Spasms and stiffness of the limbs are inevitable after spinal cord injury. While I do not remember exactly when I began to suffer from spasms, I remember that the neurosurgeon mentioning about spasticity in my legs when I was still being hospitalized. Spasticity is the term used to describe the stiffness and involuntary jerking of the muscles.

After the spinal cord is injured, the nerve impulses from below the level of trauma are unable to reach the brain. As the control of limb movements depends on a two-way communication between the brain and the muscles, this disruption will result in an involuntary exaggerated contraction and flexion of the limbs, usually triggered by stimulation. And because the limbs are not moved as often as they normally should, stiffness of the joints will also develop.

Just about any stimulation can trigger spasms. Pain, heat, cold, excitement, anxiety and prolonged periods of inactivity like sleep can all initiate spasms. It can be an awkward moment in public when my legs go into spasms. This could be due to my wheelchair running over a bump. It could even be from exertion when I push my wheelchair.

Spasms are a bane and a blessing. When they strike, it can be painful and dangerous. To some it may just be a slight discomfort. It can be painful when the leg extends and kick on something hard, rough or sharp. It can be dangerous while picking up something from the floor and spasm strikes. I could fall off my wheelchair and hurt myself.

In the other sense, spasms are a blessing as they keep the limbs toned from the contraction of muscles and movements. It also aids in blood circulation and prevents osteoporosis to some extent. In my case, I manipulate my spasms to help me stand and walk on the parallel bars.

While spasticity will always be present, it can be reduced with exercises and medication. A daily routine of moving every limb will greatly reduce spasms and stiffness to a manageable level. Medication like Baclofen can be used to treat excessive spasticity but like any medication, there are always the side effects to contend with.

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