Category Archives: Botox

Burning Mouth Syndrome – Remarkable Improvement with Botulinum Injections

“16 units of incobotulinumtoxinA (100 units diluted in 2 mL of saline), 4 units into each side of the lower lip and 4 units into each anterolateral side of the tongue” – “The beneficial effects lasted up to 16 weeks … Continue reading

Posted in Botox, ENT, neuropathic | 3 Comments

Subtle Cervical Dystonia

Diagnosing early cervical dystonia and using botulinum toxin has been one of the major advances I have seen in my treatment. Sidebend or Rotation to one side can be subtle but very important as one can now get drug coverage … Continue reading

Posted in Botox, Neck | Leave a comment

Complex Regional Pain Syndrome (CRPS) – Finding Immune Mechanims Offers New Treatments

Finding high levels of  beta2 adrenergic receptor autoantibodies in CRPS cases might explain why steroids, tumour necrosis factor (TNF)-alpha antagonist Adalimumab, IV Immmunoglobulins, and in present article Plasmapheresis can help in selected cases. In present study, these antibody titres fell … Continue reading

Posted in Botox, complex regional pain, Drugs, Injection, IV therapy, neuropathic, Pain Dystrophy, Stimulation | 1 Comment

Neuropathic Pain 2015 and…

Mayo clinic has a review but lacks imagination

Posted in Botox, Drugs, Fibromyalgia, neuropathic | Leave a comment

Extensor Digitorum Brevis Manus as Cause of Dorsal Hand Pain Myalgias – Botox Rx

This  anomalous hand muscle presents as a a “fusiform, soft prominence” between the 2nd and 3rd extensor tendons near the wrist to hand. It can become sore as it is compressed against the extensor retinaculum and possibly irritates the posterior interosseous nerve.  … Continue reading

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Reaching “Critical Mass” to Achieving Pain Control – Procedure Pearls

I have recently achieved (previously unattainable) control in some of my chronic pain subjects using recent innovations – but to acheive this required use of multiple modalities at once.

Posted in arm, Back Pain, Botox, complex regional pain, Drugs, Fibromyalgia, Headaches, Injection, IV therapy, Leg Pains, Manual Med, myofascial pain, Neck, neuropathic, Pain Dystrophy, piriformis, post herpetic neuralgia, radiculitis, shoulder, Uncategorized | 4 Comments

Failed Knee or Shoulder Arthroplasty? – Intra-articular Botox Injections Help

50% reduction of pain was reported in about 1/2 of post shoulder and knee arthroplasty pain cases with Botox injections. This was sustained by repeated injections.

Posted in Botox, Injection, Knee, shoulder | Leave a comment

Bad Raynaud’s? – Botox It.

Raynaud’s phenomenon responds to Botulinum injection of neurovascular metacarpal bundles. Can get occasional temporary finger weakness (max 2-3 months)  though. Pain relief can last few months to more than 6 year

Posted in Botox, hand | Leave a comment

Both Subcutaneous and Perineural Botulinum Treatments Advocated

Review has concluded both subcutaneous and perineural treatments are effective in neuropathic pains.

Posted in Botox, Drugs, neuropathic | Leave a comment

Back Pain Worsening? – Look For Back Pain Multipliers – They Are Treatable.

I had a recent personal experience of back pain that showed me conditions that would multiply pain several times or more.  I have patients on opioids that have complained their meds no longer “cuts it” – and I have been able … Continue reading

Posted in Back Pain, Botox, neuropathic | 3 Comments

Bolulinum Works as Well as Steroid in Frozen Shoulder – Isn’t it About Time We Think About Combining The Two?

A recent article shows that botulinum  and steroid have similar durations of action in adhesive capsulitis – ie Frozen Shoulder. I have given both triamcinolone and botulinum (at separate times) into knee joints and noticed the combination can cause a profound … Continue reading

Posted in Botox, Injection, shoulder | Leave a comment

Bad Prostate Leading to Urinary Cather Use? -Botox Might Fix It

I have one desperate case where a good 85 year old was up all night peeing from inability to empty bladder. He had a heart attack less than a year prior and urology consult wasn’t well received.  Put 100 u botox into … Continue reading

Posted in Botox, prostatitis / prostatism | 1 Comment

Adding Lidocaine to Botox Might Not Affect Potency

I had been told that adding local to botulinum toxin might block receptors that pick up the agent and hence decrease its effectiveness. A study using saline only and lidocaine- botulinum combo found no difference.

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Chronic Migraines – Botulinum Helps

Repeated OnabotulinumtoxinA shots can reduce chronic migraine headache frequency from 20 headaches/month to 10/month.

Posted in Botox, Headaches, Injection | Leave a comment

Botulinum (Botox) in Animals – Works on Peripheral Nerve Injury and Not Radiculitis

In rodents were either afflicted with either: – peripheral nerve injury – string tied about sciatic nerve – sciatica / radiculitis – string tied about a lumbar nerve Botox injections into paw cut senstivity by 50% in the peripheral injury … Continue reading

Posted in Botox, pain mechanisms, post herpetic neuralgia, radiculitis | Leave a comment

Accurate Piriformis Injection

ºAlthough I have been happy with Rectal Coupled Piriformis Injections, Ultrasound Guided injections are becomeing more popular. Combined with Botulinum, the results can last 6 months or more.

Posted in Back Pain, Botox, Injection, piriformis | 2 Comments

Confirmed – Botox works for Trigeminal Neuralgia – Given Into Trigger Zone

Cases of Surgery failed drug resistant Trigeminal neuralgia were treated with Botox to trigger zones and not only resulted in relief, but also relative cure in some case

Posted in Botox, Trigeminal Neuralgia | 3 Comments

Drippy Nose and Nothing Helps? – Soak It With Botox (Botulinum)

Idiopathic rhinitis is a condition where the nose drips for no reason – it can be resistant to treatment though Botox has been found helpful

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Botulinum / Botox for Neuralgia/Neuropathic Pain

I recently had the following letter: “I am doing research on use of botulinum toxin type-a in trigeminal neuralgia.so, I will be highly obliged if you will send me some details with references about dosage and techniques used in injecting … Continue reading

Posted in Botox, Drugs, neuropathic | 4 Comments

New Hope For Refractory Neck Pain – Botulinum “Botox” – But Not Cheap

Botox reduced pain in chronic neck pains (average 9.1+ years) for at least 2 month versus placebo -randomized and blind !! 150 – 300 unit was used per sesssion.

Posted in Botox, Neck | 1 Comment

Botox For Thrombosed Piles

A blood clot in a hemorrhoid can cause extreme pain. Caught early, it can be surgically evacuated. Once several days old, there is no advantage in doing so. Now it looks like an intrasphincteric injection of 0.6 ml of a … Continue reading

Posted in Abdominal pain, Botox | Leave a comment