How to Manage Multiple Sclerosis Spasticity

Experiencing spasms is a symptom of multiple sclerosis (MS) that is associated with muscle weakness, especially in the lower limbs. This uncontrolled movement generates increased stiffness, leading to a decrease in the range of motion for the legs. There may be pain associated with the spasms, and this MS symptom can increase and require significant drug treatments, physical therapy and surgery.

Instructions

• 1

  Assess how the spasticity is affecting function. Some spasticity, for people with multiple sclerosis, creates muscle tone which is beneficial for standing and transferring. Eliminating the spasms, if the muscles are weak, may not be the proper goal when managing this MS symptom. Observe daily living performance and identify any limitations the spasticity is affecting to determine which treatment is going to be effective.

• 2

  Start drug treatment as soon as the spasticity symptom starts. This multiple sclerosis treatment includes several medications that decrease the spasms by relaxing the muscles. Be aware that drug treatments have side affects which you should discuss with a physician.

• 3

  Consult with the doctor if the spasticity increases. Nerve block injections reduce spasms by blocking them from spreading from nerve to nerve. Botox injections are used for this treatment for multiple sclerosis and remain effective for three to six months.

• 4

  Exercise and stretch the muscles. This physical therapy will reduce the tightness caused by spasms. Strength training will assist the muscles to work more efficiently and help reduce spasms.

• 5

  Take in sufficient fluid and be creative in conserving energy to eliminate fatigue. For example, you might organize your day to eliminate repeated trips to the same location. Yoga will help reduce stress, which is a trigger for spasticity.