What therapeutic Botox is used for
In neurology, botulinum toxin is used for chronic migraine (usually at least 15 headache days a month with at least 8 migraine days), hemifacial spasm, cervical dystonia, blepharospasm and selected focal dystonias. It reduces abnormal muscle contraction or migraine frequency; it does not cure the underlying condition.
The assessment first confirms the diagnosis. Headache that is not migraine, facial pain from another cause, or a tremor due to Parkinson's disease may need a different treatment.
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Assessment before treatment
The consultation reviews symptoms, previous medicines, pregnancy plans, neuromuscular disorders, bleeding risk and current anticoagulants. The injection plan depends on the condition, the muscles involved and the response to previous treatment.
Patients are told what the treatment can and cannot achieve, when benefit usually begins, how long it may last, and which side effects to report. A headache diary or symptom record helps measure the response.
- Confirm the indication and rule out mimics
- Review medicines, pregnancy plans and bleeding risk
- Record baseline symptom frequency and severity
- Explain injection sites, expected onset and follow-up
Treatment and follow-up
Injections are given in the clinic at planned intervals, usually about every 12 weeks for chronic migraine and at intervals determined by symptom response for movement disorders. Benefit is reviewed before repeating treatment.
Temporary bruising, headache, eyelid droop, facial weakness or unwanted muscle weakness can occur depending on the site. Urgent review is needed for breathing or swallowing difficulty after neck injections.
Access and booking
Appointments are at Kathmandu Neurology Clinic & Cognitive Center, 117 Lal Durbar Marg, Kathmandu, opposite Yak & Yeti Hotel. Call +977-9747736624 or use /book-appointment. Bring prior reports, imaging and a medication list.