Spasticity - Treatment Referrals - Primary Care Provider Resource for Spinal Cord Injury

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Primary Care Provider Resource for Spinal Cord Injury Heersink School of Medicine

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Referral treatment options involving non-pharmacologic, non-oralpharmacologic, and surgical/proceedural interventions.

Intrathecal baclofen administration (considered to be the most successful of the surgical treatments)
Botulinum toxin injections
Phenol injections
Tenotomy (release of a tendon from a severely spastic muscle in individuals without voluntary movement)
Tendon lengthening (to reduce the pull on spastic muscles, positioning the joints at a more natural and useful angle)
Tendon transfer (moving the tendon attachment to the bone closer to the muscle, in muscles that have at least partial voluntary function)
Selective rhizotomy (cutting of posterior roots to interrupt the peripheral reflex arc)

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The University of Alabama at Birmingham Spinal Cord Injury Model System provides this website as an auxiliary resource for the primary care of patients with spinal cord injury.The contents of this website were developed under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90SIMS0020). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.