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Doctor insights on: Doctor Suggest Botox Contracture

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Dr. Jeffrey Pollard
937 doctors shared insights

Botulinum Toxin (Botox) Injection (Definition)

Botox is a medicine that causes muscles to relax. It is commonly used to improve the appearance of deep facial lines or wrinkles between the eyebrows. It is also used to relieve migraine, and in certain conditions that involve muscle spasm. ...Read more


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Would botox help with face pain?

Would botox help with face pain?

It can: Botox is fda approved for treatment of migraine, but it is often used to treat tension headaches, TMJ symptoms and trigeminal neuralgia. ...Read more

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Does botox reduce sensation to your face?

Does botox reduce sensation to your face?

Not anesthetic: Botox is used to relax certain muscle groups but is not used as an anesthetic. Botox blocks the muscle contraction effect of a specific chemical and does not significantly affect sensory nerves. ...Read more

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Hi docs. I need advice on: dermal fillers, botox, frown lines?

Need to be seen: You should see either a plastic surgeon or a dermatologist to see if you need are there Botox or fillers. ...Read more

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Need to know if you would consider non-surgical procedures like botox and dermal fillers?

Need to know if you would consider non-surgical procedures like botox and dermal fillers?

Depends: I love neuromodulators (like botox) and HA fillers for nonsurgical rejuvenation. Depending on whether the lines are for volume loss or from movement would determine which of the 2 would work better. If severe volume loss is present I will often discuss treatments like Sculptra or fat transfer to help replace the larger volumes for less cost. ...Read more

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Would you recommend PRP or surgery for chronic plantar fasciitis/fasciosis & a spur that hasn't responded to orthotics, PT, steroid injection, taping, stretching?

Would you recommend PRP or surgery for chronic plantar fasciitis/fasciosis & a spur that hasn't responded to orthotics, PT, steroid injection, taping, stretching?

I have used: Prp and traditional surgery for fascitis that doesn't respond. Prp is expensive and not covered. May try endoscopic plantar fasciotomy. ...Read more

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Doctor recommendation for eyelid surgery to reduce staring/under eye bags from thyroid eye disease.Can anyone recommend an eyelid surgeon? Thanks

Doctor recommendation for eyelid surgery to reduce staring/under eye bags from thyroid eye disease.Can anyone recommend an eyelid surgeon? Thanks

Depends on location : You should seek out an oculoplastic surgeon in your general region for this type of surgery. Some ENT surgeons and plastic surgeons can also do this type of work. Hopefully your thyroid problem is under control. ...Read more

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Having botox procedure next week for neurogenic bladder caused by cauda equina.Do i need rest after botox procedure?Will i see improvements soon?

Having botox procedure next week for neurogenic bladder caused by cauda equina.Do i need rest after botox procedure?Will i see improvements soon?

See answer: Botox begins to work at about 1 week, but the full effect of the medicine may take up to 2-3 weeks. Botox is not permanent and will last about 6-8 months in the bladder. Most common adverse effects are urinary retention and an increased risk of uti. No specific restrictions on activity or diet are generally needed after the procedure when done in the office under local anesthesia. ...Read more

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Who is the right surgeon to perform tendon transfer for foot drop correction ? Plastic surgeon or orthopedic surgeon ! please elaborate.

Who is the right surgeon to perform tendon transfer for foot drop correction ? Plastic surgeon or orthopedic surgeon ! please elaborate.

ORTHO OR PODIATRIST: A foot and ankle trained orthopedic surgeon or board certified podiatric surgeon would be best qualified for a tendon transfer to correct for a drop foot. A dynamic transfer of the posterior tibial tendon is my procedure of choice. This can be augmented with a transposition of the anterior tibial tendon.I hope this helps. ...Read more

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What are complications associated with getting a botox injection for an abductor contracture?

What are complications associated with getting a botox injection for an abductor contracture?

Bruising & soreness: Botox (botulinum toxin) inhibits the neurotransmitter acetylcholamine, so the nerves can't tell the muscles to move and they're paralyzed. The effect lasts 4-6 months. Injections can be associated with bruising and soreness at the injection site. ...Read more

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Post prostate cancer surgery problem bladder neck contracture. Please help me with this?

Post prostate cancer surgery problem bladder neck contracture. Please help me with this?

Depends: Mild BNC urethral dilation. More significant BNC:cystoscopy & making a cut in the scar tissue.Severe BNC:Simultaneous telescope through urethra & through tiny incision above pubic bone & laser incision is done to minimize tissue trauma.Hope you have a minor BNC. Good luck ...Read more

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What's better for frown lines? Dysport or botox?

What's better for frown lines? Dysport or botox?

Similar Results: In my experience, both give very similar results. I've had some patients say that Dysport is a bit more natural (i.e. less "frozen") than Botox. Dysport also comes on faster (3-5 days instead of 7-10 with Botox.) I have quite a few patients who request Dysport over Botox and I prefer it when I treat my own lines. FYI you can get a really great deal on Dysport right now with Aspire. (google it) ...Read more

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Will botox or collagen injections correct a cleft chin?

