Spasticity Management — Definitions, Pharmacology, and Interventions

A 45-year-old man with a T4 complete spinal cord injury (SCI) sustained 2 years ago presents to your outpatient spasticity clinic reporting a significant increase in lower extremity extensor spasms, which now severely impede his independent transfers and disrupt his sleep. He feels his current oral medications are no longer adequately controlling his symptoms.