I saw the MD last month and I am going January 14, 2021 for Botox. $1200 per session for the Botox. Have to go every 3 - 4 months. $1200 is a lot for many but for me it is nothing. This condition started when I was 55 years old. I am 155 lbs and always been an athlete and exercise daily. I use a cannabis cream daily and it helps as well. And compressions too.
For botulinum toxin, I am injecting the muscle belly. For phenol, I inject the motor nerve or motor point. There is a video on phenol injections for spasticity on the Utah Neuro Rehabilitation channel.
I have a stretching regimen which I’ve be doing for years to help loosen my spastic quads and hip flexors, but I’ve plateaued as to their effectiveness. This sounds like a rather simple rather non-evasive procedure that’s worth trying. I’d be very interested in seeing before and after videos of the results of a treatment regime if you have any available.
Every person with spasticity is different. I usually do not inject the whole group of quads. They are an important muscle group for standing and walking. So you don't want to cause weakness. Sometimes it is helpful for tight quads and hip flexors to inject the rectus femoris muscle (one of the quadriceps that flexes the hip as well as extends the knee). Do you have access to a doctor that does these injections.
Utah Neuro Rehabilitation Thanks for your quick response. I plan to bring this up as a possible treatment avenue with my GP and see it makes sense to get a referral. My physiotherapist mentioned this treatment option, among others, so I’m assuming it is available locally.
I do to as well I must stretch before I move each morning. My issue is my median glutes. As I walk that contract until the point I can no longer walk. I've had 2 tomorgraphies. Dry needling ultrasound tens electromagnetic stimulation. Branch raidio frequently injections PT says I have gluteal amnesia and knots. Nothing has worked
I have glute medius pain also… there is increased signal At the tendon on the mri. My deep back muscles on that side are insanely stiff. Did you experience pain anywhere else?
@@yasministryheals I do. I can't leave the house unless I stretch. I use a large heating pad to loosen the muscles and then stretch. Sometimes 3 times a day. My chiropractor said no more than that is recommended
The Baclofen I was given prior to the Botox did help but I got diarrhea and stopped them. The heart meds did the same so I monitored my BP for 1 month and reduced them so diarrhea went away. Under my heart surgeon's supervision.
I have this. Dealing with it for over 10 years. Stretching daily, massage weekly, physio every 2 weeks, Acupuncture once a month, Reflexology every 2 weeks. Exercise daily. Going for Botox in a few months with a MD in Winnipeg. My acupuncture is GTT. The needles go into the muscle. I have about 50 needles per session. 1 in 100,000 people get this. MM
Where or who can I get the injections? I have my hand balled up exactly how you demonstrate on the video, I was completely paralyzed on my right side and now have some movement although I deal with the spasticity. Thank you and God bless you 😊👍
I need this procedure. My gluteus medius on both sides contract so bad as I walk I have to sit and stretch every 25 feet I've dealt with this nightmare for ten year. Orthopedic doctor has thrown the book at me. So has 3 physical therapist 😒😒some say I deferred pain Atrophy gluteal amnesia. But no procedure has helped. The only way I can get exercise is swimming. I can do that for hours with no pain.
How much botox injections can be considered safe for our little ones? Is there a maximum number of treatment cycles that is considered safe levels? Doc, we have heard of myofascial therapy better than botox. What do you think about this? Really appreciate all these videos. These has helped us a lot. Thank you very much.
I believe that we still need more study on stem cells in cerebral palsy before it becomes standard treatment. But I think the research is encouraging and exciting.
We are looking for a provider that does Botox injections for children. Can you steer me in the right direction ? We live on the Alabama Gulf Coast - we are near Mobile,Alabama and Pensacola, Florida but have no problem driving further if needed. Thanks.
Try Children's Hospital of Alabama in Birmingham the Rehabilitation Medicine Department or Mobile Physical Medicine and Wellness. The group in Mobile sees adults. But they could also give you suggestions.
