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Botulinum toxins are a revolutionary treatment option for those living with certain medical conditions.  Currently there are over 20 approved medical conditions being treated with botulinum toxins or similar medications, with continued trials for new applications every day.   No matter how much seeing them hurt, fine lines and wrinkles are not considered a medical condition to us.  You and your dermatologist or plastic surgeon should discuss what is best for you there.

If you suffer from specific muscular disorder, hyperhidrosis, or chronic migraine, let the physical medicine team at Kansas City Bone and Joint help you discover a new treatment option!  Let’s take a look at botulinum toxins and how they are used for each disorder treated at Kansas City Bone and Joint.

Muscular disorders
Post-stroke upper limb spasticity, cervical dystonia, blepharospasm (eyelid spasms), focal dystonias

Botulinum toxin works by being injected into muscles in very small doses.  The powder is diluted with saline then injected into the tissue using a thin needle.  The medication acts by preventing the release of a chemical messenger’s signal from the nerve cells to the muscles, consequently partially paralyzing the treatment area.  Typically, it takes anywhere from 7-10 days for the full effects of the medication to become apparent.

Excessive sweating; focal hyperhidrosis most common at the scalp, underarms, hands, feet, and groin

Like the procedure for musculoskeletal disorders, a small needle is used to deliver medication focally to the treatment area.  Prior to the injection, the clinician may use a numbing cream to the area to ease the discomfort of the procedure.  The injections target the nerve signals that are responsible for telling the sweat glands to produce too much sweat.  Nerves have the ability to regenerate, which means that the treatment is often needed every 4-6 months.  However, over time, a patient can go longer between treatments.

History of migraines, or headaches at least 15 days of the month; and 8 of which are migraines.

The procedure for migraines is similar to that of musculoskeletal disorders and hyperhidrosis, only the injections are done in a series every 12 weeks.  These injections are equally performed on and around the head and neck on both sides.  Treatment can be tailored to an area more often plagued with migraine, with multiple injections at that site.  You can also use this toolkit to help manage symptoms related to migraine.


Possible side effects, though uncommon, include:

  • Localized discomfort at the injection site
  • Swelling or redness at the injection site
  • Temporary weakness of near-by muscles
  • Flu-like symptoms/ fatigue
  • Hives/rash
  • Other symptoms are dependent on the injection site and frequency of injections

If you or someone you know has any of the above conditions, or would be interested in a registering for a clinical trial,  click the link to make an appointment, or find out more about Botox by visiting