If rhizo or botox ineffective what 's next?
Cervical Dystonia (also called spasmodic torticollis) is a condition where the neck muscles contract (tighten) abnormally. This contracting causes the neck to twist and the head to tilt to one side, forwards, or backwards. Cervical dystonia may occur on and off or continuously. It often gets worse with stress.
Cervical Dystonia treatments include:
Medicines that help decrease muscle spasm may be given. These include different medicines taken by mouth (such as baclofen) or given as shots. Botulinum toxin injections (Botox, Myobloc and Dysport) are often used for treating cervical dystonia.
Surgery may be needed if other treatments fail. The nerves that supply the affected muscles may be cut. Sometimes, the muscles of the neck may be cut or separated. Surgical procedures include
*Thalamotomy and Pallidotomy
*Deep Brain Stimulation
*Ramisectomy and Rhizotomy
You will find more information at https://www.drugs.com/cg/spasmodic-torticollis.html
Hello... I have found Botox theraputic to be very helpful throughout the years. If you have tried Botox and it has failed for you (it can take a good 2 weeks to feel improvement, also depends on how the doctor- or more likely how the medical assistant is told to reconstitute it ie: ratio 2:1 vs 1:1 so you are getting more Botox per unit of mixture and it is not too diluted), but you might be interested in Myobloc as an alternative. It is a different type than Botox (Botox is type A, Myobloc is type B; Dysport is the same type as Botox- type A). Also, stretching, physical therapy, maybe a rx'd muscle relaxer, and of course good communication with your MD.
- Botox Information for Consumers
- Botox Information for Healthcare Professionals (includes dosage details)
- Side Effects of Botox (detailed)
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