If you have muscle tightness or spasticity due to a chronic condition, such as cerebral palsy , multiple sclerosis , spinal cord injury , brain injury , Parkinson’s disease  or stroke , Good Shepherd’s spasticity services may be able to help.
Levels of care:
The first step in managing you spasticity at Good Shepherd is to undergo a thorough physical examination. This evaluation will help Good Shepherd’s care team assess the degree and severity of spasticity and how it affects your function, range of motion, reflexes, motor control and cognitive abilities.
Evaluations are performed by an interdisciplinary team of rehabilitation specialists, which may include a physician specializing in physical medicine and rehabilitation  and nurses, as well as physical, occupational and speech therapists.
After an initial assessment, the team will develop a treatment plan for you based on realistic goals.
When a small amount of spasticity is detected, muscle stretching through physical and occupational therapy may be all that is needed. Casts, braces, splints and other adaptive devices may also be used.
Moderate to severe spasticity may be treatable with oral medication or with two alternate treatment options:
Treatment plans for spasticity may include referrals to orthopedic surgeons for muscle releases or transfers, placement of intrathecal baclofen pumps by neurosurgeons. Good Shepherd will provide follow-up care, assess your progress and monitor medications and the effectiveness of baclofen pumps.