Neurological Rehabilitation
Physmedi provides individualized PM&R evaluation and treatment for neurological muscle stiffness, tightness, and involuntary spasms that affect movement, positioning, comfort, personal care, or daily activities.
An evaluation may be appropriate when a medically stable condition affecting the brain or spinal cord causes muscle overactivity that interferes with function or care.
Whether Physmedi is the appropriate setting depends on the underlying condition, medical stability, age, examination needs, available records, and services available. A request begins staff review; it does not promise acceptance or a particular treatment.
Spasticity is involuntary muscle overactivity caused by an injury or disease affecting the brain or spinal cord. It may feel like persistent tightness or stiffness, or it may cause repeated spasms and sudden movements. It is different from an ordinary short-lived muscle cramp.
Spasticity may affect movement, positioning, comfort, hygiene, sleep, equipment fit, and personal care. In some people, a degree of muscle tone may assist standing or transfers. The evaluation considers both helpful and harmful effects before recommending treatment.
The distribution of tightness, available movement, fixed joint changes, other medical conditions, medications, and the patient’s goals all influence which options may be reasonable.
After reviewing the examination, goals, risks, and services available, a plan may use one or more approaches:
Physical or occupational rehabilitation may include stretching, range-of-motion work, strengthening, task practice, positioning, home strategies, and caregiver education. Therapy recommendations are matched to safety and functional goals.
Medication may be considered when spasticity is more widespread or affects several activities. Medication choice and changes require individualized medical review. Do not stop or change a prescribed medication without instructions from the prescribing clinician.
An orthosis may support positioning, protect range of motion, improve stability, assist a task, or help limit progressive shortening. Proper fit, skin monitoring, comfort, and follow-up are essential; a brace or splint should not be added or changed without professional guidance.
When focal muscle overactivity is limiting a specific goal, targeted botulinum toxin injections may temporarily reduce activity in selected muscles. The clinician reviews the muscles involved, expected benefit, risks, timing, rehabilitation plan, and coverage requirements before recommending treatment.
Goals should be specific and meaningful. Depending on the condition and clinical findings, treatment may help:
Results vary. Reducing muscle tone does not automatically improve every movement or activity, and some goals may require therapy, equipment, caregiver strategies, or treatment of another medical issue.
If you believe you may be experiencing a medical emergency, call 911 or go to the nearest emergency department.
Our team may request neurology, rehabilitation, hospital, or therapy notes; medication information; prior injection records; imaging or test reports; insurance information; and referral or authorization documents before offering appointment options.
The clinician reviews the neurological history and asks how tightness affects movement, comfort, hygiene, sleep, equipment, and daily care. The examination may assess joint motion, strength, muscle tone, positioning, walking, transfers, and task performance.
The clinician discusses which goals are realistic, which options may be appropriate, what risks or tradeoffs matter, and how progress would be measured. Additional records, therapy, equipment review, or specialist coordination may be needed.
Please have the following available when possible:
Physmedi has offices in Orlando, Clermont, and Kissimmee. Clinician, injection, and spasticity-service availability may vary by location. Our team will confirm the appropriate office after reviewing the request.
Coverage for evaluations, rehabilitation, orthoses, medication, and botulinum toxin injections varies by plan. Prior authorization, documentation of treatment goals, or previous treatment history may be required. Verification does not guarantee coverage or payment.
Spasticity is involuntary muscle overactivity caused by a neurological condition. It may cause persistent tightness or stiffness, repeated spasms, or sudden movements that affect positioning, comfort, care, or function.
Treatment may include rehabilitation, medication management, orthoses such as braces or splints, and targeted botulinum toxin injections. The plan depends on the distribution of tightness, examination findings, risks, and functional goals.
Orthoses may support positioning, stability, available range of motion, or a specific task and may help limit progressive muscle and joint shortening. They require professional fitting, skin monitoring, and follow-up.
Treatment may reduce troublesome tightness or spasms and support movement, comfort, positioning, personal care, equipment use, or another selected daily goal. Improvement varies, and reducing tone does not guarantee improved function.
No. Treatment is individualized based on the neurological condition, pattern of muscle overactivity, fixed joint changes, other medical needs, risks, and the goals that matter to the patient and caregivers.
No. Submitting the form begins a secure review. Our team reviews the information before offering appointment options, and any injection recommendation requires a clinical evaluation.
Tell us where the tightness or spasms occur and how they affect movement, positioning, comfort, equipment, hygiene, or daily care. Our team will review the secure request and determine the appropriate next step.
Request an Appointment
Submitting a request does not schedule or confirm an appointment.
Medical office? Send a secure referral.
Already a patient? Use the Patient Portal.
This information is educational and does not replace individualized medical advice. Do not use this page or the appointment-request form for urgent or emergency care. If you believe you may be experiencing a medical emergency, call 911 or go to the nearest emergency department.