Thank you for this video i have cervical dystonia have been getting xeomin the past year but it has not been working well for me so depressing cause i not inly have thie twisting of my head to the left but also adrenaline rushes and dizziness...do you think the dysport or botox would work better ?Have been doing xeomin because thats what insurance covers
Both neurologists and physiatrists (physical medicine and rehabilitation physicians) give Botox injections. Your best bet is to either look for a physiatrist at the website for the American Academy of Physical Medicine and Rehabilitation. You can also call one of the major hospitals and ask them for suggestions.
Hi Dr Gooch, my son is 8 yrs old, from India. He has hemiplegia, affected on right side and active kid. He is on physical therapy, but still he can't use his arms and has ankle spasticity. We planned to go for botox , but from last 4-5 months he is having siezure. My question is - 1 -can we go for botox for spasticity with his siezure condition ? 2 - somewhere in Google read, siezure can be treated with botox treatment - is that true ? Kindly help me to decide about botox or dysport treatment.
Hi mrs Utah can I have a question please... I looking for the spasticity treatment and I see they have Botox and dysport so what's different between Botox and dysport??? Thank you !!!
They are very similar. They are both botulinum toxin type A. I used to use mostly Botox, but switched to Dysport because in the US it is less expensive. I have found that it may last a little longer than Botox.
@@UtahNeuroRehabilitation oh really but they work a same treatment for spasticity??? Because I first time get a treatment on July 1 hopefully is work on me , I don't have a stroke, I have a hemispheric and spasticity thank you
I'm to see if it can reverse muscle fibrosis or at least relax it to a point. Example from an injury that's been scarred and in spasm for over a period of time?
@@UtahNeuroRehabilitation Thank you. I just received xeomin from by neurologist. All done by emg with utrasound guidance. I'm a week in and do not feel any different. Is this standard for the first time?
Hello can i ask for u dr? My nape is contraction. I feel my nape is tight and if i walk my nape is sound. And my thorakal is tight and pain. If i squat down my thorakal is pain. Can use botox to this condition doc?
Injections wear off after about three to four months. You can take advantage of the time they are working to make longer term gains with stretching or strengthening. In children muscles can appear more spastic as they grow because bones grow faster than muscles and then muscles seem tighter with growth.
Thank You very much for the knowledge. I friend is suffering for spasticity in her both legs, if we use this botox toxin while she is pregnant or without pregnancy, will it be effective? Is this true that if she is pregnant with a child, the child will also born with same problem of spasticity?
During pregnancy, you should be careful about all medications, even Botox and Dysport. Have her talk to her obstetrician about it. Spasticity is not passed onto a child unless the spasticity is caused by a hereditary condition, such as familial spastic paraparesis.
I tried Botox for the first time. I got cp but active n golf. unfortunately now( Feb 23)shot. think it was a light amount. I can squeeze hold weights but unable to hold a golf club through out the swing. how long will this take. can a tens unit help.
There are many therapy options depending on the person's needs. I usually recommend stretching and strengthening. A physical therapist can guide this. There are also some move videos on the Utah Neuro Rehabilitation UA-cam channel on stretching and strengthening. They can be found most easily in the cerebral palsy playlist.
@@UtahNeuroRehabilitation yes I do have muscle tightness and contractions in my left and I wish to play the guitar and the my muscle tightness affects that
In general it is very safe. Make sure you see a provider with a lot of experience. You can get some weakness. It would be temporary. Very rarely, it can spread to other muscles and cause generalized weakness. But this is extremely rate.
You might want to look for phenol injections. They are much less expensive and might be available. We have a video on this on the Utah Neuro Rehabilitation UA-cam channel: phenol injections for spasticity
Mam thanks for the reply mam i wish you have a godday mam can i ask question again its the effect wwillbe permanent or twmporarary ?😬 Sorrry for the typo and bad grammar as a stroke surcicovery still suffering effect from stroke even iam instill recovery from stroke and do exercise everyday disclaimer iam not eglish speaker 😬✌️
Hi , can 10 year old kid for crouch in knees and ankle be given botox ? My son had botox injections at the age of 8 now he is 10 they say he is bit older for botox in India is it true.
