Brain Chat: Spasticity 101: Why Muscles Get Stuck and What To Do

Brain Chat with the Nerdy Neurologist is a podcast hosted by Mitzi Joi Williams, MD that brings together clinicians, researchers, and patient advocates to explore the science behind brain health in a way that's practical and easy to understand. Through thoughtful conversations grounded in both clinical expertise and lived experience, the series empowers listeners to better understand neurologic conditions and take an active role in their overall wellness. Filmed at the Joy Life Wellness Complex in Smyrna, Georgia, each episode emphasizes approachable, patient-centered education that extends beyond the exam room.

In this episode, Williams is joined by Dietrich Cox, MD, a board-certified physical medicine and rehabilitation physician and chief medical officer of Regenerative Orthopedic Center, alongside Sheree Love, for an in-depth discussion on spasticity. Together, they explain the neurologic mechanisms behind spasticity, how it differs from routine muscle soreness or stiffness, and why it commonly affects people living with multiple sclerosis, stroke, and spinal cord injury. The conversation also explores common triggers, treatment options ranging from rehabilitation to medications and injectable therapies, and practical strategies that patients can use to better recognize, monitor, and manage symptoms while maintaining mobility and quality of life.

EPISODE BREAKDOWN:

• Understanding what causes spasticity
• Spasticity versus muscle soreness and stiffness
• Common triggers that worsen symptoms
• Treatment options beyond medication alone
• Why movement remains essential for recovery
• Practical tips for managing spasticity daily

Other formats:

Listen to the show on Apple Podcasts.

Watch the episode on YouTube.