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Botox Injections

Botox, or botulinum toxin, is a substance that is used to treat a variety of pain conditions. It is an injection that works by relaxing muscles.

Botulinum toxin injections have been shown to be safe and well tolerated in many clinical settings. In a pain management setting, these injections are usually considered after more traditional measures have failed. The exception to this is in the treatment of cervical dystonia, in which botulinum toxin injections are considered a first line treatment.

Conditions That Benefit from Botox Injections

Benefits of Botox Injections

  • Decreases swelling and inflammation
  • Reduces nerve irritation
  • Pain relief
  • May prevent operative treatment
  • Facilitating physical therapy
  • Reducing migraine headaches

Botox Injection FAQ

What is Botox?

Botox, or botulinum toxin, is a neurotoxic protein produced by the bacterium Clostridium botulinum or related species. It prevents the neurotransmitter acetylcholine from being released from nerve endings that signal muscles to contract.

If this is a toxin, isn’t it dangerous to use in people?

At the doses used in humans, the answer is typically no. The toxin is locally injected at low doses into specific muscle groups so they can relax.

However, if too much toxin has been injected or there is distant spread from the injection site, there are risks of dramatic weakness, breathing or swallowing problems, dry mouth, vision difficulty, and changes in your voice.

What are the uses of botox?

Botox is FDA approved for the treatment of a wide variety of medical issues. These include spasticity, hyperhydrosis (excessive sweating), urinary incontinence, cervical dystonia, and migraine headaches.

Does the injection hurt?

 While some patients may experience minor discomfort from the injection, the needle used is very small and most patients report no pain.

How long will it take me to notice improvement and how long will it last?

Botox follows the rule of 3.

  • It takes 3 days for the medicine to start working.
  • It takes 3 weeks to get to its peak effectiveness.
  • And it lasts for 3 months.

Meet Our Physicians

Dr. Thomas Nguyen

Interventional Pain Management Specialist

Dr. Niteesh Bharara

Director of Regenerative Medicine
Physical Medicine & Rehabilitation

Dr. Sommer Ebdlahad

Neurologist

Dr. Steven Papuchis

Doctor of Osteopathic Medicine
Physical Medicine & Rehabilitation

Dr. Colin Haines

Spine Surgeon
Director of Research

Dr. Ehsan Jazini

Spine Surgeon

Dr. Christopher Good

Spine Surgeon
President of Virginia Spine Institute

Dr. Thomas Schuler

Spine Surgeon
Founder of Virginia Spine Institute
Chief Executive Officer

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Reviewed by: Dr. Christopher Good.