Get your Health question answered in 3 easy steps

147 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

It is quite difficult to get the joint functioning again. Is it Paralysis ? spasticity -

Paralysis and spasticity - Q: Even though I have got some movement back, I can't use my arm because it feels so stiff. The physio says this is due to 'spasticity'. What is it and what treatment can I have for it? A: Spasticity is the medical term for muscles that are abnormally stiff. Initially after a stroke your muscles will be floppy (flaccid) as well as weak. For example, if your arm or leg is lifted and put through a range of movements, there will seem to be very little resistance. Within a few days after the stroke, even if no strength has returned, the muscles usually start to stiffen. When someone tries to move the arm or leg for you, it will be much more difficult. Several factors can make the stiffness worse: It is very important that the stiffness of your muscles is not allowed to become too severe, because if the muscles are very stiff it will become very difficult for you to move them once your strength starts returning. The treatment lies in recognising that there is a problem and then doing everything possible to prevent it. Within a few minutes of starting a treatment session, a skilled physiotherapist can reduce stiffness in muscles by getting your posture right and manipulating your limbs. It is important that the physiotherapist tells the nurses about how you should be moved and positioned correctly. If the stiffness is not treated early, the joints and muscles can get so stiff that it becomes impossible for anyone to move the joint - a contracture. Once this has happened, it is quite difficult to get the joint functioning again.
Tue, 28 Jul 2009
Report Abuse
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,  
  User's Response
's  Response
Q: Several of my joints have become so stiff that I can't move them, which makes it difficult for me to even sit comfortably. What can be done to straighten out my arms and legs? A: The treatment of these contractures is extremely difficult. Really the only way to tackle them is to put splints on your arms and legs to stretch them out. The physiotherapist or occupational therapist will make splints that you wear for as much of the day and night as you can tolerate. As each joint starts to stretch out, a new splint will be made that stretches it even further. The splinting is combined with physiotherapy. It can be very painful to try to stretch a fixed joint and you will probably need quite strong pain-killers before your treatment session. The process is slow and there is no guarantee of success. If it doesn't work and you can't even sit comfortably, it is sometimes feasible to have an operation to cut the tendons, which are the fibrous bands that connect the muscle to the bone, and stretch the joint out u
  User's Response
mishra.chitrangada's  Response
Spasticity Treatment In some patients with mild spasticity, the best treatment may be no treatment, with a watch-and-wait strategy. Typically, treatment is reserved for spasticity that causes pain, interferes with activities of daily living or sleep, or leads to increasing levels of functional disability. Some key questions that should be answered before beginning any treatment for spasticity include: 1. Is treatment necessary? 2. Do the patient and caregiver have the time and resources necessary to put the treatment into action? 3. Will the treatment improve the patient's or the caregiver's quality of life? Treatment Goals Patient and family expectations regarding the possibilities of treatments and outcomes may be realistic or unrealistic. Inappropriate expectations about the effectiveness of treatment may lead to disappointment regarding relief of symptoms and pain. Therefore, ongoing communication and agreement by the patient, caregivers, and healthcare professionals regarding the goa
  User's Response
benevolentsabi's  Response
What I have seen is that Physiotherapy plays an IMP role in the improving the life of these patients...
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

Hi Drs. My brother has spondylosis disc 5,6 & 7 he woke up one night and was paralysed from the chest down. He had been complaining of pain in his arm for around a year. He had the operation and now has spastic paralysis. He is 44 yrs old - what are his chances of walking again and using his hands properly? Thanks Marcelle

doctor1 MD

my brother had a sudden neuro issues and is in coma since 2011 without a diagnosis, initially we though he would not survive. but over time he started improving, he is paralysed. in coma but understant wordsm idientify objects. still his tongue is non functioning. limbs are paralysed. but looks like one day they might work. is there any homeopathy medicine that might help him recover from paralysis more steadily?

doctor1 MD

I have some face paralysis (my mouth and eye - left side). I can smile normally, but cannot whistle or hold air in my cheeks. Eating is difficult as well. My eye closes (sometimes not completely) but I cannot squeeze my left eye shut. I have had a stomach bug very recently and my facial problem has started at the same time. I am 27 and is in good health. I do have an underactive thyroid, which I take medication for.

Recent questions on  Stiffness

doctor1 MD

I am 33 yrs, 5, 2 in height and 125lbs. I have been having a problem with my ears popping, a stiff heavy feeling in neck travelling all the way up my head with slight dizziness. Sometimes the stiffness extends all the way to my throat. Please advise what could be the reason for this problem.

doctor1 MD

My upper back and neck sometimes crack when I breathe in heavily. Also If I just slightly tilt my back to the right it will crack (the amount varies) should I be worried and see someone or is this normal? I take adderall and I know that can cause stiffness...

doctor1 MD

What can cause all over body pains so severe walking and movement are difficult (dressing, showering, getting out of bed). I also have chest and rib pains with that as well, heart problems have been ruled out. A bad left foot with swelling, had...

doctor1 MD

I have been having a stabbing pain upon waking up on both sides of my back, but it goes away after being up a while. What is that?

doctor1 MD

I'm a 30 year old female with no prior health problems. For the last year or so I have had bouts or severe pitting edema in my legs and feet to the point where my feet look like balloons and I can easily press 1 inch+ dents into my shins that...

doctor1 MD

HI I have uric acid problem........I hAve already consulted my family Doctor and am taking medicines prescribed by him......However i fell stiffness in my knees and feel very uncomfortable while walking......I WOULD LIKE TO KNOW PRECAUTIONS I MUST TAKE BOTH in diet and physical .........