Spasticity and muscle tightness after stroke
Why muscles can become stiff or tight after stroke, and gentle strategies to manage it day to day.
Spasticity is increased muscle tone that can make limbs feel stiff, tight, or hard to move. It is common after stroke and often manageable.
What it feels like
- Muscles that resist stretching or feel clenched.
- A limb that pulls into a fixed position.
- Tightness that worsens with stress, cold, or pain.
Everyday management
- Gentle stretching and positioning, as taught by your therapist.
- Regular movement to keep joints supple.
- Managing triggers like pain, infection, or a full bladder.
Working with your team
- Physiotherapists guide safe stretches and splints.
- Some people benefit from specific medical treatments.
- Report sudden changes in tightness or new pain.
Protect the affected side
- Support the arm to avoid shoulder strain.
- Change positions regularly to prevent stiffness.
- Keep skin healthy where limbs rest or rub.
How this site helps
You don’t have to do everything at once. Pick one small idea from above and try it this week.
- Turn a goal into a daily habit with Practice.
- See the evidence behind these ideas in Research.
- Practise the underlying skill with a calm game.
Remember: this is general education, not medical advice. Your clinician knows your situation best.