Thank you for your response. I live in the United States so Ampyra is available to me in generic form. It has been a game changer for me. I have an appointment this Friday with my physicians assistant, as my doctor left the practice :-( anyway, so my question was going to be to her And just wanted some feedback from the forum. I just don’t want to get worse with the if I do get the injections. Thanks again I’ll add you to my favorite people list. :-) The last visit she put me on baclofen I had nightmares so I discontinued it on my own because I do need my rest and I didn’t feel it helped the spasticity stiffness.

Hello
I have Botox injections into my right thigh to help with spasticity. I think it does help a bit with the stiffness but it doesn't go away completely. I have had two injections so far and I am due for a third soon. The gaps between the injection are quite long - over 4 months as there is a waiting list. I think it might be more effective if I had them more regularly but it doesn't make it worse. I also take tizanidine and Sativex daily which also help - I can really notice a deterioration in my walking if I miss a dose of either. The Botox takes a few days to work but like all these treatments it is difficult to judge how effective it is I suppose it depends on your expectations. I have not tried ampyra as it is not available on the NHS although I am interested in knowing how effective people find it.