If there is any pain, a number of medications are available. Physical Therapy Physical therapy can be important for treating cramping and muscular pain. Passive stretching is important for avoiding contractures - permanent contraction of the muscle. If contractures develop, secondary joint problems can occur, and pain can become very difficult to manage. Even if a patient is paralyzed, passive stretching can help.
Neuromuscular massage can be very effective at increasing comfort.
Follow-Up ALS is a terminal illness. Hospice care can provide comfort and dignity at this most difficult time for patients and their loved ones. A patient should be informed about the disease itself and its prognosis, and they may need counseling for depression or other emotional problems associated with dealing with a terminal illness. A support network should be set up for both the patient and the patient's family. Decisions need to be made about life support machinery and what to do when the patient reaches the point at which they are not able to breathe without a respirator.