Our expert says:
Baclofen ( Lioresal) and Valium are often used as well as tizanidine, clonazepam, and gabapentin. At the muscle level local injections of botulinum toxin in extremely spastic, hyperactive muscle groups can be highly effective in controlling spasms and the pain associated with them. There is a spinal unit at the Muelmed hospital in Pretoria if you want to phone and ask if they have a orthopedic surgeon that could be of assistance.
Just a tip - if he gets a spasm in the leg, it helps to stretch the muscle in the opposite direction - usually bending the toes upwards helps to stop the spasm.
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