Alfacip (Alphadol)

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COMMON COMPLICATIONS OF SPINAL CORD INJURY: SPASTICITY
Spasticity, or abnormally increased muscle tone, affects most individuals with spinal cord injury at the T12 level or higher. It can cause a variety of problems, including muscle stiffness, sudden involuntary contraction of muscles (spasms), or rhythmic repetitive muscle jerks. These uncontrolled movements may be jarring, annoying, and painful, and may interfere with positioning and transfers (from wheelchair to bed, wheelchair to car, and so forth) or cause falls from the wheelchair.
Several drugs are effective in treating spasticity. Baclofen (Lioresal), diazepam (Valium), tizanidine (Zanaflex), and dantrolene sodium (Dantrium) are the most common. However, some of these drugs can cause drowsiness or a “spacey” feeling and can interfere with driving or work tasks. For this reason, and because spasms are not necessarily dangerous, some people with spinal cord injury choose not to use medicine for spasms. Some learn to control spasms by changing position, applying pressure to a limb, or other physical means. A few people can learn to harness spasms for useful purposes, intentionally eliciting particular spastic movements that help with pressure releases, transfers, or other functional activities.
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