Should spasticity be treated?

Author: SCIRE Community Team | Reviewer: Holly Timms , Felicia Wong | Published: 21 November 2017 | Updated: ~

Spasticity can negatively affect the health and wellness of some people, but it can sometimes have benefits as well. It is important to determine whether your spasticity is a problem for you. Treating spasticity unnecessarily can have drawbacks, such as unwanted side effects, costs, and time. It is important that you discuss your treatment options and weigh the pros and cons of treating spasticity together with your health team to determine the best course of action for you.

Problems with spasticity

A cartoon person sitting on the side of the bed holding his head with zigzags above the head and a clock on the wall

Muscle spasms and reflexes can contribute to a number of potential problems, such as:

  • Pain
  • Sleep problems
  • Reduced mobility and function
  • Difficulties maintaining posture and positioning
  • Skin breakdown and hygiene concerns
  • Bladder and bowel accidents
  • Joint contractures
  • Sexual and reproductive health issues
  • Difficulties with care

Benefits of spasticity

Spasticity can also have some benefits for people with SCI, which may include:

  • Better mobility, standing, and walking
  • Assistance with transfers (such as supporting the body weight while transferring from a wheelchair to a bed or chair)
  • Preventing muscle wasting or weakening due to inactivity
  • Improved circulation
  • Intentionally triggered spasms can help to empty the bowel and bladder in people with certain types of bowel or bladder problems
  • Reflex erections during sexual activity
  • It may serve as a warning sign of infections or other health issues

YouTube video about the downfalls of treating non-problematic spasticity.8