ChristinaA.Hughes,MDDirector,MSRegionalProgramVA.pptVIP

Christina A. Hughes, MD Director, MS Regional Program VA Puget Sound HCS;Tightness or stiffness in the muscles that impairs normal smooth motion. May be beneficial: Improved “strength” for transfers/mobility Improved blood flow Decreased swelling Treat Spasticity when it begins to interfere with function, care-giving or causes discomfort ;Stretching and other modalities Oral medications Baclofen Tizanidine Clonazepam Dantrolene Valium Gabapentin Injections Botulinum toxin Phenol Intrathecal Baclofen;Reduce spasticity that interferes with activity, care and comfort Facilitate rehabilitation t