Pain, muscle tightness and difficulty with positioning may occur.
Function
Transfers, hygiene, dressing or caregiving can be affected.
Treatment
Goal-directed management.
Rehabilitation
Stretching, positioning, splints and task-focused therapy can be important.
Botulinum toxin
Selected focal spasticity may benefit from targeted botulinum toxin treatment.
Oral medication
Selected patients with more generalised spasticity may need systemic therapy.
Multidisciplinary care
Complex cases often benefit from neurology and rehabilitation input.
Patient questions
Patient questions
Is botulinum toxin useful after stroke?
It can be useful for selected focal spasticity when treatment goals are clear.
Does every stiff limb need injections?
No. Treatment depends on distribution, severity and functional goals.
Why are treatment goals important?
Reducing tone matters when it improves movement, comfort, posture, hygiene or caregiving.
Selected reference: NICE stroke rehabilitation guidance on spasticity and focal botulinum toxin treatment. NICE
Appointments
Book a neurological consultation.
Clinic and appointment details will be updated here.