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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Spasticity In The Neck Be Treated?

I had a stroke eleven years ago and I still am unable to walk. My right side is Ataxic, but not spastic. There is a a lot of spasticity in my neck however. After my stroke and before I had Botox injections in my neck, my chin (and my head) was always in my chest due to the spasticity of the muscles in my neck. It hurt to lift my head due to the spasticity in my neck. After nine months I got Botox injections in my neck. They definitely helped me. I could lift my head for the first time since my stroke. I have gotten Botox injections every since (the Botox is only effective for three months). Last year however, I went a span of five months before I got Botox injections in my neck (due to a change in doctors). Ever since then, I still get Botox injections in my neck but they don t seem to be as effective. My head is starting to slide back in my chin, due to the spasticity in my neck. I do neck stretching exercises every day in between Botox injections. My doctor has increased the dosage of Botox when he injects my neck, but nothing seems to work. My head is starting to slide back into my chest. Either I went too long between Botox injections or my body has built up a tolerance to the Botox, or both. Has anybody under gone a treatment that is effective against spasticity other than Botox injections?
Thu, 12 Jul 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.


It seems that you have got some degenerative process in the cervical spinal vertebral joints and due to that there is limitation of the movements in full angle. These verterbas are very commonly involved in osteoarthritic changes and lead to pain and limited mobility. For your main issues of the neck mobility, you need to consult an Orthopedist and he is the personnel trained to deal with such issues with perfection. He will go for a thorough Physical examination and some diagnostic tests and will treat according to the MRI findings.
relaxation therapy would be best instead of taking some medicine and for that she has to see the concern center, and even better than this is to come out of the stress, Tab Chlorzoxazone with Acetaminophen can be tried, and hope this information helps.

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How Can Spasticity In The Neck Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It seems that you have got some degenerative process in the cervical spinal vertebral joints and due to that there is limitation of the movements in full angle. These verterbas are very commonly involved in osteoarthritic changes and lead to pain and limited mobility. For your main issues of the neck mobility, you need to consult an Orthopedist and he is the personnel trained to deal with such issues with perfection. He will go for a thorough Physical examination and some diagnostic tests and will treat according to the MRI findings. relaxation therapy would be best instead of taking some medicine and for that she has to see the concern center, and even better than this is to come out of the stress, Tab Chlorzoxazone with Acetaminophen can be tried, and hope this information helps. Hope I have answered your query. Let me know if I can assist you further.