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Botox For Camptocormia: A Worthwhile Option For A Difficult To Treat Condition

Botox For Camptocormia: A Worthwhile Option For A Difficult To Treat Condition

Botox For Camptocormia A Worthwhile Option For A Difficult To Treat Condition

Camptocormia is a Parkinson’s disease (PD) symptom that impacts the back muscles and is a type of axial dystonia. It is characterized by a 45-degree forward flexion or bend in the patient when standing. When the patient sits, reclines, walks with a walker or stands against a wall, the symptom go away in most cases.

Tightening of the paraspinal muscles is the reason, and dopaminergic drugs used for PD treatment can cause it or make it worse. Botox for camptocormia isn’t always effective, but this is a stubborn condition with few viable treatment choices, so it should be considered.

More About Botox For Camptocormia With PD

Experts say that Botox injections into the paraspinal muscles can probably reduce or alleviate the forward bend or stoop associated with camptocormia. Research on this topic isn’t very thorough, however. There are very few studies on Botox for this condition, and relatively few patients were involved in that research.

Injections are usually placed into the rectus abdominis, iliopsoas and other muscles and must be done with precision. Some experts suggest ultrasound-guided injections into the iliopsoas muscle, but placing the shots into the rectus abdominis and the external abdominal oblique are most likely to provide desirable results. The treatments sometimes fail not because the wrong muscles are selected but because the injections are placed incorrectly and don’t go into the right muscles.

Provide Another Option

Camptocormia is difficult to treat and often doesn’t respond to any treatment path. When you’re well-trained in Botox for medical purposes, however, you can give patients who have exhausted other options an additional chance at improved posture. Get your training from Dentox and Dr. Howard Katz, the first Botox trainers. Classes are available in person, on demand and online. Reach out or sign up to learn skills that can improve patient lives and help your practice soar above the competition.

Botox For Essential Tremor: Minimal Side Effects When Done Precisely

Botox For Essential Tremor: Minimal Side Effects When Done Precisely

While essential tremor (ET) is a neurological condition that can cause a patient’s hands, head, voice, trunk or legs to shake in a rhythmic manner, when people speak of ET they often mean only shaky hands. The condition is confused with Parkinson’s disease, but it isn’t necessarily accompanied by any other symptoms.

ET is perhaps the most common of all movement disorders and a good candidate for treatment with Onabot-A, which is often called by its brand name, Botox. Treatment with Botox for essential tremor can provide excellent symptom relief, and weakness can be avoided with careful choice of which muscles to treat.

More About Botox For Essential Tremor

Several studies have been conducted regarding the use of Botox for ET. A study of 34 patients in 1991 was the first to report effectiveness. In that project, 67 percent of patients saw improvement in hand tremors, but 60 percent experienced weakness in arm flexors and extensors caused by the injections. When the researchers eliminated injection into the extensor muscles, weakness was reduced but tremor was still controlled just as well. Other research confirmed the positive results.

Studies have repeatedly shown that results are good, but hand weakness is possible when dosage or muscle selection isn’t perfect. Some patients have even withdrawn from research studies because of an unacceptable level of hand weakness. But the most recent research has shown that the problem can be minimized when the injector carefully chooses on an individual basis which muscles to treat.

Reduce Tremors And Improve Lives

Reducing tremors can eliminate the social stigma of ET and improve function, but there is a significant risk of hand weakness. To learn to inject Botox properly for minimal side effects, reach out to Dentox for in person, online and on demand training in medical and aesthetic uses of injectables. When you know the best techniques, you can make the most difference in patient lives and in your practice’s bottom line.

TMJ Pain: Botox For TMJ Could Be The Best Thing Ever For Pain Relief

TMJ Pain: Botox For TMJ Could Be The Best Thing Ever For Pain Relief

 TMJ Pain Botox For TMJ Could Be The Best Thing Ever For Pain Relief

Stress is a very real part of most of our lives. That stress can lead to stiffness in the jaws, shoulders and upper back that could be related to the jaw condition TMJ disorder. Other muscular issues can be part of the equation too – including teeth clenching and grinding. If you wake up with a sore jaw or other head pain, it could be TMJ disorder.

