I am the primary caregiver for my fiancee, who has advanced SPMS. She is also recovering from multiple stage 4 bedsores. The wound care has pushed the MS care to the back burner, and she hasn't seen a neurologist in over five years. She has been taking 20 mg of baclofen five times a day for spasms, and lately this has not been sufficient. In addition to more recurrent spasms, she is developing severe tremors in her hands, arms and neck, which she can still move voluntarily. The tremors are different from the spasms in that they occur only when there is voluntary movement, and they are lower frequency and higher amplitude.
I am not able to find any information on tremors in MS patients, and if treatment differs from that of spasms.
Any help would be greatly appreciated.