That is not too old for Botox. Many adults receive Botox. It is more important to look at the particular person. Is the spasticity causing worsening contractures or limiting function? If so, then Botox may be indicated.
Hi Ma'am thanks for the knowledge...I had a stroke 1 year ago and have a footdrop probably due to calf spasticity. I'm thinking of this treatment...but before i make a decision I wanted to understand if there are any side effects of this now or in future.. could you please guide me on that..
In general it is a very safe treatment. It lasts a few months. We have not seen any long term negative side effects and have been using it for many years. See someone in your area who has a lot of experience in injecting and talk to them.
hi mam iam an stroke survivour for last 8 years i had recoverd almost but my left hand fingers still strugles for its recovery how does botox helps in my case kindly help me on this mam iam in india
Botox or Dysport can help a hand after a stroke if the muscles are tight. Another video on my channel, Utah Neuro Rehabilitation, called Treating Spasticity after Stroke talks about this. Also, if Botox and Dypsort are too expensive, another substance called phenol can be injected to help tightness. Stretching is important and using the hand as much as possible can also help.
Botox and Dysport are both forms of botulinum toxin. They are injected directly into the tight muscle. They slow the signal going from the nerve to the muscle. This signal is hyperactive after an injury to the brain. The muscle is looser for about three to four months. Phenol is injected into the nerve that goes into the muscle. These injections are more difficult to give because you need to find the nerve with electrical stimulation. They last a little longer than the Dysport and Botox.
I saw the MD last month and I am going January 14, 2021 for Botox. $1200 per session for the Botox. Have to go every 3 - 4 months. $1200 is a lot for many but for me it is nothing. This condition started when I was 55 years old. I am 155 lbs and always been an athlete and exercise daily. I use a cannabis cream daily and it helps as well. And compressions too.
Thanks for the input.
Thanks for the good information. Are you injecting into the nerve or into the muscle belly?
For botulinum toxin, I am injecting the muscle belly. For phenol, I inject the motor nerve or motor point. There is a video on phenol injections for spasticity on the Utah Neuro Rehabilitation channel.
I have a stretching regimen which I’ve be doing for years to help loosen my spastic quads and hip flexors, but I’ve plateaued as to their effectiveness. This sounds like a rather simple rather non-evasive procedure that’s worth trying. I’d be very interested in seeing before and after videos of the results of a treatment regime if you have any available.
Every person with spasticity is different. I usually do not inject the whole group of quads. They are an important muscle group for standing and walking. So you don't want to cause weakness. Sometimes it is helpful for tight quads and hip flexors to inject the rectus femoris muscle (one of the quadriceps that flexes the hip as well as extends the knee). Do you have access to a doctor that does these injections.
Utah Neuro Rehabilitation Thanks for your quick response. I plan to bring this up as a possible treatment avenue with my GP and see it makes sense to get a referral. My physiotherapist mentioned this treatment option, among others, so I’m assuming it is available locally.
I do to as well I must stretch before I move each morning. My issue is my median glutes. As I walk that contract until the point I can no longer walk. I've had 2 tomorgraphies. Dry needling ultrasound tens electromagnetic stimulation. Branch raidio frequently injections PT says I have gluteal amnesia and knots. Nothing has worked
I have glute medius pain also… there is increased signal
At the tendon on the mri.
My deep back muscles on that side are insanely stiff. Did you experience pain anywhere else?
