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A Little Bit of BOTOX™ For This and That

Many of our readers have asked for my opinion about BOTOX™ as a treatment in pain. 

It has been almost 20 years since doctors have begun using botulinum toxin to correct strabismus in humans. At a recent conference at the "Toxin 99 International Conference" in Orlando, Florida, there were almost 90 new indications. Some of the new but not yet approved applications include the correction of clubbed feet, the elimination of chronic hiccups, spasticity of cerebral palsy and constipation. Parkinson's disease and sweaty palms (hyperhidrosis) are a few other exciting new applications for BOTOX™ Intractable hiccups were treated successfully by BOTOX™

injection in the diaphragm by Dr. Mauro Porta, a neurosurgeon in Bergamo Italy. The correction of clubfeet without surgery was successfully accomplished in two babies at Texas Scottish Rite Hospital for Children in Dallas. Dr. Anna Rita Bentivoglio, a neurologist at the Catholic University of Rome used BOTOX™ to treat severe cases of constipation. Fifty patients were all successfully treated using BOTOX™ injections into the anal canal. Chronic pain and disability are likely to be areas benefiting most from BOTOX™ injections.

The medical Post, Page 50, January 25, 2000

Recent studies have shown applications for BOTOX™ for headache and other pain syndromes. It was during the treatment of facial wrinkles that it was found BOTOX™ might help headaches. It was found that the injection of minute amounts of BOTOX™ into the frontal, temporal, glabella, occipital, trapezius, sternocleidomastoid and deep cervical spine at the upper cervical areas could help eliminate headaches of both tension and migraine for up to three months or more. Of course, not all patients responded but early studies indicate as much as 75% response rate and it is expected these numbers are going to improve as a better understanding of why BOTOX™ injected into your skull muscles can block a headache.

 As always, keep long and strong.

G. Blair Lamb MD, C.C.F.P. O.P.P.A.

Pain and Rehabilitation Consultant

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