Intended for healthcare professionals

Letters Managing spasticity in adults

Orthopaedic surgery can transform the lives of adults with spasticity

BMJ 2014; 349 doi: (Published 17 September 2014) Cite this as: BMJ 2014;349:g5633
  1. Robert T Freeman, consultant orthopaedic surgeon1,
  2. Simon Pickard, consultant orthopaedic surgeon1,
  3. Sarah Jarvis, senior physiotherapist, Orthotic Research and Locomotor Assessment Unit (ORLAU)1
  1. 1Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Trust, Oswestry SY10 7AG, UK
  1. robert.freeman{at}

Surgery has a role in managing spasticity in adults.1 We run a monthly clinic for adult patients with spasticity after stroke, multiple sclerosis, brain injury, and cerebral palsy. Several surgical procedures improve the quality of such patients’ lives, including wrist fusions, …

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