@@yasministryheals I do. I can't leave the house unless I stretch. I use a large heating pad to loosen the muscles and then stretch. Sometimes 3 times a day. My chiropractor said no more than that is recommended
The Baclofen I was given prior to the Botox did help but I got diarrhea and stopped them. The heart meds did the same so I monitored my BP for 1 month and reduced them so diarrhea went away. Under my heart surgeon's supervision.
Great video, thanks!
I have this. Dealing with it for over 10 years. Stretching daily, massage weekly, physio every 2 weeks, Acupuncture once a month, Reflexology every 2 weeks. Exercise daily. Going for Botox in a few months with a MD in Winnipeg. My acupuncture is GTT. The needles go into the muscle. I have about 50 needles per session. 1 in 100,000 people get this. MM
Interesting. That is a lot of needles!
Not really. Takes about 20 minutes. My Botox with a MD is November 12, 2020 and I can't wait.
Did it work? The Botox?
@@yasministryheals Yes. I have to go every 3 months. It does not last forever. Phenol also helps.
@@ve4mm great. I am waiting on an appt. Which muscles do you get injected?
Your great Madam 🙏🙏
Where or who can I get the injections? I have my hand balled up exactly how you demonstrate on the video, I was completely paralyzed on my right side and now have some movement although I deal with the spasticity. Thank you and God bless you 😊👍
Doctors specializing in physical medicine and rehabilitation, called a physiatrist, often give these injections. Some neurologists also do this.
Be very leery of botox. I developed ALS after getting injections in my arm and hand, and I still have the tight fist.
@@KayceCrews whats ALS?
@@carlward9367 It's an incurable neuromuscular disease www.alsa.org/about-als/
@@carlward9367 www.alsawi.org/about-als
I need this procedure. My gluteus medius on both sides contract so bad as I walk I have to sit and stretch every 25 feet I've dealt with this nightmare for ten year. Orthopedic doctor has thrown the book at me. So has 3 physical therapist 😒😒some say I deferred pain Atrophy gluteal amnesia. But no procedure has helped. The only way I can get exercise is swimming. I can do that for hours with no pain.
How much botox injections can be considered safe for our little ones? Is there a maximum number of treatment cycles that is considered safe levels?
Doc, we have heard of myofascial therapy better than botox. What do you think about this?
Really appreciate all these videos. These has helped us a lot. Thank you very much.
At this time there is not a maximum number of treatment cycles. Many children have received it for many years.
This would vary with the person and the condition. We can't really say overall that one is better than the other.
@@UtahNeuroRehabilitation Doc, have you considered also Stem Cell therapy as part of Cerebral palsy cure?
I believe that we still need more study on stem cells in cerebral palsy before it becomes standard treatment. But I think the research is encouraging and exciting.
Is true that it's not good to give botox more than once?
That is not true. Many people have received Botox or Dysport for many years.
We are looking for a provider that does Botox injections for children. Can you steer me in the right direction ? We live on the Alabama Gulf Coast - we are near Mobile,Alabama and Pensacola, Florida but have no problem driving further if needed. Thanks.
Try Children's Hospital of Alabama in Birmingham the Rehabilitation Medicine Department or Mobile Physical Medicine and Wellness. The group in Mobile sees adults. But they could also give you suggestions.
@@UtahNeuroRehabilitation Thank you !
Hello I’m dad suffered a stroke and can’t move his left side. Will this help him out
Can I email you I have a few more questions
You can contact me by going to the website: brainstormforbraininjury.com. There is a comment section.
Utah Neuro Rehabilitation thank you so much
Any idea ma'am how much
Thank you for this video i have cervical dystonia have been getting xeomin the past year but it has not been working well for me so depressing cause i not inly have thie twisting of my head to the left but also adrenaline rushes and dizziness...do you think the dysport or botox would work better ?Have been doing xeomin because thats what insurance covers
It is probably worth a try with Dysport or Botox as sometimes one botulinum toxin works better than others for individuals.
@@UtahNeuroRehabilitation ok thank you 😊
Can you recommend a neurologist that specializes in motor movement disorders that could apply botox effectively in Georgia?