Will botox or collagen injections correct a cleft chin?

Perhaps: Cleft chin is caused by the adherence of the skin in the middle of the chin to the deeper tissues. Correction requires releasing these strong attachments and placing a graft of fat or muscle to add volume. Filling agents injected under the cleft might be of some value, however, the results will be limited if the strong deep attachments are not released. ...Read more

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Dr. Joshua Fox Dr. Fox
16 doctors agreed:
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Would you consider non-surgical procedures like botox and dermal fillers?

Dr. Joshua Fox Dr. Fox
16 doctors agreed:
Would you consider non-surgical procedures like botox and dermal fillers?

Fillers: While i would not at this time, much of my staff have utilized botox, dysport, or fillers. Most people that utilize these products do not want the costs, risks, and downtime associated with a facelift- even though it is even more helpful.Most my patients want delay the'knife for as long as they can. Men even mores than women want to avoid invasive downtime procedures. ...Read more

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Who should get botox and dermal fillers?

Informed patients: Informed patients with realistic expectations demonstrating appropriate indications and in good general health with ability to afford treatments are good candidates in my opinion. ...Read more

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Supposing you have persistent eyelid myokymia, can you get botox or even surgery?

Botox: Sometimes myokymia is so persistent that it is constantly annoying. A good first step is to have Botox injected which can quiet it down and sometimes break the cycle. Surgery would be a last resort as it would disturb the lid function. ...Read more

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What doctors taking medicare perform botox injection for piriformis syndrome?

What doctors taking medicare perform botox injection for piriformis syndrome?

Other options: Botox is not approved by insurance companies or medicare for pirifoemis syndrome. There are other options for treatment, however, including standard trigger point injections (with Lidocaine or saline), topical Baclofen (from a compounding pharmacy) and physical therapy. Acupuncture can help. It is also out of pocket, but likely less than botox. ...Read more

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What doctor should I see for chronic muscle pain? Neurologist or rheumatologist?

What doctor should I see for chronic muscle pain? Neurologist or rheumatologist?

Rheumatologist: Given those 2 options, i would see a rheumatologist first, since they specialize in systemic conditions that can cause chronic muscle pain. ...Read more

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Why would my doctor suggest getting botox for an abductor contracture?

Botox: Paralyzes muscles locally. A muscle contracture needs to be relaxed to improve it. Botox works well in this situation. ...Read more

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I have constant bladder irritation and belly can swell. No infection found doc suggest Botox, will it remove irritation?

Maybe, but...: Please refer this Q to your potential urologist. Botox injection to bladder is to denervate the bladder hoping to ease the related pain and urgency after failing to behavioral modification + oral medications (antimuscarinic agents). It helps improve symptom but not cure since we doctors have never cured anything for anyone, but help modify something to some degree with/without drugs or procedures. ...Read more

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What are complications associated with getting a botox injection for an abductor contracture?

Bruising & soreness: Botox (botulinum toxin) inhibits the neurotransmitter acetylcholamine, so the nerves can't tell the muscles to move and they're paralyzed. The effect lasts 4-6 months. Injections can be associated with bruising and soreness at the injection site. ...Read more

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I have OAB and under active detrusor. Is it safe to have Botox? Doc said half strength. Will that be powerful enough to help?

I have OAB and under active detrusor. Is it safe to have Botox? Doc said half strength. Will that be powerful enough to help?

Please ask your doc.: Hi! BenjaminM, What reported suggests you have a conflicting condition between OAB with bladder instability and underactive detrusor with weak bladder muscle contraction, which you should ask and discuss with your urologist. Botox is to ease bladder instability. So, there is a subtle balance between benefit and adverse effect to navigation. More? Welcome to contact me besides asking urologist. ...Read more

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I got botox to treat my gastroparesis my doc said my pylorus did not look abnormal like it dose with gastroparesis patients what does that mean?

Difficult to tell: The best person to ask would be the endoscopist. They saw the duodenum and perhaps obtained a biopsy and you should go back and discuss this at length and get their recommendations. ...Read more

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What will happen if i got a botox shot in my bladder when its completly healthy (my doc think i have overactive bladder and should get a shot, i dont!

What will happen if i got a botox shot in my bladder when its completly healthy (my doc think i have overactive bladder and should get a shot, i dont!

Accepted treatment : injecting Botox into the bladder is an acceptable treatment for overactive bladder and urinary urgency or urge incontinence. if you are 18 years of age as it states, it's likely that other things may have been tried and failed in regards to therapy, in order for this to be recommended? ...Read more

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Tired of all these migraines, im the only one in my family with them, and since childhood. Do you Doc's know much bout botox or any other alternative?

Tired of all these migraines, im the only one in my family with them, and since childhood.  Do you Doc's know much bout botox or any other alternative?

Many modalities: Managing migraine can be complex, and there are many options. If you have tried the mainstays of prophylaxis (medications to prevent rather than treat) then a trial of botox for migraines is very reasonable, and has shown promising positive results. ...Read more

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How much botox do doctors use?

