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Am post-stroke, read of botox for spasticity. What are the potential negatives? Should I discuss with neurologist, or another type of doctor?

Am post-stroke, read of botox for spasticity. What are the potential negatives?   Should I discuss with neurologist, or another type of doctor?

Maybe beneficial: Botox has been shown to be an effective treatment for spasticity caused by a stroke. The negatives would br that it could work too well and cause weakness. If this were to be the case it would be transient. You could also have an allergic reaction to it but this is rare. Another negative is its cost and the fact that your insurance may not cover it. A neurologist or physiatrist would give it. ...Read more

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Dr. Jeffrey Pollard
942 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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Am post-stroke, read of botox for spasticity. What are the potential negatives? Should I discuss with neurologist, or another type of doctor?

Am post-stroke, read of botox for spasticity. What are the potential negatives?   Should I discuss with neurologist, or another type of doctor?

Neurologist: you should speak to a neurologist or rehabiitation medicine specialist about botox. When it is injected to reduce spasticity, it may cause weakness instead, so look for someone who has a lot of experience with botox, not just someone who took a weekend course. ...Read more

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Will a botox injection help with spasticity from a stroke:?

Will a botox injection help with spasticity  from a stroke:?

Yes: However that is a decision you and your rehab doctor need to make regarding how the decrease in spasticity will affect you. Sometimes this spasticity is needed to function, so if you get less functional then your may need to reconsider botox's role in your treatment for your stroke. ...Read more

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Am 8 months post-stroke (ICH). What can botox injections do for my right side hemiparesis? How does it work in cases like this? Thank you.

Am 8 months post-stroke (ICH). What can botox injections do for my right side hemiparesis? How does it work in cases like this? Thank you.

Reduce spasticity: Botox can reduce the spasticity of certain muscle groups or reduce the activity of antagonistic muscles. In the case of facial paresis it can improve symmetry by decreasing activity of contra lateral facial muscles ...Read more

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Due to a stroke, my right leg is sore one day and stiff the next. My doc gave me Botox. No help.Take 60 mg Baclofen. Any other suggestions?

Due to a stroke, my right leg is sore one day and stiff the next. My doc gave me Botox. No help.Take 60 mg Baclofen. Any other suggestions?

Just a thought: You might consider ACUPUNCTURE...make sure that it's a LICENSED acupuncturist and hopefully approved by your PCP (Primary Care Provider)

Hope this is helpful!
Dr Z ...Read more

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Is botox a valid treatment for migraines? I've read that botox injections can make migraines less severe. Does this really work? How long is the treatment effective? .

Is botox a valid treatment for migraines? I've read that botox injections can make migraines less severe. Does this really work? How long is the treatment effective?

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Yes...: You may want to consider having your doctor/headache specialist see if Botox can be approved for your migraine headaches. If it works you could have significantly less migraines for at least 3-4 months at a time. Many times people's migraines are cut in half if not more. The use of your oral migraine prevention medications and abortives are much more helpful and reduce occurrences even better. ...Read more

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Botox is a medicine. But i just read its a neurotoxic poison. How is a neurotoxic poison used as a medicine? Just wondering. Does it harm people?

Botox is a medicine. But i just read its a neurotoxic poison. How is a neurotoxic poison used as a medicine? Just wondering. Does it harm people?

Botox: is indeed a neurotoxin and is in fact LETHAL in accidental ingestion cases (BOTULISM) In much much SMALLER doses it RELAXES muscle and PREVENTS unhealthy muscle SPASM..( Thus it's use in Treatment of facial WRINKLES! Hope this helps Dr Z ...Read more

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Read(wikipedia) that cremaster muscle can experience spasms/cramps which can b chronic& debilitating in adlt males, treatment may involve botox, true?

Read(wikipedia) that  cremaster muscle can experience spasms/cramps which can b chronic& debilitating in adlt males, treatment may involve botox, true?

