What Does Botulinum Toxin Application Do?
Botulinum toxin causes overly contracted muscles to relax by temporarily blocking communication at the nerve endings. It is applied to increase functions and prevent deformities, especially in children with restricted movement due to muscle stiffness (increased spasticity).
In Which Conditions Is It Preferred?
- Before the onset of joint contractures in neuromuscular diseases with increased spasticity such as cerebral palsy
- Support in restoring arm function in brachial plexus palsy
Implementation Process
The application is usually performed under sedation. Botulinum toxin starts to work within 3 weeks, the effect is maximized in 3 months and starts to decrease after 6 months. During this time, it needs to be supported by physical therapy to retrain the muscles.
Botulinum toxin application does not completely eliminate surgery; however, it can delay the need for surgery in appropriate cases or enable treatment with more minimal interventions. Therefore, it is a very valuable intermediate step.