How much botox do doctors use?

Botox "dosing": The amount of Botox an injector uses will depend on the area (muscles) being treated. Typically 20-30 units for the areas between the brows, 10-20 units in the forehead, 6-10 units per crows feet, etc. Your doctor can let you know how much you specifically need. ...Read more

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Do doctors or nurses have to go on a botox/dermal fillers training course?

Do doctors or nurses have to go on a botox/dermal fillers training course?

It Depends: Whether a doctor or nurse must have formal training in cosmetic injectables depends on the laws of the state in which they practice. In my state, for example, there is no law which requires that a doctor has taken a training course and there is some argument as to whether a nurse can legally inject. Therefore, the patient must be careful to choose a qualified injector! ...Read more

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How do doctors decide if you are a candidate for botox and dermal fillers?

How do doctors decide if you are a candidate for botox and dermal fillers?

By a complete exam: You doctor will evaluate you, the lines and wrinkles you seek to treat, and will recommend a treatment plan tailored to your needs. Generally speaking, Botox and Dysport work on lines caused by muscle contraction, while fillers treat creases and folds in the skin which exist in the absence of muscle contraction. Seek care from a board certified facial plastic or plastic surgeon or dermatologist. ...Read more

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What doctors taking medicare perform botox injection for piriformis syndrome?

Other options: Botox is not approved by insurance companies or medicare for pirifoemis syndrome. There are other options for treatment, however, including standard trigger point injections (with Lidocaine or saline), topical Baclofen (from a compounding pharmacy) and physical therapy. Acupuncture can help. It is also out of pocket, but likely less than botox. ...Read more

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Do you have to be a doctor or a nurse to go on a botox/dermal fillers training course?

Depends: It's not illegal to get education. Using that education is regulated by each state. You might be able to find a course that will let you attend and listen, but you probably won't find a course that will let you stick a needle in a person with or without Botox in the needle. ...Read more

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I have been experiencing from "writers cramp". Doctors have prescribed botox injection as remedy.?

I have been experiencing from "writers cramp". Doctors have prescribed botox injection as remedy.?

Hand surgeon?: This is a very rare and off label indication for the use. Improper injection technique could lead to hand malfunction. See certified hand surgeon first. ...Read more

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I have been suffering from "writers cramp". Doctors have prescribed botox injection as remedy. Is this necessary?

Probably not: Botox work by weakening muscle function. I don't really see how weakening the muscle will help unless you weaken the hand so much that you are unable to write. A splint would be a more effective and much cheaper solution. ...Read more

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I see a pain management doctor for my back, but would I violate my contract if I saw another pm dr. for botox for migraines?

I see a pain management doctor for my back, but would I violate my contract if I saw another pm dr. for botox for migraines?

Generally No: Pain Contracts are typically use for pain medication management and do not translate to procedures. Although since you are seeing the pain management doctor, why not ask them if they can do the Botox for migraines? Obviously if your pain doc does not do this, then it should be just fine to get Botox done elsewhere. ...Read more

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Tomorrow I'm going back to my doctor who injected me botox into my neck because I can't eat or drink for 10 days. How are they going to help me?

Tomorrow I'm going back to my doctor who injected me botox into my neck because I can't eat or drink for 10 days. How are they going to help me?

May use medication: Swallowing difficulty (dysphagia) is a complication of Botox. The symptom May last several weeks or months. There is medication that can be used to help reverse this Side effect ...Read more

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I recieved botox for palmar hyperhidrosis. It is difficult for me to even unbutton my pants without help is this normal or is the doctor inexperienced?

I recieved botox for palmar hyperhidrosis. It is difficult for me to even unbutton my pants without help is this normal or is the doctor inexperienced?

Botox: The Botox treatment for hyperhidrosis involves injection of an irreversible neurotoxin into the superficial sweat glands that cause the excessive wetness. If some of the deeper tissue injected it can cause some motor, and sensory dysfunction. Talk to your doctor if your continues sssss. ...Read more

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Is it true Botox helps with headaches? What type of Botox and what type of doctors performs the Botox?

Is it true Botox helps with headaches? What type of Botox and what type of doctors performs the Botox?

Migraine: yes, Botox seems to benefit migraines and decrease frequency, but lasts only 3 months and is repeated. Most headache specialists and many general neurologists can provide. ...Read more

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What is the job title of someone who injects botox? Are they a doctor?

What is the job title of someone who injects botox? Are they a doctor?

An Injector: Whoever injects your skin is an injector. Ask that person who is injecting what their training is. My lecture on Botox is below: https://www.youtube.com/watch?v=EQs5Brc1ISQ I would recommend a dermatologist or plastic surgeon to inject botox for your cosmetic concerns and a neurologist to do so for your headaches. ...Read more

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Dr. F. Thomas Kaplan
383 doctors shared insights

Contracture (Definition)

Contracture = deformity caused by permanent shortening of ...Read more