Botulinum Toxin Injections
WHAT ARE BOTOX INJECTIONS
WHAT PATIENTS ARE CANDIDATES FOR BOTULINUM TOXIN INJECTIONS?
The usage of Botox® (botulinum toxin) is not
limited to cosmetic therapies. There are numerous research
studies showing the effectiveness of botulinum toxin in managing
painful conditions. Low back pain, headaches and neck pain are
just a few of the painful conditions that can benefit from
botulinum toxin injections.
HOW IS THE PROCEDURE PERFORMED?
Patients with back pain, headaches, neck pain
and limb pain can benefit from botulinum toxin injections.
You may be given conscious sedation through an IV
(intravenous needle) inserted in your arm/hand on your admission
to the facility where the procedure will be performed. You will
be escorted to the surgical suite with the nurse and asked to
lay on your stomach for the procedure . The MD and /or nurse
will monitor your blood pressure, heart rate and respiratory
rate (breathing) during the procedure. Although most
of the time the procedure is relatively painless since the size
of the needle is very small. The physician may perform the procedure with a special x-ray
machine called a fluoroscope to accurately visualize the anatomy. However, for the neck, head and face, we generally do
not need x-rays to localize these small muscles. Finally, local
anesthetics with botulinum toxin will be injected to disrupt the
pain fibers and relax the muscle spasms.
WILL THE PROCEDURE BE PAINFUL?
Typically the injections are not painful, since
the needles are very small.
WHAT ARE THE RISKS AND SIDE EFFECTS FROM BOTULINUM TOXIN
HOW LONG DOES IT TAKE FOR THE PROCEDURE TO WORK?
The most common side effect is local pain from the
needles. More serious but extremely rare risks are bleeding,
infection, nerve injury, paralysis and weakness in the lower
The beneficial effects are usually appreciated
2-4 weeks after the procedure.