October, 2010, Botox was approved by the FDA for the treatment of
chronic headaches which last for at least 4 hours and occur at least 15
days per month.
toxin is a complex protein produced by the anaerobic bacterium,
injections can be used to treat
muscle spastic disorders
and excessive muscle contractions
spasms, etc. It has also been proven
in treating chronic neck and
back pain as well as
One of those firemen suffers from chronic headaches
BOTOX has enabled him to work "headache free".
toxin blocks neuromuscular conduction by binding receptor sites
terminals, and inhibiting the
release of acetylcholine. When
subcutaneously at therapeutic doses, botulinum toxin
paralysis and allows
to be weakened selectively. It has the
of being a
neuromuscular blocking agent with good selectivity,
duration of action,
with few side effects.
toxin can be used to reduce spasticity or excessive muscular
pain; assist in posturing
and walking; allow
better range of motion; to permit
therapy; to reduce
severe spasm in order to
provide perineal hygiene.
Botulinum toxin has also
successful in reducing the muscle tension involved
headaches and migraine
injection of botulinum toxin has been shown to be safe and relieves
associated with several
movement disorders, chronic myofacial and
cervical pain syndromes.
Increased paraspinal muscle activity has been
implicated as a factor in low back and neck
Pain may arise
within ischemic overactive muscle itself due to the
build up of
products or from structures around the muscle (such as
joints and tendons) stressed
persistent muscle tension. Electroymyographic studies often demonstrate increased
activity of the
paraspinal muscles during activity in patients with
low back pain
subjects without pain. The possibility
that overactive paraspinal muscles
may contribute to low
provides a rationale for treatment strategies aimed
reducing paraspinal muscle
tone, such as biofeedback and muscle relaxing drugs.
There are risks involved in Botulinim injections. Common side effects
that may affect
function of the limb treated,
local bruising, and discomfort
There are other
common side effects related to the particular disorder that is being
The procedure will consist of the following: You will receive botulinum toxin by injection
muscle through the
skin will be cleaned with an alcohol pad, and the site
determined by using a small electric stimulator
that is called an EMG
This allows the
physician to correctly locate the muscle to
inject. A small electric
may be applied onto
the surface of
the skin or just beneath the surface of the skin or just
skin with a small, sterilized needle. Botulinum toxin may relieve symptoms for three to six months. You
may notice some
improvement within the next 72
hours but may not
notice anything for up to two weeks.
Potential benefits of this treatment would include reduction
in painful spasms, related to your headaches, as well as a ----- in
any hypersensitivity you may suffer to ---- of your headaches.
There are risks involved in botulinum toxin type A injections.
Common side effects include
muscle weakness that may
affect function of the limb treated, local
bruising, and discomfort
the injection site. There
are other conditions listed
below in which these injections are
performed. The common side
effects related to the following disorders and their
Rare side effects have been reported but are not necessarily results
of the botulinum toxin. These include: nausea, muscle soreness
headaches, lightheadedness, fever, chills, hypertension, weakness,
difficulty breathing, diarrhea, and abdominal pain.
SPECIAL WARNING OF RISK
TO FEMALES OF CHILDBEARING POTENTIAL
The effects of botulinum
toxin type A on human babies are unknown, but could
For this reason, it is
adequate birth control to avoid getting pregnant while receiving
the clinic immediately if you get pregnant.
This treatment may cause an
allergic reaction. Potentially,
this reaction could be severe
As is true of all
medications in medical treatment, there is always the possibility of a
If you’ve forgotten what it’s
like to live without pain, the physicians at Gulf Coast Pain Management
We are here to help.
Gulf Coast Pain Management
will coordinate your treatment with your primary care physician and the
as general, neuro, and
orthopedic surgeons as well as oncologists,
free to discuss with your physician whether a referral to
is appropriate for you.
If you have any questions whatsoever regarding
and whether or not it may be helpful for your chronic headaches,
please do not hesitate to ask Lynne Carr Columbus, D.O. /
Hee (Dennis) S. Lee, M.D.
Now you can feel good and look good.