Spasticity and the Texas Compassionate Use Program

Added to TX CUP: 2021

The “Stiffness That Won’t Quit” Page

If you’ve lived with spasticity for any length of time, you know the gap between “what the literature says” and “what your day actually feels like.” We try to talk about the second one.

Spasticity Under the Texas CUP

What the CUP Authorizes

Low-THC products only. Spasticity is one of the more studied symptom areas for cannabinoid involvement, but the Texas low-THC framework constrains the conversation.

Coordinating With Your PM&R or Neurology Team

If you have a treating physiatrist (PM&R), neurologist, or rehab medicine specialist, that team should know about CUP enrollment. If you’re using baclofen, tizanidine, dantrolene, intrathecal baclofen pump, or botulinum toxin, mention all of it on intake.

How the Evaluation Adapts to Mobility Limitations

For patients with significant mobility limitations:

• Caregivers can fully participate with consent
• Visit length is flexible
• Intake forms can be completed by caregiver with patient confirmation
• If video positioning is hard, we work around it

What to Bring

• Documentation of the underlying condition causing spasticity (SCI report, MS diagnosis, stroke documentation, etc.)
• Current spasticity treatment regimen
• Current medication list
• Treating provider contact info (PM&R, neurology, or both)
• TX ID

Common Questions Spasticity Patients Ask Us

Your Next Step

See The Process for how a 420 Doctors Texas evaluation works.