Pain can range from mild to unbearable. Patients often try a range of unsuccessful treatments that may include medication, jawline massage, gua sha, microcurrent facials, herbal teas, relaxation exercises and much more. For some, the situation can become desperate.

But can Botox help? Keep reading for some quick FAQs:

What is TMJ?

TMJ disorder – also called TMD – is a condition that impacts the temporomandibular joint, or where the jaw connects to the skull. Symptoms of TMJ disorder include pain during the day or night, problems chewing, popping or clicking of the jaw and, in extreme cases, locking of the jaw.

How does Botox for TMJ work?

Botox relaxes the masseter or jaw muscle in people with TMJ disorder, decreasing the stress that the jaw joint experiences and providing relief to many patients. Relief can begin in days and last for several months.

How do you know if Botox for TMJ is the right choice?

Anyone who experiences TMJ symptoms may be a candidate for Botox injections, according to experts. Treatments take only minutes to administer, have a relatively moderate cost and usually don’t cause any downside if they’re ineffective.

How much does Botox for TMJ cost?

The price of neuromodulator injections for TMD pain varies widely by provider. Treatments cost more in some large cities than in smaller cities, and some high-end clinics or dental offices charge more than others. A ballpark figure is $1,500 for a treatment of 25 units per side.

How often is TMD Botox necessary?

Whether used for cosmetic or medical purposes, Botox injections usually last from 3 months to perhaps as long as a year or two. After repeated treatments, muscles may weaken and require less frequent or lower-dose treatments in the future.

Where can I get Botox for TMJ pain?

The most important thing to remember is to choose a qualified injector. The key is that the injector must have good training from a respected Botox certification program. The provider might be a general practice doctor, a dentist or even a nurse practitioner or physician assistant, if allowed. States each have their own rules about who can administer Botox, and not all providers offer Botox for jaw pain relief.

What else should I know about Botox for jaw pain?

There are a few other things to keep in mind regarding jaw pain Botox injections. First, treatment on both sides is necessary even if pain is only on one side to maintain muscle balance and prevent problems with teeth alignment and chewing. Also, most providers recommend avoiding facials and other forms of facial massage for at least a day after treatment to prevent the Botox from spreading to areas where it isn’t needed.

Some TMD sufferers report that Botox is the only treatment that has ever worked for them, providing months of relief from debilitating pain. It’s important to remember that injections work best and have the lowest potential for side effects when administered properly.

Dentox trains medical and dental professionals in both cosmetic and medical uses of Botox and related products. Look for a Dentox certified injector for peace of mind.

If you want to get Botox training and are allowed to provide injectable treatments in your state, sign up for an in person or online course with Dentox and Dr. Howard Katz – for training that can enhance your career and help you improve patient lives.

Botox For Cervical Dystonia: FDA Approved And Recommended As A First-Line Treatment

Botox For Cervical Dystonia: FDA Approved And Recommended As A First-Line Treatment

Botox For Cervical Dystonia: FDA Approved And Recommended As A First-Line Treatment

Clinical research has shown that botulinum toxins can help with cervical dystonia – involuntary movements of the neck. The evidence is solid enough that the American Academy of Neurology recommends Botox injections as a first-line treatment for this condition that often impacts musicians, golfers and others who perform repetitive motions.

The condition is a type of focal dystonia – or involuntary spasm. Cervical dystonia can be further broken into specific conditions that include torticollis (turning or rotating of the head to one side), anterocollis (bending of the head and neck), laterocollis (tilting of the head to one side) and retrocollis (head and neck extension). Doctors often observe combinations of these movements happening at the same time.

More On Botox For Cervical Dystonia

In one study, those who received Botox for cervical dystonia had a significantly greater decrease in scores on a 54-point Cervical Dystonia Severity Scale than those who were checked after receiving placebo injections. The scale indicates the severity of the patient’s head positioning problems.

Results from Botox for cervical dystonia have been good enough that the American Academy of Neurology recommends it as the first treatment for the condition. For some other conditions – like migraines – Botox is recommended only after other treatments have failed. Cervical dystonia Botox treatments reach peak effectiveness at about 6 weeks after treatment, and the benefit usually lasts about 3 months before re-treatment is necessary.

