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Spasticity / Dystonia Clinic

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What it is…

This clinic is designed to assess
and treat individuals (ages 12 and above) with
functionally significant disorders of neuromuscular
tone due to conditions of the brain or spinal cord.
Typical issues responsible for referrals include:

  • Deformity and impaired limb
    control complicating hemiparesis,
  • Flexor spasms, or hypertonia
    affecting seating/transfers in spinal para or
    quadriplegia;
  • Dystonias including
    hemifacial spasm, spasmodic torticollis, blepharospasm;
  • Limb dystonias complicating
    traumatic or non-traumatic brain injury.

Evaluations consider the primary
complaint of the individual, the history of their
disorder as well as any previous therapeutic
interventions, findings of an examination and all
potential treatment options available. The types of
treatment options within our ‘tool chest’ include:

  • Physical methods (exercise,
    thermal, casting/splinting, orthotics);
  • Oral Medication;
  • Trial ("Test")
    nerve blocks using local anesthetic;
  • Chemoneurolysis with Phenol
    ("Nerve Block/Motor Point
    Injections")
  • Botulinum toxin
    ("Botox" Injection)
  • Intrathecal
    Baclofen
    *

*(trials performed during a brief
inpatient stay)

Who it is…

The morning clinic is run by by
rehabilitative neurologist James
Whitlock, MD. The afternoon clinic is run by
physiatrist Scott Masterson, MD. Participation by
physical therapists with extensive experience in
neurorehabilitation is available as needed during
evaluation or treatment sessions.

When it happens…

Appointments are made on Thursday
mornings between 9:00 and Noon and afternoons between
1:30 and 4:00 pm.

And Where

The clinic is held in the
outpatient services area of Northeast Rehabilitation
Hospital
.

To place a referral or make
an appointment, please call:

Physician
Services: 603-893-2900, extension 733.