What is your approach to the management of worsening dystonic spasms that are painful and refractory to standard dystonia medications?
In a patient who is already on a standing regimen of baclofen, tizanidine, trihexyphenidyl, clonidine, and diazepam and who is taking additional diazepam and tizanidine as needed for the painful spasms.
2 Answers
Mednet Member
Neurology · University of Texas Rio Grande Valley
Answered on
Agree with Dr. @Dr. First Last, my friend.
I would also add physical therapy specifically asking for a muscle mobilization therapist within a week after chemodenervation.
Physical therapy really helps after treatment or without treatment.
Also, set realistic expectations about pain management: remin...
Join for free or sign in to see the full answer
Mednet MemberInvited Expert
Neurology · Wake Forest School of Medicine
Answered on
If the problematic area of dystonia is focal, botulinum toxin treatment should be considered which is the treatment of choice for focal dystonia.
Join for free or sign in to see the full answer