Learn To Treat Medical Conditions With Botox

Dentox offers Botox and dermal filler training programs that teach both medical and cosmetic uses of Botox and related products. Medical and dental professionals who train with Dentox learn hands-on in person, online or on demand from Dr. Howard Katz, the originator of injectables training. To train with Dentox, reach out or sign up now. It’s good for your career – and great for your patients.

Are Dental Hygienists Allowed To Do Botox?

Are Dental Hygienists Allowed To Do Botox?

Are Dental Hygienists Allowed To Do Botox?

Doctors aren’t the only ones who can administer Botox and similar botulinum toxin products. While rules vary from state to state, medical professionals including dentists, dental hygienists, nurses and others who have completed a Botox and dermal filler training course may be allowed to provide cosmetic injectable treatments.

If you’re a dental hygienist, you’ll have to contact your state’s governing body to determine your eligibility, but this general information may be helpful.

Botox is simple and safe for most patients and can provide remarkable results eliminating or reducing lines and wrinkles, so it’s no wonder that millions of doses are administered each year. Botox is among the most common cosmetic procedures because it works and is minimally invasive, requiring no surgery and only a few minutes in the treatment room.

Injectables including Botox and fillers are popular with health care providers as well. These treatments are low-risk, easy to perform, largely free of side effects or complications, profitable and involve cash-paying patients so there’s no need for billing and collection efforts.

Can A Dentist Or Dental Hygienist Do Botox?

A dentist or dental hygienist may be allowed to administer injectables, but regulations vary by state. In many cases, a trained dental professional can provide aesthetic injectables at a licensed practice. In some states, however, cosmetic injectables are limited to dentists and oral surgeons, meaning that even strictly supervised dental hygienists are prohibited from giving the injections.

Some states also place restrictions on how a provider can use Botox. State law may require that dental professionals only inject Botox and related products when needed for dental reasons, like treatment of clenching, grinding and the jaw disorder TMD. In those cases, no dental professional can administer Botox for cosmetic purposes.

What States Allow Dental Hygienists To Do Botox?

The first state to open the door for dental hygienists to perform Botox injections was Nevada. In that state, hygienists can do injections when directly supervised by a dentist or oral surgeon.

About half of states allow dentists to do Botox for cosmetic reasons, and rules in those states for dental hygienists vary. States where dentists can do aesthetic Botox include, when last we checked:

  • Wisconsin
  • Maryland
  • Iowa
  • Florida
  • Connecticut

New York also allows dental practices to provide this service with significant restrictions.

In some states, there are no specific rules about whether hygienists can provide dermal fillers or botulinum toxin injections. Regulating bodies in those states either take no action regarding the practice or evaluate cases individually when they come up.

What Training Does A Dental Hygienist Need To Do Botox?

As with other aspects of this issue, whether training and certification are required for dentists and dental hygienists who want to administer Botox and dermal fillers varies from one state to the next. In most cases, certification is required.

There may be a requirement that the certification course include specific things, like how to administer the injections, how to handle side effects and more.

Dentox provides Botox and dermal filler training and certification. Consider attending one of our in-person one-day classes around the nation, attend live online training or choose recorded on-demand training that you can view anytime and anywhere. Whatever option you choose, you’ll get the same high-quality instruction from Dentox founder Dr. Howard Katz.

To learn more, reach out now – or register right away for the class that fits your needs.

Understanding The Difference Between Botox, Fillers And More

Understanding The Difference Between Botox, Fillers And More

Understanding The Difference Between Botox, Fillers And More

Botox and dermal filler usage is spiking recently because so many of us have been looking at ourselves in our phones and computer monitors more often than ever, and we don’t like the aging image we see looking back. Patients are telling injectors that they’re continuing to use Zoom and other video conferencing software even as the pandemic eases, and they’re wanting to see a more youthful version of themselves on the screen.

Botox usage was already increasing dramatically, even for younger people. Between 2010 and 2018, usage rose 35 percent, according to statistics from the American Society of Plastic Surgeons. But not everyone should be administering the shots, and not every shot is the same. Patients need to select the right practitioner and make the right product decisions.

Relaxer or Filler? There Are Big Differences

Injectables come in two categories: neuromodulators like Botox and dermal fillers.

