Spinal myoclonus is rare, but it can be annoying, painful and make certain actions difficult for the patient, depending on what part of the body is impacted. It involves quick, jerky muscle movements that originate from a spinal cord injury or operation. It can happen after laminectomy, lumbosacral radiculopathy, spinal extradural block and in other situations.
While there’s no study available to provide dosing and technique guidance – in part because every patient’s symptoms and impacted muscles are different – some patients have been successfully treated with Botox for spinal myoclonus and experience an improved quality of life.
One reported case of successful use of Botox for spinal myoclonus involves a 16-year-old female with a lung vein anomaly called Scimitar syndrome who suffered a stroke involving the spinal cord when she was 11. The stroke resulted in bladder dysfunction and paralysis of the right leg. Four years later, she developed cramping and jerky, rhythmic movements in her left quadricep muscles along with pain that did not respond to a range of treatments that were tried on her. Treatment with Botox eliminated the pain and reduced the severity of the movements.
Botox is also used for blepharospasm, hemifacial spasm, spasmodic torticollis, spastic dysphonia and similar conditions involving muscle movements. Other treatments for spinal myoclonus that may be effective include certain tranquilizers and anticonvulsant medications, but success with these treatments varies.
When you’re well-trained in medical uses of Botox, you can resolve difficult muscle and nerve problems for your patients so they can have better lives. Great training comes from Dentox and Dr. Howard Katz. Sign up now or reach out for more information about cosmetic and therapeutic injectables training in person, online or on demand. Your practice’s revenues can benefit as much from Botox as your patients’ quality of life.
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