Spasticity is a significant issue because it prevents the patient from being able to function normally. A patient's arm or leg might not be able to move in the way it did before. So, the patient will need help to dress, walk or bathe. The patient may also experience pain and can be at risk of developing ulcers. Reducing spasticity can make a big difference for the patient's quality of life. It may also help the caregiver who is assisting the patient with the daily tasks and hence is affected almost to the same degree as the patient by this disability. Unfortunately, spasticity may be overlooked because of the many other changes in a person's body after a stroke, but it should not be. The patient or the caregiver should articulate the problem to their doctor or the healthcare team and ask for help.

There are several treatment options for spasticity. Not every therapy will help every patient, so you may need to try different treatments to see which one works for you. However, many patients reduce spasticity with treatment, so it is well worth a try. The options include specialized physiotherapy, customized splinting often combined with medical interventions, such as Botox injections or oral medications. Botox is one of the newest treatments and has shown to be effective in alleviating spasticity in specific muscles. Also, it does not have side effects which we frequently see with oral medications.

When talking to your doctor, emphasize what is really bothersome and problematic. Always be frank and also try to be as specific as you can. Don't say "I can't move and I want to be able to move" because this may not be entirely possible. Instead, tell your doctor that your foot is turning in every time you take a step or that you cannot open your hand to wash. Your family doctor may then refer you to a neurologist or a physiatrist who specializes in spasticity for further evaluation and treatment.

It is important to set specific goals to improve particular functions and to work towards achieving them. There is life after a stroke and there are things that can be done to reduce the disability and burden imposed on the patient, their families and caregivers. Specific goals make it easier to choose treatment and to make results achievable. Complete recovery may not be possible for all patients, but improving quality of life can frequently be achieved.

So, take the initiative and talk to your doctor! Spasticity deserves attention and you deserve some relief from the uncomfort of spasticity.