Botulinum Toxin Injections

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What are Botulinum Toxin Injections?

Botulinum toxins, such as Botox® and Xeomin®, are helpful in many pain conditions. They work by blocking the nerves’ connections to the muscle, weakening the muscle for about 3 months.

How do you prepare for Botulinum Toxin Injections?

Preparing for botulinum toxin injections involves a few simple steps to ensure a smooth and successful procedure. Firstly, it’s essential to inform your healthcare provider about any medications you’re taking, including over-the-counter supplements and blood thinners, as these may need to be adjusted prior to treatment. Additionally, avoid consuming alcohol or engaging in strenuous physical activity for at least 24 hours before your appointment to minimize the risk of bruising. On the day of the procedure, wear loose, comfortable clothing and arrive at your appointment well-hydrated. Your healthcare provider will provide specific instructions tailored to your individual needs to ensure the best possible outcome.

Why are Botulinum Toxin Injections performed?

We will also take as much time as needed to talk over your condition and treatment, to empower you in your own recovery.

Botulinum toxin injection with Botox® or Xeomin® is available for treatment of:

  • Facial wrinkles
  • Jaw muscle enlargement (masseter hypertrophy)
  • Chronic Migraine
  • Muscle Pain / trigger points
  • Spasticity from Stroke, Spinal Cord Injury, Multiple Sclerosis, or other neurological injury
  • Cervical Dystonia
  • Focal Dystonia and Orofacial Dystonia
  • Temporomandibular Joint Dysfunction (TMJ)
  • Excessive sweating (hyperhidrosis)
  • Blepharospasm

Note: Not all uses of Botox® or Xeomin® are FDA-approved indications.

Allergan currently has assistance programs to reduce your out-of-pocket expenses, and if you are uninsured, they even have a program to provide you free medication!

What can you expect during Botulinum Toxin Injections?

During botulinum toxin injections, you can expect a relatively quick and straightforward procedure performed in the comfort of our office. Your healthcare provider will begin by cleansing the treatment area and may apply a topical numbing cream to minimize any discomfort. Using a very fine needle, the botulinum toxin (such as Botox® or Xeomin®) will be injected directly into the targeted muscles or areas of concern. You may experience a mild stinging or pinching sensation during the injections, but most people find the discomfort to be minimal and well-tolerated. The entire procedure typically takes just a few minutes to complete, and you can resume your normal activities immediately afterward with little to no downtime.

What is the follow-up and recovery like for Botulinum Toxin Injections?

The follow-up and recovery process for botulinum toxin injections are generally straightforward and well-tolerated by most patients. After your treatment, it’s important to avoid rubbing or massaging the treated area for at least 24 hours to prevent the toxin from spreading to unintended muscles. You may experience some mild redness, swelling, or bruising at the injection sites, but these side effects typically resolve on their own within a few days. It’s also recommended to avoid lying down flat or engaging in vigorous exercise for several hours after your appointment to allow the toxin to properly settle into the muscles. Your healthcare provider will provide personalized post-care instructions and schedule any necessary follow-up appointments to monitor your progress and ensure optimal results.

What are the potential risks for Botulinum Toxin Injections?

Botulinum toxin injections, such as Botox® and Xeomin®, are generally safe when administered by a qualified and experienced healthcare provider. However, like any medical procedure, there are potential risks and side effects to be aware of. The most common side effects include temporary redness, swelling, bruising, or tenderness at the injection sites, which typically resolve on their own within a few days. In rare cases, more serious complications such as allergic reactions, infection, or muscle weakness in nearby areas may occur, but these instances are extremely uncommon when proper injection techniques are employed. It’s essential to discuss any concerns or medical history with your healthcare provider before undergoing treatment to minimize the risk of adverse effects.

Are there related procedures to Botulinum Toxin Injections?

Dermal fillers can be used in conjunction with botulinum toxin to address static wrinkles and volume loss in the face for a more comprehensive rejuvenation. Additionally, laser therapy, microdermabrasion, or chemical peels may help improve skin texture and tone for a more youthful appearance. Your healthcare provider can discuss all available treatment options with you and develop a customized plan to achieve your desired goals effectively and safely.

Meet Manhattan Pain Medicne, PLLC

Jason W. Siefferman, MD is board-certified in Physical Medicine and Rehabilitation (PM&R) and Interventional Pain Medicine. He is trained to offer a comprehensive diagnostic evaluation and treatment for anyone experiencing pain or a disability. He has published articles, book chapters, and persuasive essays surrounding many... Learn More »