Neurological & Spasticity Management

“Neurological conditions can affect muscle control, coordination, and overall function, often leading to symptoms such as spasticity, stiffness, or impaired movement. With proper evaluation and a targeted treatment approach, many of these symptoms can be effectively managed to improve comfort, mobility, and quality of life. I can help guide you toward personalized care that supports both neurological function and daily activity.”

-Dr. Anatoly Pisman, MD

What is Neurological & Spasticity Management?

Neurological and spasticity management focuses on treating conditions that affect the nervous system and result in abnormal muscle tone, movement difficulties, or coordination issues. Spasticity refers to increased muscle stiffness or involuntary muscle contractions, often caused by damage to the brain or spinal cord.

This area of care is a key part of Physical Medicine & Rehabilitation (PM&R), with a focus on improving function, reducing discomfort, and supporting independence through non-surgical and minimally invasive treatments.

Common Conditions Treated

Symptoms of Neurological Conditions & Spasticity

Symptoms can vary depending on the underlying condition and severity, but often involve changes in muscle control and movement.

When to See a Doctor

Medical evaluation is recommended if you experience persistent muscle stiffness, difficulty with movement, or changes in coordination. Symptoms that interfere with walking, daily tasks, or quality of life should be assessed promptly. Early treatment can help prevent complications and improve long-term outcomes.

Diagnosis & Evaluation

Diagnosis begins with a comprehensive review of your symptoms, medical history, and neurological function. A physical examination assesses muscle tone, strength, coordination, and movement patterns.

Additional testing may be recommended depending on the condition, including imaging or functional assessments to better understand the underlying cause and guide treatment.

Treatment Options

Treatment is individualized based on the patient’s condition and goals. Management often includes a combination of therapies aimed at reducing muscle stiffness, improving movement, and enhancing overall function.

Options may include targeted injections, medication management, rehabilitation therapy, and assistive devices. In some cases, coordination with orthotics and prosthetics services may also be beneficial for improving mobility and support.

What to Expect at Your Visit

During your visit, your symptoms, functional limitations, and medical history will be carefully evaluated. A physical examination will assess muscle tone, coordination, and movement. Based on your evaluation, a personalized treatment plan will be developed to reduce symptoms, improve mobility, and support your overall quality of life.