Carrasco Pain Institute
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Myofascial Pain
Myofascial Pain (Muscle Spasms)
Many individuals suffer from ongoing pain related to muscle spasms. Many times these muscle spasms can be treated with a medication called Botox (Botulinum Toxin). These areas of muscle spasm can cause severe pain.
Botox Treatment
Botox is injected at the site of a trigger point or muscle spasm and temporary blocks the muscle from contracting. The initial effects of the Botox may be delayed two or four weeks, but usually lasts three or more months in duration. Some patients require repeat injections, but the pain is usually not as severe or as often as it was in the past. Many patients are able to decrease or eliminate the need for pain medication. If necessary, Botox injections may be repeated approximately every three months. Many patients return to their normal activity as soon as the day after their injections.
Are there any Limitations following Botox Injections?
You may return to normal activities following Botox injections. It is recommended that you not do any excessive activities if you are experiencing increased pain. You may be instructed to perform eccentric stretching exercises in an effort to lengthen the muscle rather than increase muscle tone. You will also be asked not to use ice over the area of 24 hours because ice will denature the Botox and decrease its effectiveness.
How often can I receive Botox Injections?
It is not recommended to repeat Botox injections within a month as you may build up a resistance to the Botox due to the formation of antibodies. It may be necessary to repeat the Botox, but often times the pain is not as severe as it was in the past. Patients receiving Botox for spasticity (Cerebral Palsy, Stroke, Blepharospasm, or Torticollis) generally require re-injection every three to four months.