What is Chemodenervation with Botox?
Chemodenervation is a non-surgical minimally invasive pain management procedure that is used to eliminate or reduce the pain produced from a variety of neurological disorders by paralyzing a group of muscles with a pharmacological compound called Botox.
Botox, is made from the bacteria botulinum toxin-A which is one of the most poisonous substances known to man. In high doses botulism, if left untreated, can result in respiratory failure and even death. However, Botox has been proven to be successful therapeutically in extremely small doses to prevent signals from nerve cells from reaching muscles. Once the muscle, or muscle group, is injected with Botox it can become temporarily paralyzed which can significantly chronic pain from muscle spasms and contracted or stiff muscles.
Botox in Pain Management
Botox was first approved to cosmetically reduce wrinkles, but is now used to treat a large number of health conditions and new uses are being regularly discovered. Today Botox is used therapeutically to treat chronic pain conditions and a variety of other neurological disorders. that include:
- Chronic Pain
- Cervical Dystonia
- Myofascial Pain
- Piriformis syndrome (Sciatica)
- Pudendal Neuralgia
- Thoracic Outlet Syndrome (TOS)
- Trigeminal Neuralgia
How is Chemodenervation with Botox Typical Given?
In most cases chemodenervation with Botox takes just a few minutes to treat muscle spasms or other neurological disorders. The procedure typically begins with the injection of a local anesthetic followed by a Botox injection directly into the muscles that are overactive active or painful. In the majority of procedures ultrasound or electromyography (EMG) imaging is used to guide the placement of Botox injections. Utilizing these imaging tools allows for the more precise and accurate injection of the targeted muscle or muscle group and minimizes injury to adjacent nerves or blood vessels.
Once the Botox injection is completed pain or spasms may decrease immediately with the most evident affect 5 to 7 days after treatment. The relief provided by the injections typically lasts up to four months before the irregular muscle activity returns. – Some patients may require injections more often than that others depending on the severity of the pain or spasms.
Side Effects of Botox Treatment
The side effect from typical Botox procedure includes, soreness, redness or bruising around the injection area. Applying iced compacts or taking over the counter pain medication(s) to counter or relieve pain are often recommended. Rarely do more serious side effects occur.
After a Botox Injection
Botox injections can be an effective and ongoing treatment for the relief of chronic pain or muscle spasms, but it is not a cure. Depending on the condition treated and the patient’s response each patient will have a varying degree of pain relief. Their results may last anywhere from 3 to 12 months, with the majority lasting 4 months, depending on the condition that is treated.
Meet Our Neurologists
At Neurological Associates of West Los Angeles our neurologists specialize in the treatment and diagnosis of many conditions where chemodenervation with Botox may be preformed to treat a chronic pain condition or muscle spasms. Dr. Jordan, Dr. Chang, Dr. Franc, and Dr. O’Connor all diagnose and treat patients with conditions that may be best treated with Botox injections. If you suffer from a chronic pain or muscle spasms and need a specialist contact one of them to schedule an appointment at 310-829-5968.