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3001 Eastland Boulevard Suite 7
Clearwater, Florida 33761

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Phone: (727) 789-0891
Fax: (727) 789-1570
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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.

Botulinum toxin is a complex protein produced by the anaerobic bacterium, Clostridium botulinum. “
botulinum” injections can be used to treat various focal muscle spastic disorders and excessive muscle contractions such as dystonias, spasms, etc. It has also been proven to be effective in treating chronic neck and back pain as well as chronic headaches.

One of those firemen suffers from chronic headaches
BOTOX has enabled him to work "headache free".

Botulinum toxin blocks neuromuscular conduction by binding receptor sites on motor nerve terminals, and inhibiting the release of acetylcholine. When injected intramuscularly or subcutaneously at therapeutic doses, botulinum toxin produces local paralysis and allows individual muscles to be weakened selectively. It has the advantage of being a potent
neuromuscular blocking agent with good selectivity, duration of action, with few side effects.

Botulinum toxin can be used to reduce spasticity or excessive muscular contractions to relieve pain; assist in posturing and walking; allow better range of motion; to permit better physical therapy; to reduce severe spasm in order to provide perineal hygiene. Botulinum toxin has also been successful in reducing the muscle tension involved with chronic headaches and migraine headaches.

Intramuscular injection of botulinum toxin has been shown to be safe and relieves pain 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. Pain may arise within ischemic overactive muscle itself due to the build up of metabolic waste products or from structures around the muscle (such as joints and tendons) stressed by persistent muscle tension. Electroymyographic studies often demonstrate increased electrical activity of the paraspinal muscles during activity in patients with low back pain compared with subjects without pain. The possibility that overactive paraspinal muscles may contribute to low back pain provides a rationale for treatment strategies aimed at reducing paraspinal muscle tone,  such as biofeedback and muscle relaxing drugs.
There are risks involved in Botulinim injections. Common side effects include muscle weakness that may affect function of the limb treated, local bruising, and discomfort at the injection site. There are other common side effects related to the particular disorder that is being treated.
The procedure will consist of the following: You will receive botulinum toxin by injection into the muscle through the skin. The skin will be cleaned with an alcohol pad, and the site may be determined by using a small electric stimulator that is called an EMG machine. This allows the physician to correctly locate the muscle to inject. A small electric current may be applied onto the surface of the skin or just beneath the surface of the skin or just beneath the surface of the 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 at 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
treatments include:
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.

The effects of botulinum toxin type A on human babies are unknown, but could cause harm.
For this reason, it is necessary to:
1.  Use adequate birth control to avoid getting pregnant while receiving treatment. 
2.  Inform the clinic immediately if you get pregnant.
This treatment may cause an allergic reaction. Potentially, this reaction could be severe and life threatening.
As is true of all medications in medical treatment, there is always the possibility of a new or unexpected risk.
If you’ve forgotten what it’s like to live without pain, the physicians at Gulf Coast Pain Management understands. 
We are
here to help.
Gulf Coast Pain Management will coordinate your treatment with your primary care physician and the specialists such as general, neuro, and orthopedic surgeons as well as oncologists, neurologists, physiatrists,
and psychiatrists.
Feel free to discuss with your physician whether a referral to
Gulf Coast
Pain Management is appropriate for you.

If you have any questions whatsoever regarding botulinum toxin
and whether or not it may be helpful for your chronic headaches,
please do not hesitate to ask Lynne Carr Columbus, D.O.

Now you can feel good and look good.
Gulf Coast Pain Management


Setting the standards in quality pain management!
at Gulf Coast Pain Management

©2000 - 2014 Gulf Coast Pain Management
Lynne Carr Columbus, D.O.

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Office Hours 8:30 am to 4:30 pm
Phone: (727) 789-0891 office Fax: (727) 789-1570
Northwood Plaza Medical Building

3001 Eastland Blvd. Suite 7 Clearwater, FL 33761



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