Neuromodulators or relaxers are often referenced by the most common brand name, Botox. These injections inhibit nerve communication, relaxing muscles to soften wrinkles and lines that are created from repeated muscle movements. Neuromodulator injections work great on brow lines from frowning and crow’s feet from smiling.

There are 3 primary neuromodulators on the market:

  • Botox is the original neuromodulator, has been approved by the FDA for over 20 years and is the only product approved for medical purposes like excess sweating and migraines.
  • Dysport is a similar botulinum toxin product, but research indicates that it may relax muscles quicker.
  • Xeomin is made without certain proteins that can cause an antibody reaction in some people with autoimmune disease. While the reaction probably doesn’t hurt anything, it can decrease the effectiveness of the neuromodulator if it happens.

Fillers are something completely different and do as the name says – they fill sunken or hollow spaces to add volume and make the patient’s skin look plumper and more youthful. Many contain hyaluronic acid, but there are other fillers as well. These products can be used for restoring fullness under the eyes, adding structure to cheekbones, filling crevices and deep lines near the mouth and more.

A special category of dermal fillers, biostimulatory fillers, work inside the body to create new collagen. Some injectors and patients prefer them to hyaluronic acid filler, especially at the temples or jawline.

Filler brands include Juvéderm Voluma, which is viscous and is good for creating a lifting effect as well as Volbella, which is more liquid and works better for small areas. There are a range of other choices too.

Who Can You Trust To Administer Botox And Fillers?

The most important factor for a patient seeking neuromodulator or filler injections is choosing the right injector. That could be a well-trained doctor, dentist, nurse practitioner or other medical professional.

The key is that the chosen injector be well-trained.

When an injector doesn’t have complete training, patients end up with bad results that may include bulging, facial paralysis, a frozen face or even blindness. Well-trained, experienced injectors know where to place injections and where to avoid, plus they’re trained in managing adverse effects that may happen. Beyond just doing the shots, they can respond to any undesired outcomes.

Dentox offers quick but thorough hands-on Botox and dermal filler training for medical and dental professionals. When patients choose a Dentox-certified injector, they know they’re getting someone who has demonstrated their skills to Dr. Howard Katz, America’s most experienced injectables instructor.

If you’re a medical or dental professional seeking injectables certification, reach out to Dentox now – or sign up for training. Programs are available online, on demand and in person around the nation. Every Dentox training program is efficient, designed to provide practical skills and backed by ongoing support from Dr. Katz.

Botox For Palatal Myoclonus Or Tremor: Small Doses May Do The Trick

Botox For Palatal Myoclonus Or Tremor: Small Doses May Do The Trick

Botox For Palatal Myoclonus Or Tremor: Small Doses May Do The Trick

Palatal myoclonus is a rhythmic jerk of the soft palate that can cause an annoying clicking sound in the ears as the Eustachian tubes open and close. Now classified as a tremor rather than myoclonus because of its electrophysiology, this condition is most commonly caused by nerve damage that results from stroke, multiple sclerosis or even a tumor. It can develop a year or more after a stroke.

Research has found that this is among the involuntary movement types that can be successfully treated with Onabot-A, usually called by the brand name Botox. In the case of Botox for palatal myoclonus, very small doses may be all that are necessary to control symptoms for months.

More About Botox for Palatal Myoclonus

Treating with Botox for palatal myoclonus usually requires EMG guidance. Injections are placed into the soft palate in small doses at specific locations. Injections placed in the tensor-veli-palatini muscle at about 2.5 U usually work for the clicking sound while a similar dosage on each side of the uvula into the levator-veli-palatini muscle can control the movement of the palate.

There is a low risk of swallowing problems following treatment with Botox for this condition, but the risk can be minimized by first injecting a low dosage and increasing it gradually if necessary in future visits. It is important to note that in some cases the injections won’t work at all, and this is often because the palatal myoclonus has a psychological origin and should be treated with psychotherapy.

Improve Patient Lives… And Your Practice

When you’re trained in therapeutic uses of Botox, you can improve patient lives by helping them resolve stubborn and uncomfortable muscle conditions while enhancing the bottom line of your practice. For training in both medical and cosmetic uses of Botox, trust Dentox and founder Dr. Howard Katz. Reach out or sign up now for training on demand, online or in person around the United States.

