Botulinum toxin – Botulinum toxin is a toxin derived from Clostridium botulinum. It stops signals passing from nerves to muscles, and causing relaxation of those muscles.

Indication

• writer’s cramp and others

• hemifacial spasm

• blepharospasm

• oromandibular

• Various types of Dystonia like cervical

• Chronic migraine

• Spasticity – post stroke or cerebral palsy

• Overactive bladder

• hyperhidrosis

• Sometimes in trigeminal neuralgia

Procedure – it is injected as defined dosage in various sites of muscle by using a simple insulin syringe. Do not rub or massage the treated areas for 24 hours. And don’t lie down for 2 to 4 hours after getting the shots. Following this advice helps prevent the toxin from spreading to an area where it isn’t needed. You’ll likely be able to return to your usual activities right after the procedure.

Contraindication to patients with neuro-muscular junction disorders and allergic to toxins.
Side effect – post procedure some time bruising, pain, swelling at injection site. Temporary muscle weakness of injected muscle.