Botox for neck dystonia, migraines and spasticity

Botox is a prescription medicine approved by FDA for neck spasms/ dystonia, chronic daily migraines and spasticity. It is an onabotulinum toxin A which is diluted in saline solution to administer to the appropriate muscles in patients. It is covered by almost every insurance and we take care of the prior authorizations. Insurance companies work with a third party pharmacy to send the Botox medicine to us then we administer it at the office.

Neck or cervical dystonia means abnormal rotation of neck muscles causing the head get stuck in an uncomfortable position. The tight muscles spasm without the patient's control. Cervical dystonia causes pain, spasms to all of neck and trunk muscles and severe discomfort. Chronic daily migraines mean patients having migraines more than 15 days per month each lasting longer than 4 hours per day. Spasticity means abnormal contracted muscle group that won't relax by command. It commonly occurs in stroke and spinal cord injury patients. It also can be seen in Parkinson's disease, peripheral nerve injuries, multiple sclerosis.

Botox is injected to multiple muscles which are abnormally tight and it relaxes these muscles up to 3 months. We dilute Botox in saline solution and inject with a very small needle. We can use local anesthetic if patient has a lot of pain. It starts working between 3-10 days and it lasts for 3 months. The patients usually need Botox between 3-6 months again to continue with its benefit. The injection may cause discomfort and pain for 3 days so we recommend icing the area, using Advil. Aleve or Tylenol for pain and avoiding vigirous upper body exercises or massage for 3 days. Most common side effect is pain in the injected muscles and possible muscle weakness which is temporary. Botox company provides saving cards to patients with high copays.

​Please call us or visit http://www.botox.com for further information.