Saturday, April 27, 2013

Techniques of Botulinum Toxin Injections

By Pauline Perrinote


As we all called them, Botox injections, are being used very often these days. They are probably considered the best and more useful part of a cosmetic makeover. But it seems, people don't only use it for that, it is extremely useful in managing different clinical conditions such as muscle spasticity.

Botoxis a toxin that's created by the bacteria botulinus. The injection type employed in treatments is the sterile lyophilized kind. There are a number of formulations available on the market currently, and most of them are used for identical functions. In a nutshell,they're helpful to eliminate wrinkles on the face (cosmetic purposes), in managing jerkiness associated with brain disorders, spasticparesis, cramps and con jointly for the management of pain.

Botulinum toxin is delivered as an injection to the relevant muscle groups, and in this article we will look at the injection techniques in a bit more detail.

Injection Administration

The general technique for injecting botulinum toxin A consists of employing a 1.0metric capacity unit liquid syringe focused onthe muscle being injected. For superficial injections into the skin and therefore the muscles round the eye, twenty five gauge to thirty gauge needles could also be used. However, for larger muscles,an extended twenty five gauge could also be used.

Prior to beginning the procedure, it's essential to spot the proper muscle or muscle teams that require injecting. An intensive clinical examination is performed, and once this is completed, electromyography studies could also be conducted to spot the muscles clearly. Once this has been done, a motorpoint should be identified on the surface of the muscle.This is often the target area that's injected with botulinum toxin A. The skin is cleansed with alcohol and the alcohol allowed to evaporate. The toxin is then injected into the muscle.

The time length taken to inject depends on the operator expertise and also the range of muscles that require injecting. Following the procedure, patients might feel a light quantity of pain and discomfort, and this is often simply treated with easy pain medication.

Let's take a look at some of the clinical conditions that can utilize botox injections.

1. Cerebral palsy

Target muscles that are spastic in kids with cerebral palsy. Whereas passive movement of the muscles and joints will determine muscle teams that need injecting, some teams advocate ultrasounds to ensure accuracy. Following the injection,the acceptable post injection care like physiotherapy and orthotic management ought to be performed.

2. Blepharospasm

Here, botulinum toxin A is diluted with traditional saline and is injected employing a thirty gauge needle into the orbicularis oculi muscle rigorously at around four to five points round the eye. Care ought to be taken to make sure descensus does not occur throughout injection.

There are many more conditions and an in depth discussion on everyone of those is out of scope of this article.

Botox injections are useful in managing muscle jerkiness and for cosmetic reasons. Techniques can be a challenge and one must employ knowledgeable care while being administered. Once used properly, they can demonstrate an amazing result.




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