Therapeutic Use of Botox for Pain
In the past, outbreaks of botulism have occurred associated with the consumption of improperly preserved foods. The problem arises when the food is canned or jarred such that the bacteria grow and produce the toxin. When the improperly preserved food is eaten, the toxin is absorbed into the bloodstream and causes weakness of the muscles, including the muscles for breathing. This weakness is temporary and usually resolves fairly quickly.
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. Overall, botulinum toxin has been found to be a safe and effective treatment for a variety of disorders, including chronic migraines, TMJ disorders and spasmodic torticollis/cervical dystonia as well as cosmetic purposes.
There are currently four brands of botulinum toxins approved by the Food and Drug Administration (FDA) for the treatment of these conditions in the United States:
|Product Name||Botulinum Toxin Type||Manufacturing Company||Website|
|MyoBloc®||Type B||Solstice Neuroscience||www.myobloc.com|
|Xeomin®||Type A||Merz Pharmaceuticals||www.xeomin.com|
Dr. Farrell currently uses Botox® botulinum toxin Type A by Allergan for treatment of:
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).
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.
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.
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.
Dr. Farrell has 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.