Therapeutic Use of Botox for Pain

The botulinum toxin used in clinical practice is purified so there are no bacteria or other contaminants. Also, the doses recommended for clinical treatment are well below doses that could cause human botulism. Botulinum toxin is safe and effective treatment for a variety of disorders, including chronic migraines, TMJ disorders and spasmodic torticollis/cervical dystonia as well as cosmetic purposes.

Botulinum toxins are approved by the Food and Drug Administration (FDA) for the treatment of these conditions in the United States.

The Head Pain Institute currently uses Botox® botulinum toxin Type A by Allergan for treatment of:

Chronic Migraine

Botox is indicated for the prevention of headaches in adult patients with chronic migraine (≥15 days per month with headache lasting 4 hours a day or longer).

Important limitations:
Safety and effectiveness have not been established for the prevention of episodic migraine (14 headache days or fewer per month) in seven placebo-controlled studies.

TMJ Disorders

Botox can be injected into muscular structures around the TMJ to decrease spasms and improve overall muscle flexibility that can restore function.

Spasmodic Torticollis/Cervical Dystonia

Spasmodic torticollis is an extremely painful chronic neurological movement disorder causing the neck to involuntarily turn to the left, right, upwards, and/or downwards. The condition is also referred to as “cervical dystonia.”  Both agonist and antagonist muscles contract simultaneously during dystonic movement. Causes of the disorder are predominantly unknown. A small number of patients develop the disorder as a result of another disorder or disease. Most patients first experience symptoms midlife. The most common treatment for spasmodic torticollis in adults is the use of botulinum toxin type A.

Important Limitations:
Safety and effectiveness of Botox have not been established for the treatment of spasmodic torticollis in pediatric patients under age 18 years.  Treatment with Botox is not intended to substitute for usual standard of care rehabilitation regimens.

We have been treating these medical conditions with Botox for several years and most patients have significant improvement with a decrease in their symptoms beginning in 2-4 weeks.   Call our office to schedule an appointment today and start decreasing your pain now.

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