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Doctor insights on: Spastic Spinal Monoplegia Syndrome

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What is the most widely suggested medication for a spinal cord injury and spasticity?

What is the most widely suggested medication for a spinal cord injury and spasticity?

Baclofen: Muscle spasms and spastic tone is the most complication of spinal injury. Baclofen has been the gold standard along with the benzodiazepines such as Clonazepam and diazepam. ...Read more

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What is the difference between hypotonia and spasticity in spinal chord injury?

What is the difference between hypotonia and spasticity in spinal chord injury?

Muscle tone: Hypotonia is related to a muscle being too "relaxed" and spacticity means that a muscle is too "tight" and spasmodic. After a spinal cord injury the brain can no longer control in a perfect and efficient way the signals it gives to the nerves. Those nerves that eventually reach the various muscles and give too many or too few "commands". The muscles become too "tight" or too "relaxed". ...Read more

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Is there a way to fight heavy drowsiness caused by baclofen. I took it due to a spinal cord injury spasticity?

Is there a way to fight heavy drowsiness caused by baclofen. I took it due to a spinal cord injury spasticity?

Consider spinal pump: Drowsiness is a very common side effect of baclofen. If you are requiring high doses for your spasticity, it may be worth considering a spinal cord Baclofen pump- "intrathecal baclofen." this can dramatically reduce drowsiness because it delivers the medication where it is needed most. Discuss this with your doctor. ...Read more

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My body is always spastic, tight and exhaustive (fatigue) due to spinal cord injury, what to do?

My body is always spastic, tight and exhaustive (fatigue) due to spinal cord injury, what to do?

Many options: Are available. It will depend on the severity, and goals of spasticity management.May not want to remove all spasm as it can be beneficial in several ways.There are systemic medications, local medications like Botox as well as implantable systems. However the first step in any spasticity management program is a medically appropriate stretching plan.See a sci physician and discuss the options. ...Read more

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I have ms, spinal lesions, legs immobile. Now losing ability to sit up without great spastic pain and weakness. Why can't i sit up in a chair ?

I have ms, spinal lesions, legs immobile.  Now losing ability to sit up without great spastic pain and weakness. Why can't i sit up in a chair ?

Complex: The above describes a high burden of disease, and the loss of strength with increasing weakness and spasticity may represent a spinal cord relapse. But, consider a urinary tract infection or metabolic imbalance as a triggering event. This needs to be addressed asap, and fully sorted out. Is your current medication effective enough? Do you need steroids or acth? See your neurologist soon. ...Read more

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What is tethered spinal cord syndrome?

What is tethered spinal cord syndrome?

Stretched spine: Tethered cord syndrome is where the spinal cord is stretched because it failed to grow along with the rest of the spine. The cord is attached to the sacrum but as we grow as a child this attachment lengthens along with our body growing taller. When this does not happen, the cord stretches and this causes pain, weakness, and bowel/bladder problems. If very symptomatic, it requires surgery. ...Read more

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Spasticity common with tarsal tunnel syndrome???

Spasticity common with tarsal tunnel syndrome???

To some extent: Compression of the structures in the tarsal tunnel can cause muscular spasm of the medial aspect of the foot. On the other hand, if it is particularly severe, there may be something else going on. ...Read more