 [ Symptoms ] other than baclofen which medicine can be used for muscle stiffness [ Disease ] thank you for the detailed information i am happy to see your father improve gradually here is what i suggest there is no other medicine for stiffness however physiotherapy should be carried out aggressively to prevent worsening of stiffness one should rule out infection of the bed sore if there is infection antibiotics are needed and rarely surgical debridement might be indicated if there is no infection you can also apply phenytoin powder on the bed sore the powder helps to hasten the healing process i do see that there are chances of improvement but i believe that he will not be able to do his daily activities independently and will remain dependent on others in the latest scan i see that there is hydrocephalus also called post traumatic hydrocephalus if the craniotomy flap is tense and there is increase in the water content in the brain he will benefit from ventriculoperitoneal shunt surgery to relieve the water accumulation in the brain this surgery can be done by the same neurosurgeon who performed the first surgery i cannot comment whether he will be able to speak or not all i can say is that he might improve in his sensorium consciousness some more for further information consult a neurosurgeon online   > <link>