Stroke and Spasticity in Chicago, IL

Up to 43% of people who experience a stroke may have spasticity within one year. This common and frustrating complication can cause stiffness, pain, and severe muscle tightness, disrupting daily life. If that sounds familiar, there’s new hope through advanced surgical procedures. 

In her Chicago, IL, practice, elite fellowship-trained plastic and reconstructive surgeon Lindsay E. Janes offers advanced surgical solutions for people whose spasticity does not respond to medication or therapy.  

Her goal is to help patients move more freely, feel more comfortable, and regain independence after a stroke.

Flexed Elbow

Bent Wrist

Pronated Forearm

Clenched Fist

Thumb in palm

Understanding Spasticity After Stroke 

A stroke affects the brain’s ability to communicate with the muscles. It can cause spasticity, characterized by involuntary muscle contractions and increased muscle tone, particularly in the hands, arms, and shoulders.  

Because they’re constantly active, the affected muscles become stiff, tight, or resistant to movement. People who struggle with spasticity after a stroke often have a clutched hand, rigid fingers, or other issues with their hands and arms. 

Problems Spasticity Causes After Stroke 

Spasticity after a stroke can cause common symptoms, including: 

  • Stiffness and tightness in the arms or hands 
  • Muscle spasms or jerking movements 
  • Pain when trying to stretch the fingers or open the hand 
  • Difficulty with fine motor tasks like dressing, hygiene, or eating 

For some people, these symptoms may gradually improve with the right therapy.  

For others, spasticity persists or even worsens over time. This can cause serious problems, such as contractures, in which the affected muscles, tendons, and joints permanently shorten, as well as joint deformities and a reduced quality of life. 

When Is Spasticity Surgery Considered? 

If nonsurgical treatments are not enough, surgery may be a helpful next step. Dr. Janes offers several surgical techniques to relieve spasticity and restore function, including hyperselective neurectomy, tendon lengthening, and joint and bone procedures.  

Surgery may be considered if spasticity: 

  • Causes contractures or joint deformities 
  • Limits your ability to complete basic tasks 
  • Causes chronic pain  
  • Presents hygiene concerns 
  • Doesn’t improve with nonsurgical approaches 
  • Improves after Botox injections 

It’s also important to understand that physical therapy is an integral part of recovery, so you must be able to participate in it actively to be a good candidate. 

Dr. Janes carefully evaluates each patient’s goals and function. She meets with every patient personally to understand how spasticity affects their lives. She formulates a highly personalized surgical approach to match your individual needs, stage of recovery, and potential for improvement.  

Dr. Janes draws upon her specialized training in nerve and reconstructive surgery to offer thoughtful, comprehensive care.  

What to Expect After Spasticity Surgery 

Mild to moderate discomfort is normal after surgery and typically improves within a few days. Pain is usually managed with oral medications.  

Some surgeries, like neurectomy, require only a short period of soft dressing care. Others, such as tendon lengthening, may require splinting and therapy for several weeks.  

Dr. Janes works closely with physical therapists and other members of your medical care team to guide your recovery and help you make meaningful functional gains to improve your quality of life in the long term.  

Help With Post-Stroke Spasticity in Chicago, IL 

If post-stroke spasticity is affecting your ability to move or care for yourself, surgical treatment may help. Dr. Lindsay E. Janes specializes in procedures that improve the quality of life for stroke survivors. 

Call us today at (312) 695-6022 to schedule a consultation with a leading upper extremity surgeon in Chicago. 

How Can We Help? 

Book An Appointment

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