Multiple Sclerosis

Multiple Sclerosis Your Health

Treatment Options

Treatment Options for Severe Spasticity Due to Multiple Sclerosis

There is currently no cure for severe spasticity. However, there are a number of options available for managing your symptoms.

These options may include:

Rehabilitation Therapy

Rehabilitation therapy usually takes place in a clinic, a hospital, or at home. It can include any combination of physical, occupational, or speech therapy.

Oral Medication

Oral medications may help some people manage the symptoms of spasticity.


Neurodestructive surgical procedures include selective dorsal rhizotomy, in which the dorsal (sensory) nerve roots are severed.

Injection Therapy

Injection therapy is usually intended for specific muscle groups (for example, one hand, one foot, one shoulder).

Orthopaedic Surgery

Orthopaedic surgeries include soft tissue procedures like tendon transfers and osteotomies (cutting a bone to change its alignment).

Intrathecal Baclofen Therapy (ITB Therapy)

Intrathecal baclofen therapy (ITB) Therapy is an adjustable, reversible treatment of severe spasticity. A surgically placed pump and catheter deliver a liquid drug called baclofen directly to the fluid around the spinal cord, where it is needed the most.

For spasticity of spinal origin, chronic infusion of baclofen via a drug delivery pump should be reserved for patients unresponsive to oral baclofen or those who experience intolerable side effects at effective doses.

Next: About ITB Therapy


This website is intended to be educational and is not to be used as a diagnostic tool. It is not intended to replace the information provided to you by your healthcare providers and does not constitute medical advice. The information may not be directly applicable for your individual clinical circumstance. Please talk with your doctor about diagnosis and treatment information.