Musculoskeletal pain

Musculoskeletal pain is a frequent problem in people with spasticity. Poor seating posture as a result of trunk or lower limb spasticity will result in postural muscle pain, particularly back and trunk pain. Paralytic scoliosis, particularly in children and adolescents, may result from either high paraplegia or tetraplegia or from a double hemiplegia. This will result in significant back and trunk musculoskeletal pain. Skin and soft tissue breakdown can occur, particularly over the major deformity. Paralytic scoliosis may be progressive and very difficult to control.

Musculoskeletal pain may also occur in the upper trunk, neck, and shoulder as a result of shoulder and arm paralysis and spasticity.

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