Spasticity / Dystonia Clinic

This clinic is designed to assess and treat individuals (ages 12 and above) with functionally significant disorders of neuromuscular tone due to conditions of the brain or spinal cord. Typical issues responsible for referrals include:

• Deformity and impaired limb control complicating hemiparesis,
• Flexor spasms, or hypertonia affecting seating/transfers in spinal para or quadriplegia;
• Dystonias including hemifacial spasm, spasmodic torticollis, blepharospasm;
• Limb dystonias complicating traumatic or non-traumatic brain injury.

Evaluations consider the primary complaint of the individual, the history of their disorder as well as any previous therapeutic interventions, findings of an examination and all potential treatment options available. The types of treatment options within our 'tool chest' include:

• Physical methods (exercise, thermal, casting/splinting, orthotics);
• Oral Medication;
• Trial ("Test") nerve blocks using local anesthetic;
• Chemoneurolysis with Phenol ("Nerve Block/Motor Point Injections")
• Botulinum toxin ("Botox" Injection)
• Botulinum toxin therapy is offered to amputees with excessive sweating at the interface with their prosthesis.
• Botulinum toxin therapy is also offered for primary axillary hyperhidrosios (excessive armpit sweating.)

Who it is...

The morning clinic is run by by rehabilitative neurologist James Whitlock, MD. Participation by physical therapists with extensive experience in neurorehabilitation is available as needed during evaluation or treatment sessions.

When it happens...

Appointments are available on Tuesday mornings between 9:00 and noon.

And Where

The clinic is held in the outpatient services area of Northeast Rehabilitation Hospital.

To place a referral or make an appointment, please call:

Physician Services: 603-893-2900, extension 3140.