At the Instituto Medicina em Foco <\/span>Dr. Gabriel Picarelli<\/b><\/a>specialist in <\/span>Physiatry<\/b> e <\/span>Neurophysiology<\/b>leads innovative treatments for <\/span>severe spasticity<\/b>using resources such as the application of <\/span>botulinum toxin<\/b>He offers personalized physiotherapy and multidisciplinary rehabilitation strategies. With extensive experience, he helps patients regain their mobility and well-being. <\/span><\/p>\n If you are looking for modern treatments and humanized care to combat <\/span>spasticity<\/b> e <\/span>chronic pain<\/span><\/a>, <\/span>book an appointment<\/span><\/a> with <\/span>Dr. Gabriel Picarelli<\/b> at the Instituto Medicina em Foco and take the first step towards quality of life.<\/span><\/p>\n A <\/span>spasticity<\/b> is a motor disorder caused by lesions or dysfunctions in the central nervous system. This condition occurs due to increased muscle tone, which results in <\/span>hypertonia<\/b> and difficulty in performing voluntary movements.<\/span><\/p>\n This condition is common after brain injuries such as <\/span>strokes<\/b> and trauma, and is often seen in cases of <\/span>spastic cerebral palsy<\/b>.<\/span><\/p>\n A <\/span>spasticity<\/b> is a common complication in patients who have suffered a <\/span>cerebrovascular accident (CVA)<\/b>. Studies show that this condition occurs due to brain damage that affects the circuits responsible for muscle control.<\/span><\/p>\n This often affects the upper and lower limbs, impairing basic activities such as walking, eating or holding objects. Muscle stiffness can also cause chronic pain, worsening the clinical picture. <\/span><\/p>\n A <\/span>spasticity <\/b>after <\/span>brain injury<\/b> interferes with daily activities, compromising independence and increasing the risk of falls. This is why a physiatrist is essential to improve mobility and regain autonomy. <\/span><\/p>\n A <\/span>spastic cerebral palsy<\/b> is the most common type of cerebral palsy, affecting around 70% of diagnosed cases. This condition, which usually manifests itself in childhood, is characterized by: <\/span><\/p>\n O <\/span>Dr. Gabriel Picarelli<\/b><\/a>specialist in <\/span>Physical Medicine and Rehabilitation (Physiatry)<\/b> e <\/span>Neurophysiology<\/b>is a reference in the treatment of <\/span>spasticity<\/b>. With extensive experience, he uses modern, personalized approaches to help his patients regain mobility and improve their quality of life.<\/span><\/p>\n In <\/span>Instituto Medicina em Foco<\/b>Dr. Gabriel works with a <\/span>highly qualified multidisciplinary team<\/span><\/a>offering treatments ranging from the use of <\/span>botulinum toxin<\/b> to advanced physical rehabilitation.<\/span><\/p>\n A <\/span>spasticity<\/b><\/a> can vary significantly in terms of types and degrees of severity, depending on the underlying cause and the areas of the body affected. It is classified according to location, as in <\/span>lower limbs<\/b> or upper limbs, and by the predominant symptoms, such as <\/span>hypertonia<\/b>, <\/span>muscle spasms<\/b> or generalized stiffness.<\/span><\/p>\n To assess its degree, health professionals use specialized scales, such as the <\/span>Modified Ashworth Scale<\/b> or the <\/span>Tardieu Scale<\/b>. These tools help measure the intensity of muscle stiffness and guide the choice of the most appropriate treatment.<\/span><\/p>\n An accurate diagnosis is essential in order to personalize therapies and offer effective results for each patient. <\/span>Make an appointment<\/span><\/a> for accurate and early treatment.<\/span><\/p>\n A <\/span>spasticity in the lower limbs<\/b> is often observed in patients who have suffered <\/span>STROKE<\/b>have <\/span>spastic cerebral palsy<\/b> or injuries to the spinal cord. The most common symptoms include: <\/span><\/p>\n This condition can make everyday activities such as climbing stairs, walking or getting up from a chair difficult, as well as causing joint deformities in severe cases. To treat <\/span>lower limb spasticity<\/b>approaches include:<\/span><\/p>\n A <\/span>mild spasticity<\/b> is characterized by minimal muscle stiffness. It may not cause major functional impacts, but it can limit more complex movements. <\/span><\/p>\n Severe <\/span>severe spasticity<\/b> involves intense and frequent muscle contractions, resulting in pain, deformities and significant motor difficulties.