Botulinum therapy in neurology

Botulinum therapy in neurology is a method of treating various neurological disorders using botulinum toxin (Botox).

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About the service

About the service

Botulinum toxin is a neuroparalytic poison consisting of highly toxic protein substances. The substance is toxic, but in minimal doses it has a therapeutic effect, as it blocks the transmission of nerve impulses and suppresses the production of neurotransmitters. This mechanism of action allows botulinum toxin to be used to treat various neurological disorders and diseases.

Used to treat conditions such as:

  • Spasticity is increased muscle tension resulting from disturbances in the central nervous system.
  • Various forms of dystonia are disorders of muscle tone that lead to involuntary movements or postures.

In addition, the method is used in the treatment of chronic migraines, hyperhidrosis (excessive sweating) and some other conditions.

Benefits for the patient

The main benefits of botulinum toxin treatment include the short duration of the procedure, only about 5 minutes, and effective results such as pain reduction and muscle relaxation. Other advantages:

Clinically proven high effectiveness and safety

Botulinum therapy is assessed as a highly effective and safe treatment method in neurology, which has been confirmed by many clinical studies. The effectiveness of botulinum toxin is manifested in the ability to reduce muscle spasm, reduce pain and improve motor function in patients with various neurological diseases. The safety of BTA is due to its specific action and strict dosage control, which minimizes the risk of side effects.

Lifelong injections if indicated

Botox in neurology, due to its effectiveness and safety, is especially valuable in the treatment of chronic diseases, since it allows patients to maintain a stable condition and control symptoms over a long period of time. An important feature of this method is the possibility of its long-term and sometimes lifelong use. for certain medical indications.

For example, for tension headaches, botulinum therapy relieves pain, significantly improving the quality of life. This condition is often associated with muscle tension in the head and neck. Regular use of botulinum toxin in neurology in these cases, it helps reduce the frequency and intensity of pain attacks, ensuring long-term remission.

Duration of effect from 4 to 6 months

One of the noticeable advantages of botulinum therapy is the duration of its effect. Typically, treatment results last from 4 to 6 months. This makes life easier for patients, as they do not have to frequently see a doctor and repeat procedures.

Versatility of the method

This treatment method is suitable for almost everyone, excluding only rare cases of individual intolerance to botulinum toxin. Thanks to this, a large number of patients with neurological disorders receive effective relief from the symptoms of their diseases.

Minimal risk of side effects

Botox treatment is characterized by a minimal risk of side effects. When they do occur, they are mild and temporary, making this method the preferred method.

In very rare cases, after administration of botulinum toxin, the following may occur:

  • Swelling.
  • Headache.
  • Allergic reactions.
  • Numbness.

And also pain at the injection site.

Sometimes the only treatment

In some clinical situations, botulinum therapy may be the only effective treatment method. This is relevant for patients with severe forms of muscle spasticity, for example:

  • For cerebral palsy.
  • After strokes.
  • For multiple sclerosis.

Also, botulinum therapy may be the only solution for chronic pain syndromes, including migraine or myofascial pain syndromes.

General information

The principle of action of botulinum toxin

The principle of action of botulinum toxin in therapy is based on several key aspects:

  • Direct effect on the transmission of nerve impulses. Botulinum toxin has a direct effect on the process of transmission of nerve impulses from nerves to muscles. This effect leads to a decrease in muscle contractility, which is especially important when treating conditions associated with increased muscle tone, such as spasticity.
  • Changing the functioning of receptors and blocking pain. Botulinum injections change the number of receptors in cells and block the production of substances responsible for pain. This leads to a decrease in pain intensity, which is especially important for patients suffering from chronic pain syndromes.
  • Effects on the central nervous system. The toxin is able to penetrate the central nervous system, affecting the activity of the nerve pathways of the brain. This can correct problems caused by conditions such as stroke or traumatic brain injury, which often lead to increased muscle tone.

As a result of the use of botulinum toxin, the following effects are achieved:

  • Relaxation of muscle tissue.
  • Decreased pain intensity.
  • Elimination of uncontrollable movements and seizures.
  • Relief of neurogenic inflammation.

These effects provide significant improvement in the condition of patients suffering from various neurological disorders.

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Indications

There are a number of neurological diseases for which botulinum toxin is indicated in medicine. Among them:

  • Chronic migraine. Characterized by frequent and intense headaches. Botulinum therapy reduces the frequency and intensity of attacks by acting on the muscles that cause tension and spasms.
  • Headaches with tension in the pericranial muscles. Botulinum therapy relaxes the muscles of the head and neck, reducing tension and relieving pain.
  • Facial pain, including dysfunction of the temporomandibular joint. The therapy reduces pain and muscle tension. Improves the functioning of the jaw joint.
  • Neuropathy of the facial nerve. For facial asymmetries and hyperkinesis, botulinum therapy restores symmetry and controls involuntary movements, thereby improving the appearance and functionality of the face.
  • Bruxism, or teeth grinding, leads to wear and tear in the jaw. Botulinum toxin therapy reduces muscle tension, which reduces grinding and associated symptoms.
  • Spasticity. Occurs after strokes, with cerebral palsy, head injury and multiple sclerosis, causing increased muscle tension. The therapy relaxes spastic muscles, improves motor function and relieves pain.
  • Dystonias, such as blepharospasm and oromandibular form, are characterized by involuntary muscle contractions. Botulinum toxin therapy reduces these contractions, relieving symptoms.
  • Hemifacial spasm, tics, myokymia. These conditions are manifested by involuntary contractions of the facial muscles. Botulinum toxin therapy helps control these contractions by reducing their frequency and intensity.
  • Sialorrhea (increased salivation). Hyperhidrosis (increased sweating). The therapy reduces sialorrhea and hyperhidrosis, blocks nerve impulses responsible for excessive secretion of saliva and sweat.
  • Myofascial pain syndromes. Characterized by pain in the muscles and surrounding tissues. Botulinum toxin therapy helps relax muscles, reduce pain and improve the functionality of the affected areas. This helps reduce tension and relieve chronic pain.
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Contraindications

