17 - Chronic Spasticity Flashcards
1
Q
non-pharms?
A
- daily stretching and range of movement exercises
- braces to maintain a spastic limb in place
- surgery for the most refractory cases
2
Q
Treatment is split up into two categories, what are they?
A
- generalized spasticity
- focal spasticity
3
Q
List some options for generalized spasticity
A
- baclofen
- tizanidine
- BZD - more so for spasms at night
- cannabis
- dantrolene
- gabapentin
4
Q
Cannabis is approved for spasticity in patients with ___
A
MS
5
Q
Cannabis is also approved for _____ _____
A
neuropathic pain
6
Q
What advantage does tizanidine have over baclofen?
A
no decrease in muscle strength (major a/e of baclofen)
7
Q
Can give these drugs _____ to reduce side effects from oral administration
A
intrathecally
8
Q
2 options for focal spasticity
A
- botox injections (onabotulinumtoxinA) q 3 months
- phenol injections q 6 months
*physical therapy should follow injections for max benefit
