Well maybe they aren't aware because there are no solutions, botox and phenol do not treat the spasticity, they only treat the superficial symptoms. Talking to your therapist won't do a damn bit of good, your PMR doctor and neurologist know nothing either. But there is always marijuana which no one will tell you about.
http://www.mcknights.com/stroke-survivors-unaware-of-therapy-options-for-spastic-muscles-survey-finds/article/320063/
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