Spasticity, caused by various injuries and disorders, can be a serious source of pain and discomfort for you or your child.
The Spasticity Management Program at Mary Free Bed provides one- to two-year management plans for patients who experience a muscle control disorder because of conditions such as spinal cord injury, cerebral palsy, brain injury, multiple sclerosis or stroke.
We’ll coordinate with your therapists, physicians, you and your family and your other care providers to develop a personalized plan. We’ll make sure you understand your treatment options and what to expect as you or your family member progress through rehabilitation.
Treatment starts with a thorough evaluation from your physician and therapists. You’ll work with them to determine the most appropriate way to manage spasticity. Treatment may include:
Intrathecal baclofen may be considered as a treatment option, with a test dose administered here at Mary Free Bed during a short-stay admission. Your physician, nurse and physical therapist will evaluate the effectiveness of the medication and monitor your reaction to it. They’ll be focused on things like your respiratory status, functional mobility and spasticity.
If you or your family member have a positive response to the medication and we make the decision to proceed, you’ll receive a referral to a neurosurgeon. This specialist will conduct the consultation and place the pump. Once the pump is in place, it can be monitored for dose adjustments and refills at Mary Free Bed.
Health care providers: click here for information about Intrathecal Baclofen Emergency Algorithms (ITB) and Autonomic Dysreflexia (SCI above T6).
During your treatment, you may see a variety of specialists:
Your team works closely with your primary care or referral physician to provide you a holistic, thorough management plan.