Treatment to Relax Overactive Muscles
Deaconess Hospital is proud to host Deborah Sokol, MD from Riley Hospital for Children in our Pediatric Botox Clinic. Overactive muscles decrease a child's ability to control how muscles move. You may have heard these muscles called "spastic." This often leads to decreased flexibility (range of motion). Botox® works at nerve endings to relax overactive muscles. This gives muscles the opportunity to work and stretch more normally.
How Is Botox® Given?
Botox is given by injection (shot) into one or more overactive muscle(s). The injection may cause some discomfort at the site, depending on where it is given. Botox is usually given in the arms or legs to improve flexibility, comfort or use of the limb(s). This can improve walking or hand function.
Based on the child's individual needs, injections may be given with or without numbing medicine or some type of sedation. Numbing medicine and sedation are not always needed.
How Long Does Botox® Last?
- The muscle may begin to relax by the next day.
- The full effect of Botox is usually seen 1-2 weeks after the injection and can last for an average of 3 to 6 months.
- Botox will not relax the muscle permanently.
- Botox can be given again after 4-6 months, if needed.
- Other treatments may be recommended to maximize the effects of Botox. These treatments can include bracing, splinting, serial casting and/or physical or occupational therapy. Your healthcare provider will explain more about these treatments if they are chosen for your child.
Overall, Botox is a safe medicine. Side effects, like those listed below, are rare, but may happen. * Call your child's doctor if any of these side effects continue or cause concern.
- Temporary weakness of the injected muscles.
- Generalized leg or arm discomfort due to "stretching" of the previously "tight" muscle.
- Temporary, mild discomfort at the injection site.
- Temporary refusal to walk due to the change in muscle strength.