Managing Multiple Morbidities
Chapter 4 Managing Multiple Morbidities Clinical Case Problem 1 A Case of Discontinuous Maximus A new patient presents to your office after moving to your community from a different state….
The use of botulinum neurotoxin in spasticity using ultrasound guidance
Fig. 17.1 Transverse ultrasound image of the arm. BB, biceps brachii muscle; B, brachial muscle; H, humerus; MN, median nerve; BA, brachial artery. Echogenicity may vary somewhat with different ultrasound…
Spasticity
Neurotoxin Dilution (U/ml saline) Maximum dose OnabotulinumtoxinA 25–100 400 U/limb; 600 U/session AbobotulinumtoxinA 200–500 1500 U/upper limb; 2000 U/lower limb; 2000 U/session RimabotulinumtoxinB Pre-diluted 10 000 U/upper limb; 17 500 U/session IncobotulinumtoxinAa 25–100 400 U/limb; 495 U/session a Published spasticity studies…
Use of botulinum neurotoxin in the treatment of low-back pain
Quadratus lumborum muscle Dysfunction of the quadratus lumborum muscle is considered the most common cause of low-back pain by many authors (Travell and Simmons, 1983). Its impairment may be severely…
Cosmetic uses of botulinum neurotoxins
Fig. 21.1 Muscular anatomy of the face. Treatment techniques Botulinum neurotoxin can be reconstituted using non-preserved normal saline (per the manufacturer’s recommendations) or preserved normal saline. The benzyl alcohol preservative…
Treatment of focal hand dystonia
Excessive writers Musicians Others Students Pianists Typists Teachers Horn player Telegraphers Clerks ClarinetistsGuitaristsViolinistsFlutistsSaxophonists Computer operatorsWatch makersSeamstressesSurgeons/dentistsGolfersFencing mastersCobblersTailorsBookmakers This chapter discusses writer’s cramp and musician’s dystonia (cramp) in detail, the two…
The use of botulinum neurotoxin in otorhinolaryngology
Movement disorders Disorders of the autonomous nerve system Facial nerve paralysis Gustatory sweating (Frey’s syndrome) Hemifacial spasm Hypersalivation (sialorrhea) Blepharospasm (Meige’s syndrome) Intrinsic rhinitis Synkinesis following defective healing of the…
Ultrasound guidance for botulinum neurotoxin therapy: cervical dystonia
Fig. 7.1 Out-of-plane approach. (a) Longitudinal scan; (b) Transverse scan. When used for procedural guidance, B-mode provides real-time imaging of a structure and the location of the needle throughout the…
Botulinum neurotoxin applications in ophthalmology
Fig. 20.1 Extraocular muscle injection. This book illustrates that strabismus has been joined by a wide range of disorders for which BoNT has emerged as an important or even first-line…
Ultrasound-guided botulinum neurotoxin injections for thoracic outlet syndrome
Fig. 31.1 Muscle anatomy of the thoracic outlet. Structures of interest contained within or traversing the region of the thoracic outlet include; bone: clavicle, first rib, C7 vertebra, cervical rib…
