From the Research
For muscle spasms related to cerebral palsy during pregnancy, safe options include acetaminophen (Tylenol) at 500-1000mg every 6 hours (not exceeding 4000mg daily) as a first-line medication. Physical therapy, gentle stretching, warm compresses, and proper positioning can provide non-pharmacological relief 1. Magnesium supplements may help if approved by the healthcare provider. Massage therapy from a prenatal-certified therapist can also reduce muscle tension. Avoid NSAIDs like ibuprofen, especially after 20 weeks of pregnancy, and muscle relaxants unless specifically prescribed by an obstetrician 2. The patient should discuss any medication with her obstetrician and neurologist to ensure safety for both mother and baby, as pregnancy can sometimes worsen CP symptoms due to weight gain and shifting center of gravity. Some key points to consider:
- Regular prenatal visits are essential to monitor both the pregnancy and CP symptoms 3
- The use of oral muscle relaxants, such as baclofen, dantrolene, and diazepam, may be considered, but their efficacy and safety in pregnancy are not well established 2
- Non-pharmacological interventions, such as physical therapy and massage, can be effective in reducing muscle spasms and improving quality of life 1
- The patient's individual needs and medical history should be taken into account when determining the best course of treatment 4