The goals of treatment of spasticity include retention of function, particularly related to mobility and the ability to perform activities of daily living; prevention of any permanent orthopedic deformity or development of pressure ulcers; reduction of pain; and stretching to achieve appropriate fit with orthotics.
Treatment of spasticity will be influenced by severity, location, duration, success of any prior treatment, functional status and future plans, any comorbidities, the likelihood of compliance with treatment, and the availability of a support system and a plan for follow-up. Before spasticity becomes an issue, patients should be managed with preventive measures in place. There is not a stepwise algorithm for treatment of spasticity resulting from MS, and many therapeutic measures may be utilized concurrently or interchangeably.
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