Fine Line Injections? You Have A Range Of Injectable Treatment Options

Fine Line Injections? You Have A Range Of Injectable Treatment Options

Fine Line Injections? You Have A Range Of Injectable Treatment Options

Cosmetic procedures can’t turn back the clock, of course, but they can make us look like we haven’t ridden around the sun quite so many times.

Many of us can age more gracefully with the help of fine line injections. There are many options on the market, and they don’t all work the same way. While you could try dermal fillers or perhaps laser skin tightening, let’s focus on neuromodulators for a moment – those wrinkle-reducing shots that relax away lines. While Botox is both the most common neuromodulator and sometimes a blanket term used for all botulinum toxin A neurotoxins, there are four on the market today:


The grandfather of all neuromodulators and the first on the market, Botox has been FDA-approved since 2002. Even patients who get other brands often say they’ve had “Botox treatments.” Injectors trained before 2009 were trained only on Botox. The FDA approved it for use on the lines between the eyebrows, horizontal forehead lines and crow’s feet, but it is widely used for other kinds of wrinkle and fine line injections. It can also be used medically for TMJ clenching and pain, sweating, muscle tension in the shoulders and neck, migraines and more. For cosmetic purposes, results happen subtly within a day or two and improve for up to a week or longer. Results last an average of 3 to 4 months, but this varies widely.


Dysport has been gaining patient recognition in recent years and is sometimes asked for by name. Dysport has FDA approval only for the glabella lines of the forehead, but it is used off-label for other cosmetic purposes. Some medical professionals report that Dysport diffuses – or spreads – more than other products so it can cover a large area better than Botox. This spreading can cause side effects if used incorrectly. As with Botox, results last 3 to 4 months or more, but they start to become visible more quickly, some doctors observe. Each unit generally costs less than Botox because the product is more diluted, but more units may be required, making overall treatment cost comparable.


Xeomin is a type of botulinum toxin A injectable that varies from the others in an important way: It contains only the toxin and nothing else. The others contain protective proteins and additives. Because there are no additional proteins, the product may be less likely to cause an allergic reaction, especially in those with autoimmune disorders. Xeomin is only FDA approved for frown lines but is used by injectors in much the same way as Botox and Dysport. It can also help with twitching eyelids, neck muscle spasms and other muscular irregularities. Maximum benefit is visible at around 30 days. Some medical professionals say that it wears off quicker than Botox or Dysport while pricing is similar.


Approved for cosmetic use in 2019, Jeuveau is intended for frown lines but used for other purposes including fine line injections as well. The brand is a bit less expensive and targets millennials. Whether it can take over a significant share of the market isn’t yet known, but it seems to have similar effectiveness and duration to the other products while costing a bit less. Millennials tend to be early adopters in general, according to experts, meaning that the product should catch on quickly if it catches on at all.

A well-trained injector can make sure a patient is a good candidate for neurotoxin injections and help the patients decide which product or products is right for their needs. Dentox trains doctors, dentists, nurses and others to inject neuromodulators and dermal fillers. Each hands-on class is led by company founder Dr. Howard Katz, the leader in injectables training. Classes are available in person, live online and on demand. To learn more about becoming a certified injector with Dentox training, reach out now or sign up for a quick, thorough hands-on training class.

Urinary Incontinence Is More Common Than You Think, And Botox Is Among Proven Solutions

Urinary Incontinence Is More Common Than You Think, And Botox Is Among Proven Solutions

Urinary Incontinence Is More Common Than You Think, And Botox Is Among Proven Solutions

Urinary incontinence is the most common bladder control problem, according to the U.S. National Institute of Diabetes and Digestive and Kidney Diseases. This lack of bladder control can seriously impact life by causing disruptions to the normal course of activities, embarrassment, impact to social relationships and decreased ability to work for a living. But Botox and other solutions can help.

Incontinence should not be considered a disease, however, and instead be looked at as a symptom of a larger issue, according to experts. Underlying causes can include aging, general poor health, being overweight, smoking and diseases including MS.  Prostate problems can cause incontinence in men. Women can experience incontinence because of pregnancy, childbirth and menopause, all things that weaken the muscles of the pelvic floor. It can also be a side effect of radiation treatments.

