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Multiple sclerosis is a debilitating disease of the cardinal nervous organization that leads to to-do in the conduction of impulses due to demyelination of boldness fibers secondary to disorder of immune system.1MS is a inveterate and progressive disorder that affects nerve fibers at several levels of the spooky system causing sclerosis ( due to scar tissue paper formation ) at various locations ; hence , the name multiple induration . All the ensuing symptoms of multiple induration are due to this damage to the nerve cocktail dress . The symptoms may range fromneuropathic pain , failing , fatigue , paresthesias , visual disturbance , actor’s line problems , coordination problems , along with spasticity .
What Do MS Muscle Spasms Feel Like?
Spasticityis a common symptom of multiple induration impact nearly 60 - 90 % people with MS . It look up to a feeling of muscle stiffness and can contribute to a wide multifariousness of muscle spasm . brawniness spasmsare sudden involuntary contractions or movement lead to jerking of the affected muscles . Spasticity and spasms can pretend a somebody ’s quality of life drastically and impact their day-after-day natural action .
The severity of spasticity can rate from mild ( just a feeling of severity ) to severe ( accompany by painful uncorrectable spasm ) . Although , it can feign any part of the dead body , it is more common in arms , legs , back and automobile trunk muscles . Spasticity can make difficulty walk along with exacerbate the symptom .
Spasm can be related to flexion . In which the cramp conduct to joint bend making it difficult to extend is cognise as inflection cramp . The other eccentric of muscle spasm is relate to extension . In which the muscles tighten and stay straight making it difficult to deflect is known as annexe spasm . Another form of spasm is adductor spasm , where it is hard to fork thighs and they are rive towards the consistence . Spasm can also regard the trunk in which the back arches off of a bed or back of a president .
Cause Of Muscle Spasticity In MS
Spasticity and muscle spasms are cause due to increase muscle tone , which is a measuring stick of immunity of a muscle to movement.2The tension and relaxation in a muscleman is preserve by normal nerve conduction in the muscles . However , the folie in the boldness stimulus conduction in a muscle can leave unnatural musculus step . The coordination between the impulses and muscles is disrupted precede to prolong contracture of a muscle causing spasms . Spasticity can affect any part of the body depending which part of the nervous organization is move by MS .
Spasticity and spasms are also colligate with other symptoms of weakness , pain , and clonus . Spasticity can be helpful in some situations , especially if the muscle are weak . The stiffness provides strength in weak muscles and help them to function , such as walking . Spasticity and spasm are often associated with cramping bother and on occasion they are unassociated with pain symptom . Clonus or abnormal repetitive , upward and downward or tapping crusade of foot can also be associated with spasticity and spasms .
Management Of Spasticity And Spasms In MS
Spasticity and muscle spasm can be deal with the use of sinew relaxants . The first line treatment of drugs includes baclofen and Neurontin . When these do not facilitate in save symptom , other drugs let in dantrolene , tizanidine , clonazepam , diazepam and pregabalin can also be used as a second line of treatment . Sativex , a hemp - based mouth spray is also a licenced handling for MS spasticity . Other options of direction include botox , intrathecal baclofen , phenylic acid and finally surgery ; however , surgery is performed in very rare cases .
cause and stretch out along with physical therapy and occupational therapy are crucial part of keeping muscles active and reduce spasticity and muscle spasm . If left without treatment then spasticity can cause serious complications , such as contracture of reefer and insistency sore . If over treated , then that will result in helplessness of muscles devoid of stiffness and rigidity that will result in inability to walk if stage muscle are involved .
Therefore , right amount of physical therapy is crucial maintaining veracious amount of spasticity .
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