Both neurologists and physiatrists (physical medicine and rehabilitation physicians) give Botox injections. Your best bet is to either look for a physiatrist at the website for the American Academy of Physical Medicine and Rehabilitation. You can also call one of the major hospitals and ask them for suggestions.
Hi Dr Gooch, my son is 8 yrs old, from India. He has hemiplegia, affected on right side and active kid. He is on physical therapy, but still he can't use his arms and has ankle spasticity. We planned to go for botox , but from last 4-5 months he is having siezure. My question is - 1 -can we go for botox for spasticity with his siezure condition ?
2 - somewhere in Google read, siezure can be treated with botox treatment - is that true ?
Kindly help me to decide about botox or dysport treatment.
Botox and Dysport injections are given to people with seizure disorders. Botox does not help with seizures.
Thank you.
Hi mrs Utah can I have a question please... I looking for the spasticity treatment and I see they have Botox and dysport so what's different between Botox and dysport??? Thank you !!!
They are very similar. They are both botulinum toxin type A. I used to use mostly Botox, but switched to Dysport because in the US it is less expensive. I have found that it may last a little longer than Botox.
@@UtahNeuroRehabilitation oh really but they work a same treatment for spasticity??? Because I first time get a treatment on July 1 hopefully is work on me , I don't have a stroke, I have a hemispheric and spasticity thank you
@@vy6289 did the Botox help?
@@yasministryheals they this help for the spasticity relaxing but the way I don’t like it that’s make me feel weak after a week 🥲🥲🥲🥲
I'm to see if it can reverse muscle fibrosis or at least relax it to a point. Example from an injury that's been scarred and in spasm for over a period of time?
What kind of injury was it?
@@UtahNeuroRehabilitation Sternocleidomastoid injury from weight lifting, in which seemed to turn into dystonia.
Dysport or Botox are very helpful for dystonia in the SCM muscle. They may not reverse fibrosis, but can really calm spasms.
@@UtahNeuroRehabilitation Thank you. I just received xeomin from by neurologist. All done by emg with utrasound guidance. I'm a week in and do not feel any different. Is this standard for the first time?
Hello can i ask for u dr? My nape is contraction. I feel my nape is tight and if i walk my nape is sound. And my thorakal is tight and pain. If i squat down my thorakal is pain. Can use botox to this condition doc?
Will my hand writing improve after Botox..
It might. Hands are complicated and it might take a few sessions to optimize the injections.
Is there r chances of relapse?
Will the muscles b more spastic after given time period?
Injections wear off after about three to four months. You can take advantage of the time they are working to make longer term gains with stretching or strengthening. In children muscles can appear more spastic as they grow because bones grow faster than muscles and then muscles seem tighter with growth.
Thank You very much for the knowledge. I friend is suffering for spasticity in her both legs, if we use this botox toxin while she is pregnant or without pregnancy, will it be effective? Is this true that if she is pregnant with a child, the child will also born with same problem of spasticity?
During pregnancy, you should be careful about all medications, even Botox and Dysport. Have her talk to her obstetrician about it. Spasticity is not passed onto a child unless the spasticity is caused by a hereditary condition, such as familial spastic paraparesis.
I tried Botox for the first time. I got cp but active n golf. unfortunately now( Feb 23)shot. think it was a light amount. I can squeeze hold weights but unable to hold a golf club through out the swing. how long will this take. can a tens unit help.
It might last a few months and then should wear off. A tns unit will not likely make a significant difference.
How much it cost?
It totally depends on what you country you are in. It is very expensive in the US.
@@UtahNeuroRehabilitation can u tell me US price so can i get an idea
I have complete spasticity in my left arm an hand from damage from brain tumour will this help I'm waiting 4 appointment for it thanks
This could help a lot. See what your doctor says.
