Karen Stanek MD, PHD
Michael Keith ARNP

(509) 624 - 0908

Botox, Dysport and Xeomin Therapy

Unlike the more commonly known cosmetic use, Botox, Dysport and Xeomin are also helpful in treating a variety of medical conditions. These conditions include:

NWMR’s Botox, Dysport and Xeomin experts have several years of experience providing injections as a way to treat spasticity, increased tone, and other symptoms. We urge you to ask your doctor for a referral to the experts at NWMR for help with your condition!

More Information

If you would like to learn more about Botox, please visit the following websites:

Botox Medical

Dysport

Xeomin

Botox - Case Study 1

One of our patients is an older woman with greater than five years of severe neck pain and headaches. She was unresponsive to numerous treatments including oral medications, physical therapy, massage, and chiropractic treatments. By the time she was referred to our clinic, she no longer had the will to live; she was so tired of the pain and muscle tightness. She started receiving Botox injections every 90 days with significant pain reduction and improved cervical movement. She reports the treatment essentially saved her life.

Botox - Case Study 2

here is another young woman who had a stroke at birth resulting in spastic hemiparesis, more prevalent in her arm. She had never been able to open her hand due to spasticity, muscle weakness, and joint contractures. She had tried occupational therapy and bracing with only minimal effect due to the increased tone. Following her first Botox injections, she was able to perform this movement, opening her hand. She was accompanied by her mother. It was an emotional time for everyone in the room.

Botox - Case Study 3

One of our patients is a child born with cerebral palsy who cried day and night due to pain associated with tone and spastic muscles. Due to the severity of the tone, she was not able to achieve therapeutic efficacy with oral medications without experiencing adverse side effects. She was unable to tolerate therapy, range of motion, or riding in her wheelchair. Sleep was elusive for both the child and her parents. Due to her age, medications for pain control were extremely limited. Following Botox treatment, the child and her parents were able to enjoy a full night of sleep on a regular basis.

Botox - Case Study 4

This is a young child who developed a neuromuscular disorder just prior to his second birthday. He kept his legs rigid secondary to increased tone, which was very painful. He avoided activities that required movement. He was miserable and cried the majority of the time. He lost the ability to ambulate, stand, or play with his siblings, or friends. This child stopped meeting his developmental milestones. Following Botox treatment, he is now able to walk again using AFO's (braces for his ankle or foot.) He is playing with others and starting to thrive again.

Botulinum Toxins for Spasticity Management

I. Spasticity
Spasticity is described as the state of increased muscle and deep tendon reflexes). For example, with spasticity of the legs (spastic paraplegia) there is an increase in tone of the leg muscles so they feel tight and rigid and the knee jerk reflex is exaggerated. Depending on the severity of the tone, it can result in limitations of movement, joint contractures, skin integrity compromise, sleep deprivation, and increased pain.

II. Spasticity
Spasticity is described as the state of increased muscle and deep tendon reflexes). For example, with spasticity of the legs (spastic paraplegia) there is an increase in tone of the leg muscles so they feel tight and rigid and the knee jerk reflex is exaggerated. Depending on the severity of the tone, it can result in limitations of movement, joint contractures, skin integrity compromise, sleep deprivation, and increased pain.

III. Algorithm Evaluation
Evaluation of spasticity severity and the degree of interference with daily function.

IV. Side Effect Profile
Botulinum Toxins are generally very well tolerated but side effects may occur that include:

Very rare but more complicated side effects which may require emergency medical treatment if severity of the symptom warrants include:

V. Muscle Identification
Positioning, posture, and function are disrupted by one set of muscles (commonly the flexor group) that are “stronger” than the opposing set of muscles.

VI. Anticipated outcomes