Chemodenervation
As with any treatment, chemodenervation must be part of an overall spasticity management program with clearly defined treatment goals. Oral medications and ITB Therapy may be used to provide overall reduction in muscle tone, whereas chemodenervation can provide graded relief in selected muscles. The use of chemodenervation, for example, may be beneficial for hand, arm, or neck problems in certain patients using ITB Therapy for overall muscle relaxation or for leg spasticity. Chemodenervation agents and antispastic agents do not have drug-drug interactions. In situations where ITB Therapy would provide unsuitable leg weakness, chemodenervation can be used to successfully treat thigh adduction or scissoring.