Botulinum Toxin is a protein produced by bacteria and is used in small doses to treat muscle spasms – Botulinum Toxin is used to treat many conditions. Neurological uses are: blepharospasm (excessive eye blinking), hemifacial spasm (spasms of the face), dystonia and torticollis (increased muscle spasm in the neck), and migraine and other headache disorders.

How does the testing work?

A physician uses a thin needle to inject tiny amounts of Botulinum Toxin into specific muscles. Sometimes another small needle attached to a machine will be used to help identify the appropriate muscle. By carefully choosing the muscles and dosage of Botulinum Toxin, the physician weakens only specific muscles. The number of injections and dosage depends on many factors. The physician makes this determination at each visit. You should allow 30-60 minutes for the procedure (depending on the diagnosis).

What to Expect After the Procedure?

Botulinum Toxin injections require no down time. Therefore you are able to drive yourself, return to work the same day, and all normal activities can be resumed. The results will be noticed in about two weeks. The results are not permanent and require re-injection and dosage adjustment approximately every 3-6 months.

Test Preparation

  • Bring a list of all medications, and if on blood thinners (aspirin, Plavix, Aggrenox, or Coumadin), notify the doctor prior to your appointment. Insurance covers most of the diagnoses except migraine headaches. Most of the insurances require prior authorization.
  • Wear loose-fitting clothing.
  • Allow plenty of time to avoid feeling rushed (arrive 15 minutes prior to your appointment in order to fill out information and answer questions). Please complete any forms you have received from Neurological Associates and bring them in with you.