Is There Anything Botox Can’t Do?

There’s news today that Botox (botulinum toxin) can help people who’ve had a stroke and have developed extreme stiffness (spasticity) in their affected limbs.  The study was done in people with arm spasticity, and involved up to 5 injections to the finger, wrist and elbow muscles.  Some were given a repeat set of shots 12 weeks later.  Over half the recipients said they’d found an improvement in the symptom that bothered them most – either personal hygiene, pain, limp posture and getting dressed. There were no severe adverse effects in the 279 patients who took part in the study.

Botox became well-known because of its ability to provide cosmetic benefits – smoothing wrinkles, removing frown lines and crow’s feet, and so on. Botox parties have become popular in some communities.  But recently we’ve heard of the use of Botox injections for excessive sweating, urinary incontinence,  drooping eyelid,  stiff neck, tension headache and some types of shoulder pain.

It looks as if Botox may rival statin drugs as the latest medical cure-all.  Toxins have their uses!

Comments

[Robert Griffith]

We have to add a new use for Botox - plantar fasciitis. This painful bothersome foot condition has been shown, in a small study, to respond injections of Botox at two sites in the sole of the foot; the benefits persisted for at least 8 weeks. See:
Babcock et al. American Journal of Physical Medicine & Rehabilitation 2005;84:649-654

[Robert Griffith]

Here's another Botox use - excessive salivation, as in patients with Parkinson's disease, or children with cerebral dystrophy. Botox can be injected directly into the parotid and submandibular salivary glands, with good results and no severe side effects.

[Robert Griffith]

And another Botox indication - trigeminal neuralgia. The pain in this distressing condition was reduced in all 13 patients who had Botox injected into their faces, so effectively that 4 of them could discontinue their other medication. See: Piovesan EJ et al. Neurology 2005;65:1306-8

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