The precise number of people who experience urinary incontinence isn’t known since many cases are not reported, but some organizations believe at least 10 percent of the population has the problem. Others believe the number is much higher.

Understanding Incontinence Better

There are several types of incontinence, and the treatments vary depending on the cause and symptoms. Among the types are:

  • Urge incontinence, the intense need to go to the bathroom immediately. This can be caused by an infection, diabetes or a neurological disorder. This type responds well to Botox treatment because it involves sudden tensing of bladder muscles in many cases, which Botox injections can lessen or eliminate.
  • Stress incontinence, caused by weak pelvic floor muscles and occurring when laughing, sneezing, exercising, lifting or having sex.
  • Overflow incontinence, the failing of the bladder to empty fully so that small amounts drip over time.
  • Mixed incontinence, a combination of two or more types.
  • Total incontinence, when the sphincter muscle no longer works and urine flow cannot be controlled at all.
  • Functional incontinence, a rare condition that happens when arthritis, cognitive decline or other conditions cause someone with normal bladder control to be unable to get to a bathroom when needed.

While the primary symptom of incontinence of any kind is leakage of urine, the condition can also be caused by a urinary tract infection, which may have the following systems:

  • Pain during urination
  • Pink, red or dark urine
  • Urine odor
  • Back or abdominal pain
  • Frequent urination
  • And more.

Treating Incontinence

A doctor can determine the cause of a patient’s incontinence and create a treatment plan based on a physical exam and review of history and symptoms. Tests may be conducted as well. Some cases clear up on their own over time.

Experts point to a wider range of treatment choices than ever before. In many cases, a doctor will suggest lifestyle changes, bladder control training and pelvic floor exercises. If these things don’t work, medication might do the trick. There are also medical devices, biofeedback treatments and surgical procedures that may help.

Many patients are surprised when their physician recommends Botox for incontinence or overactive bladder. When Botox is used for bladder control, the treatment is injected at a clinic or medical office, and most patients have few or no side effects.

The injections don’t cause any pain, but there can be some brief discomfort similar to cramping. Most patients get improvement in their symptoms in only a few days, and the results can last up to 6 months. Urine retention can happen, so the procedure is not recommended for men with enlarged prostates.

If you’re a medical professional interested in exploring this use for Botox and many others, consider attending a Botox and dermal filler training seminar from Dentox, the leader in single day, in-person injectables training. Online and on demand training is also available. Register for a seminar near you or reach out for more information.

Botox For Rest Tremor: Another Alternative For This Parkinson’s Symptom

Botox For Rest Tremor: Another Alternative For This Parkinson’s Symptom

Rest tremor is a Parkinson’s disease (PD) symptom that happens when muscles of the hands, arms or legs are relaxed. In many cases, the fingers or hands are the only parts of the body impacted. The condition is associated with altered activity in two brain circuits: the basal ganglia, which are impacted by the depleted dopamine levels associated with PD, and the cerebello-thalamo-cortical circuit.

Botox for rest tremor is an alternative to medications that may or may not work. This condition is a stubborn sign of PD that often doesn’t respond to treatment, so patients may have to try more than one approach to see symptom reduction.

More About Botox For Rest Tremor In PD

The standard for treating rest tremors is levodopa, a medication that is converted in the body to dopamine to reduce PD symptoms. The effectiveness of Botox for rest tremor isn’t well-proven by published data, but a few studies have suggested that injections of Onabot-A, sold under the name Botox, or Incobot-A, a similar product sold under the name Xeomin, can help.

The method of treating with Botox for resting hand and arm tremors involves injecting the product into the forearm muscles. Finger and hand weakness with this treatment is common, however. Improvement may only be modest and may not be good enough to tolerate the weakness in some cases. A study of 34 patients indicated that Xeomin for rest tremor may provide the greatest symptom relief with the lowest level of unintended consequences.

Offer Patients More Hope

Rest tremors are among the most obvious symptoms of PD and often occur early in the disease’s progress. When you train at Dentox, you learn about both medical and cosmetic uses of Botox to help patients get the results they need. Reach out now or sign up for Dentox injectables training – and get the skills to give patients additional hope while also increasing your practice’s profits.

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