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Botox injections/What to expect?
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Botox injections/What to expect? - September 8, 2002 8:00:00 AM
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spazmom
Posts: 2
Joined: September 6, 2002
From: Sand Springs, Ok. U.S.A.
Status: offline
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Hi!
I will soon be receiving botox injections for the treatment of hemi-dystonia. What can I expect and what type of p.t. and o.t. should I look for since my left side has been in spasm for 30 years? I've done weight resistance training for two years. Thanks for any insight that you may have.
D Madison
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DMadison
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Re: Botox injections/What to expect? - September 9, 2002 5:51:00 AM
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Mark Hirsch
Posts: 101
Joined: December 11, 2001
From: USA
Status: offline
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Hello spazmom,
I'm curious...should that not be a question you should be asking your physician? Surely s/he gave you information as to the possible side effects of BT injection or what to expect from treatment? In general what you can expect from an injection with BT is 3 months of relief of your most disabling symptoms and some weakness in the muscles injected. As far as I know the effects are completely reversable in spastic patients. There is also a great deal of literature on BT and its effect on the www. Just type the keyword "Botox" into YAHOO and I am sure you will get a spew of information. As to PT and OT for dystonia, there isnt much evidence based information on how this should best be treated in PT or OT. I have read that forced-use has been used to treat a special type of dystonia occuring in musicians - called focal dystonia.
My advice would be to first check this link for a copy of a review article on Forced Use-
[URL=http://www.vard.org/jour/99/36/3/taub363.htm]http://www.vard.org/jour/99/36/3/taub363.htm[/URL]
perhaps this technique can be used in your case, provided there is an outpatient clinic in your area which uses this approach (doubtful since it is still considered "experimental")
then if you are still interested in more detailed info on how FU has been applied to hemi-dystonia, check this article which is listed in the Lancet:
[URL=http://www.hbz-nrw.de:8080/pdflinks/02080915383516690.pdf]http://www.hbz-nrw.de:8080/pdflinks/02080915383516690.pdf[/URL]
This ia a pdf article. You need Adoobe Reader to read it, which can be downloaded for free on the WWW. scroll down to page 42 and there is the article.
Another idea would be to contact Edward Taub at U. Alabama at Birmingham and ask them where the nearest outpatient clinic to you is which offers this type of therapy. In any event, if the BT works for you, it might acually be a window of opportunity to re-learn how to use your "left side".
Good luck. Mark
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Re: Botox injections/What to expect? - October 28, 2002 5:34:00 AM
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joseinus
Posts: 3
Joined: October 14, 2002
From: Villa Hills Kentucky
Status: offline
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Botox injections or rather botulinim toxin are anti spasmodic drugs which give temporary relef to particular muscles it has been found very helpful with writers cramp.Regarding dystonia it depends on which muscles are going to be treated with Botox.the best ex's after botox will be relaxation ex's as if you strenthen those muscles again it will go in to DOMS or temp protective muscle spasm and it will not serve the purpose.
cheers,
Joe
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Re: Botox injections/What to expect? - October 28, 2002 6:03:00 AM
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Andrew M. Ball PT PhD
Posts: 855
Joined: July 28, 2002
From: Charlotte, NC
Status: offline
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I'd agree that relaxation exercises are preferable to resistance exercises in theory, but that's not been proven or disproven by the literature to my knowledge.
In children with BoTox injection, it doesn't seem to yield any new motor skills, but it does seem to make life more manageable for the parents in that it's easier to dress their child, and tasks that took the child 20 minutes to complete with idependence are executed with efficient speed post-injection.
I'd suggest focusing upon these types of tasks in addition to relaxation exercise. Time how long it takes to comb your hair, put on a shirt, put on pants, tie your shoes, make a particular meal. Over time, you'll find that you're having an easier time completing independent functional activities. You may need both PT and OT to help structure you through the most efficient and time-saving ways to do some of these things . . . or you may simply figure it all out for yourself.
Drew
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