After a stroke, changes in physical movement don’t always show up right away. In the months that follow, many patients come to fellowship-trained plastic and reconstructive surgeon Dr. Lindsay E. Janes when they notice increasing muscle tightness, stiffness, or difficulty moving their arms or hands. These changes may signal spasticity, a condition in which the brain can no longer properly regulate muscle signals.
Signs of Spasticity
Spasticity causes muscles to contract involuntarily. Over time, muscles can grow rigid, leading to a flexed elbow, a bent wrist, a clenched fist, or a thumb pressed into the palm. The arm may feel heavy, tight, or resistant to stretching. Some patients also experience muscle spasms or jerking movements.
Early signs of post-stroke spasticity may include:
- Increasing stiffness in the hand or arm
- Difficulty fully opening the fingers
- Pain when trying to stretch the wrist or elbow
- Trouble with daily tasks such as dressing or hygiene
- A hand that gradually stays in a closed position
While mild tightness may improve with therapy, persistent or worsening symptoms warrant evaluation. Spasticity that interferes with hygiene, causes skin irritation, creates joint stiffness, or leads to pain may require more than exercises alone.
Spasticity After Stroke – Treatment Options in Chicago
Treatment depends on severity. Physical and occupational therapy play a crucial role in recovery, regardless of the treatment path you choose.
In some cases, medications or targeted injections help reduce muscle overactivity. When conservative measures don’t provide enough relief, surgical spasticity procedures such as selective nerve surgery or tendon lengthening may improve positioning and function.
Early assessment helps prevent long-term joint contractures and deformity. Dr. Janes assesses muscle tone, joint mobility, and functional goals to determine whether advanced treatment may improve comfort and independence.
If you’re experiencing increasing stiffness or hand tightness after a stroke in Chicago, call 312-695-6022 to book your appointment with Dr. Lindsay E. Janes and discuss your options.