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Botox® and Therapeutic Injections

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Neurological conditions (problems of the brain, spinal cord, or nerves) and orthopedic conditions (problems of the bones, muscles, tendons, and ligaments) can be painful. Depending on your condition, therapeutic injections may be the right treatment option to bring you relief from your symptoms.

What Are Therapeutic Injections?

Baystate Health neurologists or physiatrists use therapeutic injections to treat your condition at the site of your pain. These injections may include:

  • Anesthetics: medicine to relieve your pain
  • Corticosteroids: medicines that are similar to a hormone your body produces naturally called cortisol
  • Hyaluronic acid: a synthetic substance that mimics the natural fluid your body produces to lubricate your joints

How Do Therapeutic Injections Work?

Depending on your condition, we may use ultrasound or other imaging technology to help guide the injection to just the right spot. The benefits of the injection can last a few weeks up to several months. You and your doctor will work together to set up an injection schedule that meets your needs.

What Conditions Respond Well to Therapeutic Injections?

We treat a wide variety of conditions with therapeutic injections, including:

Botulinum Toxin (Botox®)

We also use botulinum toxin (Botox®) to treat certain neurological disorders.

You may know botulinum toxin by its more common brand name: Botox®. It’s a toxin doctors use in cosmetic medicine and other therapies. At Baystate Health, our doctors use it to treat neurological disorders (problems of the brain, spinal cord or nerves).

Talk to your doctor to find out if this treatment can relieve your symptoms.

How Botulinum Toxin Treatment Works

Therapeutic botulinum toxin treatment works through chemodenervation. This process blocks nerve signals your brain sends to your muscles. The toxin may help when you have muscle spasms other medications or treatments can’t control.

Your doctor will inject a small amount of the toxin into the affected area. It will temporarily weaken the muscles and reduce their excessive activity.

Most people feel the effects within five to seven days of the treatment. Relief usually lasts three to four months before it’s time for another treatment.

Conditions That May Benefit from Botulinum Toxin Treatment

Several neurological conditions respond to botulinum toxin therapy, including:

Possible Side Effects of Botulinum Toxin Treatment

Botulinum toxin therapy is safe as long as you see a qualified physician. Some side effects are common, but mild:

  • Flu-like symptoms
  • Soreness, redness, or bruising at your injection site
  • Temporary muscle weakness at your injection site
  • Ptosis (drooping eyelid) if used to treat blepharospasm (an involuntary tight closure of your eyelids)
  • Dysphagia (difficulty swallowing)

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