What therepys doing after botox in standing and walking in 4 yr old boy
There are many therapy options depending on the person's needs. I usually recommend stretching and strengthening. A physical therapist can guide this. There are also some move videos on the Utah Neuro Rehabilitation UA-cam channel on stretching and strengthening. They can be found most easily in the cerebral palsy playlist.
As I have Cerebal palsy I'm looking to getting injections will this help.with my finger movements
If you have tightness or spasticity in your finger muscles, the injections may help with your finger movements. Ask your doctor about it.
@@UtahNeuroRehabilitation thank you for the information
@@UtahNeuroRehabilitation yes I do have muscle tightness and contractions in my left and I wish to play the guitar and the my muscle tightness affects that
WHAT ABOUT THE SPIDER??
Can you explain what you mean by the spider?
Utah Neuro Rehabilitation look at the couch at 1:36
Mam my son have erbs palsy . Botox injection is useful for erbs palsy. He is 3years old
Yes, sometimes Botox can help with Erb's palsy.
Is there any risk using botox for cure spasxcity i wasa stroke survivor
In general it is very safe. Make sure you see a provider with a lot of experience. You can get some weakness. It would be temporary. Very rarely, it can spread to other muscles and cause generalized weakness. But this is extremely rate.
@@UtahNeuroRehabilitation too bad itsbt even unvalaible in my country i live lol iam not even living in usa mam 😁✌️
You might want to look for phenol injections. They are much less expensive and might be available. We have a video on this on the Utah Neuro Rehabilitation UA-cam channel: phenol injections for spasticity
Mam thanks for the reply mam i wish you have a godday mam can i ask question again its the effect wwillbe permanent or twmporarary ?😬 Sorrry for the typo and bad grammar as a stroke surcicovery still suffering effect from stroke even iam instill recovery from stroke and do exercise everyday disclaimer iam not eglish speaker 😬✌️
Hi , can 10 year old kid for crouch in knees and ankle be given botox ? My son had botox injections at the age of 8 now he is 10 they say he is bit older for botox in India is it true.
That is not too old for Botox. Many adults receive Botox. It is more important to look at the particular person. Is the spasticity causing worsening contractures or limiting function? If so, then Botox may be indicated.
@@UtahNeuroRehabilitation thank you for your reply 😊
Hi Ma'am thanks for the knowledge...I had a stroke 1 year ago and have a footdrop probably due to calf spasticity. I'm thinking of this treatment...but before i make a decision I wanted to understand if there are any side effects of this now or in future.. could you please guide me on that..
In general it is a very safe treatment. It lasts a few months. We have not seen any long term negative side effects and have been using it for many years. See someone in your area who has a lot of experience in injecting and talk to them.
Anal fissure i have from 2 months..will botox works or have side effects in anal muscles..please reply
You don't clean the muscles.....sigh
hi mam iam an stroke survivour for last 8 years i had recoverd almost but my left hand fingers still strugles for its recovery how does botox helps in my case kindly help me on this mam iam in india
Botox or Dysport can help a hand after a stroke if the muscles are tight. Another video on my channel, Utah Neuro Rehabilitation, called Treating Spasticity after Stroke talks about this. Also, if Botox and Dypsort are too expensive, another substance called phenol can be injected to help tightness. Stretching is important and using the hand as much as possible can also help.
thank you for your precious guide for me mam what is the diffrence between botox and phenol
Botox and Dysport are both forms of botulinum toxin. They are injected directly into the tight muscle. They slow the signal going from the nerve to the muscle. This signal is hyperactive after an injury to the brain. The muscle is looser for about three to four months. Phenol is injected into the nerve that goes into the muscle. These injections are more difficult to give because you need to find the nerve with electrical stimulation. They last a little longer than the Dysport and Botox.
When you say you recovered? Did you have tight muscles? Did your tightness go away after 8 years by itself?
@@UtahNeuroRehabilitation hi doctor ...i need ur emial plz