<\/span><\/p>\n Experts assess the <\/span>frequency<\/b>, <\/span>intensity<\/b> and <\/span>impact of symptoms<\/b> in the patient’s life, using standardized scales. This detailed analysis is fundamental for planning personalized treatments, in line with the degree of severity and individual needs. <\/span><\/p>\n Treatments adjusted to the level of spasticity guarantee greater effectiveness and help patients recover their functionality and quality of life.<\/span><\/p>\n A <\/span>spasticity<\/b> can turn simple everyday tasks into real challenges. Getting dressed, eating or doing household chores often require additional effort and functional adaptations. Muscle stiffness limits movement, while frequent spasms can cause discomfort and frustration during everyday life. <\/span><\/p>\n A <\/span>severe spasticity<\/b> can lead to serious physical complications such as:<\/span><\/p>\n In addition to the physical impacts, emotional complications are also relevant. Patients with <\/span>degrees of spasticity<\/b> More severe patients may face social isolation, due to the difficulty of mobility or the need for constant assistance. This can lead to anxiety and depression. <\/span><\/p>\n The use of <\/span>botulinum toxin<\/b><\/a>for example, support devices and psychological support are fundamental to minimizing these complications and restoring the patient’s physical and emotional balance.<\/span><\/p>\n Identifying and treating <\/span>spasticity<\/b> as early as possible is essential to prevent the progression of symptoms and their complications. Early intervention can prevent contractures, improve range of motion and allow the patient to maintain greater functionality over time. <\/span><\/p>\n The support of specialists such as <\/span>Dr. Gabriel Picarelli<\/b><\/a>at the <\/span>Instituto Medicina em Foco<\/b><\/a>offers patients the opportunity to receive modern, personalized therapies, promoting a significant improvement in quality of life. <\/span>Get in touch<\/span><\/a> with MEF.<\/span><\/p>\n A <\/span>Physiatry<\/b> is a medical specialty focused on treating musculoskeletal and neurological dysfunctions through functional recovery, improving patients’ quality of life. This approach allows for the relief of symptoms and the prevention of complications that can arise due to muscle stiffness and limited movement. <\/span><\/p>\n An accurate diagnosis is the first step towards proper management of <\/span>spasticity<\/b>. The Physiatrist carries out a detailed clinical assessment, which includes:<\/span><\/p>\n In addition, complementary tests such as magnetic resonance imaging and electromyography can be essential in establishing an accurate diagnosis, which is essential for determining the best treatment for you.<\/span><\/p>\n A <\/span>Physiatry<\/b> offers a wide range of therapeutic options for the management of <\/span>spasticity<\/b>These range from conservative interventions to more advanced treatments. Each approach is adapted to the case of each patient. <\/span><\/p>\n![\"Dr.](\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/12\/Dr.-Gabriel-Picarelli-fisiatra-especialista-em-espasticidade-.webp\" "\\"\\"")
<\/a><\/p>\nWhat is <\/b>spasticity<\/b>?<\/b><\/h2>\n
Main symptoms of spasticity:<\/b><\/h3>\n
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The relationship between stroke and <\/b>spasticity<\/b><\/h3>\n
Impact on quality of life<\/b><\/h4>\n
Spastic cerebral palsy<\/b><\/h3>\n
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![\"Schedule](\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px-300x60.webp\" "\\"\\"")
<\/a><\/h3>\nMeet Dr. Gabriel Picarelli<\/b><\/h3>\n
Types and degrees of <\/b>Spasticity<\/b><\/h2>\n
Lower limb spasticity<\/b><\/h3>\n
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Functional impact and treatments<\/b><\/h4>\n
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Degrees of spasticity:<\/b> mild and severe<\/b><\/h3>\n
How are the degrees determined?<\/b><\/h4>\n
![\"Spasticity](\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/12\/Tratamento-de-espasticidade-na-Medicina-em-Foco-com-o-Dr.-Gabriel-Picarelli.webp\" "\\"\\"")
<\/a><\/h2>\nAs <\/b>spasticity<\/b> affect your daily routine?<\/b><\/h2>\n
Complications associated with <\/b>severe spasticity<\/b><\/h3>\n
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The importance of early intervention<\/b><\/h3>\n
How <\/b>Physiatry <\/b>helps in the treatment of <\/b>spasticity<\/b>?<\/b><\/h2>\n
Diagnostic approach of a <\/b>Physiatrist<\/b> specialist<\/b><\/h3>\n
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<\/a><\/h3>\nAvailable treatments<\/b><\/h3>\n
Botulinum <\/b>injections<\/b>