Botox for spasms: Botox is used for temporary relief of muscle spasms/contractions and has been used commonly in facial aesthetics to treat deep frown lines, to treat migraines and hyperhidrosis (increased sweating in armpit areas). So, it can be used for the cremaster if other treatments have been availed without success or benefit. ...Read more

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How often would i need botox injections for facial wrinkles? I've read that botox is not dangerous, but i'm nervous about having a toxin injected into my face regularly. If there are complications, are they due to the amount or frequency of treatments? Wh

How often would i need botox injections for facial wrinkles? I've read that botox is not dangerous, but i'm nervous about having a toxin injected into my face regularly. If there are complications, are they due to the amount or frequency of treatments? Wh

~4 months: It varies on male and female and the number of units injected but Botox on average will last about 120 days. The amount of Botox on average injected into a face is ~40 units, amount to cause paralysis of the body ~3, 000. Some complications can occur, can discuss with your provider-depends on where it is injected. ...Read more

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I have severe Urge Incontinence after aTURP. I am wearing a condom catheter. Is BOTOX really an answer? I have read and heard different opinions.

Can't tell: Every case is different, and no distant doctor of this or any other forum can tell the best options. Botox may or may not be the best option. Your own urologist is the best source. If uncertain about his or her advice or understanding, get a second opinion. ...Read more

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I've read about things like IV Ketamine or IV depakote or Dilantin as a treatment for intractable migraine that has been unresponsive to all other treatments. I've tried "all other treatments." (except botox)Anyone have knowledge of these or other?

I've read about things like IV Ketamine or IV depakote or Dilantin as a treatment for intractable migraine that has been unresponsive to all other treatments.  
I've tried "all other treatments." (except botox)Anyone have knowledge of these or other?

Anticonvulsants, no;: I too have them and created a checklist of all the things I do before taking any prescription drugs. You might be able to find (search Managing Migraines) it at https://www.healthtap.com/expert/tips. Do find a neurologist who is interested or specializes in headaches. And do try Botox before you consider these other agents, unless the neurologist thinks they may well work for you. Good luck! ...Read more

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Can you use botox to treat CP?

Can you use botox to treat CP?

Botox for CP: Hi Thanks for the question. Botox is currently used for CP patients to help relax contractures from hypertonic muscles. It is used in much higher doses than cosmetic botox. ...Read more

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If I am now 23. Can I use botox?

Sure: Age is not an issue, just depends on what the issue is that you need the Botox for. ...Read more

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Can you tell me about botox injections?

Can you tell me about botox injections?

Best Information: Complex topic. This is the best site for information: http://www.botoxcosmetic.com/ ...Read more

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When is botox sed for therapeutic reasons?

When is  botox sed for therapeutic reasons?

Eye spasms to start: Botox is used for many problems related to muscle contraction, such as eyelid spasms, for which it was originally developed, as well as neck muscle contractures and in other locations. It is also used to stop certain disorders caused by over-active nervous stimulation, like sweating and tearing. It has recently been used for headaches, usually injected in the forehead or neck. ...Read more

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What are the long term consequences of botox?

What are the long term consequences of botox?

Safety of Botox: There have not been long term side effects reported after Botox adminsration. Short term side effects have gone away including headache, bruising etc. ...Read more

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Can you use a vibration plate if you have botox?

Can you use a vibration plate if you have botox?

Yes: Your can use a vibration plate before your injections or an ice pack usually works as well. ...Read more

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I have had botox shots so will I need them forever?

Up to you: If you like Botox since its effects are temporary, you will need to continue their use to keep up with their effects. Cessation of Botox will lose their aesthetic benefits. ...Read more

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What is botox cosmetic?

What is botox cosmetic?

What is Botox?: Botox is an injectable medication used to relax muscles. For cosmetic purposes it is typically used in the facial muscles of expression around the eyes and forehead. In certain instances it can be used to relax the muscles around the mouth, jawline, and neck. The cosmetic benefit comes from the resulting relaxation of the skin which diminishes the depth the expression lines. ...Read more

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Is it safe to have botox?

Is it safe to have botox?

Yes: Botox is very safe if injected by an experienced practitioner. Best if injected by a board-certified dermatologist or plastic surgeon or other specialist in facial cosmetic surgery. Ask the doctor where they trained to do botox, how many patients treated, any complications. Avoid practitioners who learned from a weekend course. Many nurses are doing this procedure many without proper supervision. ...Read more

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Is anyone allergic to botox?

