31. NSF may also cause joint contractures resulting in joint pain and limitation in range of motion. 32. These joints tend to be permanently fixed in a bent or flexed position ( contractures ). 33. Patients may present at emergency rooms with severe fixed contractures of the muscles and often severe pain. 34. Length discrepancy & muscle atrophy often happens which leads to asymmetric growth and risk of flexion contracture . 35. The complication rate was low, but recurrences were frequent in younger patients and for PIP contractures . 36. The degree of an incidence of capsular contracture is graded using the four-grade Baker scale: 37. With or without rhizotomy, the only way contractures can ever be relieved is via orthopaedic surgery. 38. There can be joint and bone deformities and contractures ( permanently fixed, tight muscles and joints ). 39. Exercise programs, along with manual therapy, will help to prevent muscle contractures , spasms and atrophy. 40. Contractures are essentially muscles or tendons that have remained too tight for too long, thus becoming shorter.