  • the use of the drug is not recommended if there is an individual intolerance to BTA or any of its components, manifested in the form of allergic reactions;
  • Not suitable for patients with neuromuscular disorders, including myasthenia gravis and myasthenic syndromes.

The procedure cannot be done in case of inflammatory processes in the intended injection area, as well as in persons with blood clotting disorders, for example, hemophilia. All of these conditions can increase the risk of complications and worsen treatment outcomes.

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Preparation and diagnostics

Before starting treatment, the patient must undergo an examination so that the doctor can determine whether this method of treatment is suitable based on the individual characteristics of the patient and the nature of his disease. The main diagnostic methods include:

  • Magnetic resonance imaging (MRI)․
  • X-ray examination․
  • Ultrasound examination (ultrasound)․
  • Positron emission tomography (PET)․
  • Electroneuromyography (ENMG).

After receiving the examination results, the neurologist determines the duration of the course of treatment, calculates the required dose of the drug and draws up an individual plan for clinic visits.

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How the treatment procedure works

The botulinum therapy treatment process includes several stages, starting from diagnosis and ending with the botulinum toxin injection procedure itself.

The botulinum therapy procedure itself takes little time - usually no more than 5 minutes. It involves injecting botulinum toxin directly into the affected muscle. Botox is administered intramuscularly, sometimes under ultrasound guidance, to determine the injection site as accurately as possible.

During the procedure, electrical myostimulation can also be performed using a needle-electrode, which helps to consolidate the effect of Botox. This allows you to achieve relaxation of spasming muscles, relieve pain and cramps, and also stop neurogenic inflammation.

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After the procedure

After botulinum toxin injection, the patient can immediately return to their normal lifestyle, since botulinum therapy does not require a long recovery period. The effect of treatment begins to appear gradually and lasts for 3-6 months, depending on the individual characteristics of the patient’s body and the nature of the disease.

Botulinum therapy treatment is carried out on an outpatient basis in specialized medical centers, such as the K+31 clinic, where patients can receive consultations from specialized specialists and undergo all the necessary diagnostic procedures. This innovative treatment method combines high efficiency, safety and convenience for the patient.

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Our doctors

Mitelmayer
Tatyana Valerievna
Head of the department of neurology and psychotherapy, neurologist
Tatarenko
Alena Igorevna
Neurologist, parkinsonologist
Burd
Sergej Georgievich
Neurologist-epileptologist
Omarova
Sabina Magomedovna
Leading neurologist, parkinsonologist
Bogdanova
Inna Sergeevna
Neurologist, otoneurologist, somnologist
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Reviews 6

In the fall of 2024, I went to the K+31 clinic, where I was correctly diagnosed and received the competent treatment that I really needed. I would like to note the highest professionalism of all the doctors who worked with me, and I express my heartfelt gratitude to neurologist Sitnikova O. Yu., gastroenterologist Anikina N. Yu., endocrinologist Pivovarova S. V., cardiologist Kambegova A. A., neurosurgeon Fumin I. A., and the nurses from the procedure room. Thank you very much for your work! Deep bow! I am grateful to you for your understanding, warmth, kindness, and desire to help. I wish you success in your difficult, but very necessary, noble work. Health to you, people in white coats!
21.11.2024
Tsybriy L.A.
I am in the neurology department, hospital. I express my deep gratitude to the doctor Omarova S.M., I also want to note the attentiveness of the medical staff, the manager, everything is coordinated and prompt!
01.11.2024
Natalia
I would like to thank the somnologist Tsareva E.V., the doctor is a professional in her field. Also thanks to Daria, the department manager for organizing and conducting the consultation!
30.10.2024
Rezeda
Many thanks to Mitelmayer Tatyana Valeryevna. A wonderful specialist whom I will gladly recommend to my friends. From the first minutes you feel that they want to help you, Tatyana Valeryevna listened attentively to all complaints and thanks to the prescribed treatment we coped with the problem in a short time.
29.10.2024
Eugenia
I went to the K-31 clinic with severe dizziness of unknown origin. The therapist examined me completely and sent me to the neurologist Mitelmayer Tatyana Valerievna, who very quickly determined the real cause of the dizziness and successfully eliminated the problem! During the additional examination, in order to exclude other possible causes of the ailment, I was examined by other doctors of the clinic, and they all showed themselves at a high level of professionalism, were very attentive! Thank you very much!
22.10.2024
Vera
I really liked the doctor Omarova! Sabina Magomedovna is a very attentive, knowledgeable specialist, who explains in detail all the nuances associated with the patient's problem. Thank you very much! I recommend this specialist!
07.09.2024
Stollenwerk Anna
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