Is anyone allergic to botox?

Rarely: True allergy to Botox is rare. It should not be used if there is a history of previous allergic reaction to botox. ...Read more

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Dr. Suman Das Dr. Das
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What does botox do to bladder?

Dr. Suman Das Dr. Das
6 doctors agreed:
What does botox do to bladder?

Causes relaxation: Botox, a neurotoxin works at nerve muscle junction and weakens the contraction or reduces the spasm. ...Read more

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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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Is botox working for migraines?

Yes: Yes, Botox is an fda approved medication for treatment of migraine headaches. Like every medication, some people may not respond to Botox treatments and may need another form of treatment. In addition, Botox works to prevent headaches but has little effect on an acute onset. ...Read more

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Can botox make you look plastic?

Can botox make you look plastic?

Not when done well: When Botox is injected in a conservative manner to allow some natural motion while reducing wrinkle formation, the results are almost never "plastic". Some patients request zero motion of the treated muscles. Sometimes this can lead to a plastic look. Find a facial plastic surgeon who is an experienced injector with a good aesthetic eye and you should have no problems. ...Read more

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What are the side effects of botox?

Few / Minimal: There are some minimal risks when using botox. Bruising (<5%), swelling, discomfort, headache, eyelid or brow drooping (exceedingly rare). Of course any medication taken inappropriately can have serious side effects. Botox has a very safe track record now for 20+ years. You should avoid Botox while pregnant or breast feeding and if you have any neurological conditions. Hope this helps! ...Read more

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Which side effects can botox cause?

Refer to the web: The package insert lists all of the known risks, up to and including death. You can find it online. ...Read more

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Can botox really help with cystitis?

Can botox really help with cystitis?

Not directly: Not if u have normal bladder function, there is no reason why it should and would be contraindicated. Botox is injected via a cystoscope which like Botox itself is not advisable in presence of cystitis. It can might help patients with neurogenic bladder dysfunction to facilitate bladder emptying and thus risk of utis or speed up recovery after a uti. ...Read more

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If brow botox, how long does it last?

3-5 months: At the beginning, the average is about 4 months. With repeat injections (over 2 years or so) that often lengthens to about 6 months. If the dose was not strong enough, it may wear off sooner. ...Read more

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Are there side effects to using botox?

Very low risk: Botox has an excellent safety record when administered by qualified professionals. Rarely someone might have some temporary drooping of an eyelid or eyebrow and this should resolve quickly. ...Read more

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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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How can I reduce the side effects of botox?

How can I reduce the side effects of botox?

Botox Side Effects: Avoid blood thinners prior to treatment. Consider arnica montana if you tend to bruise easily. Ice the treatment area for a few minutes prior to reduce the chance of bruising and any discomfort. Avoid massaging the treated area for 2 days and consider avoiding significant cardiovascular activities for 24 hours. If you are experiencing any side effects (which would be rare) return to your provider. ...Read more

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Dr. Anil Shah Dr. Shah
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How effective is botox in treating headache?

Dr. Anil Shah Dr. Shah
5 doctors agreed:

Depends: Some types of headaches can be responsive to botox. Be aware that headaches have a variety of sources and should be investigated by a physician. ...Read more

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What are the side effects of botox injections?

Few & Minimal: Avoid Botox if you are pregnant or breast feeding or have neurological conditions. When used appropriately for the reduction of lines of expression in the upper 1/3 of the face, Botox is incredibly safe. In my experience of 1000's of injections, the most common side effect is a small bruise (<5%). Headaches & swelling (rare). Eyelid or brow drooping (exceedingly rare). ...Read more

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Will getting botox reduce sensation in my face?

Botox no sensory: Botox doesn't cause sensory loss only motor loss. In other words, the Botox will minimize muscle movement but does not produce sensation loss of nerves. ...Read more

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What is the difference between botox & fillers?

What is the difference between botox & fillers?

Botox Vs. Filler: Botox is a relaxer of muscles. It will make the muscle not to be able to contract. Fillers are used to fill an area or to give volume. Hope this helps. ...Read more

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