Spasticity is a common complication after stroke where muscles become excessively tight. It can interfere with activities like dressing, hygiene, and mobility. Treatment involves therapeutic exercises, oral medications like baclofen and dantrolene, botulinum toxin injections into affected muscles, and intrathecal baclofen pumps for severe lower extremity spasticity. The goals are to improve positioning, mobility, pain, and prevent contractures while easing care requirements. A physiatrist can properly assess spasticity and coordinate multi-modal management tailored to individual patient goals.