An option for those who do not respond well to oral medications is an implanted pump programmed to deliver Baclofen into the spinal fluid at specific times and dosages. The pump, about the size of a hockey puck, goes in the lower back near the abdomen. It must be refilled after one to three months. Simpler solutions work in some cases. A person with an isolated problem, such as not being able to bend an elbow after a stroke, may get immediate relief with a phenol injection similar to the Botox procedure, though phenol is less safe for long-term use.
Some people do well with a brace worn at night or with a daily stretching program.
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