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What Causes Painful Spasticity Attacks In Leg?

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Posted on Thu, 11 Dec 2014
Question: Thank-you.
I am 60, a retired lawyer, bicyclist, with MS for 15 years. And Dementia. Not too bad, actually. But I had more painful spasticity "attacks," in my left leg this summer and in late Sept. my doc increased my Baclfen to 4 10 mg pills/day, up from 3. Since then, I've experienced painful attacks, lasting the usual 20 min, mostly after high-energy bike workouts. So I've stopped working out that hard. But now the spasticity - and the attacks - keep coming (~ 2 times/week). Should I ask my doc for another higher dose of Baclofen? I appreciate any input..
doctor
Answered by Dr. Eris Ranxha (29 minutes later)
Brief Answer:
Don't increase the dose

Detailed Answer:
Dear
I am sorry for the symptoms you are suffering
Unfortunately you have reached the maximum effective dose of baclofen (which is the only antyspastic we know) so increasing the dose will not help
You should absolutely avoid physical stress
I would reccomend walking or swimming but not exercises
In my opinion you can use anti inflammatories (such as ibuprofen) on attacks
Discuss with your doctor about my opinion and let me know
Hope my answer will
help you
Don't hesitate to contact me for further questions
Best regards
Dr Eris Ranxha
Neurologist
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Eris Ranxha

Neurologist

Practicing since :2009

Answered : 686 Questions

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What Causes Painful Spasticity Attacks In Leg?

Brief Answer: Don't increase the dose Detailed Answer: Dear I am sorry for the symptoms you are suffering Unfortunately you have reached the maximum effective dose of baclofen (which is the only antyspastic we know) so increasing the dose will not help You should absolutely avoid physical stress I would reccomend walking or swimming but not exercises In my opinion you can use anti inflammatories (such as ibuprofen) on attacks Discuss with your doctor about my opinion and let me know Hope my answer will help you Don't hesitate to contact me for further questions Best regards Dr Eris Ranxha Neurologist