Botulinum Toxin
Clinical Indications (currently accepted and/or under study)
Ophthalmology Strabismus Lower lid entropion
Aquired Nystagmus Thyroid ophthalmopathy Dwayne's syndrome Oscillopsia Apaxia of eye lid opening Hyper-lacrimation
Movement Disorders
Myoclonus Hemi-facial spasm Palatal myoclonus Myokymia Focal Dystonias
Blepharospasm, Meige syndrome, oromandibular dystonia, cervical dystonia, laryngeal dystonia, truncal dystonia, limb dystonia, Task specific dystonia. Tics, Tourette's syndrome.
Tremor (Essential tremor, Parkinson's tremor, hereditary chin tremor). Synkinesia Post Bell's Palsy, Tardive disorders, Rigid akinetic syndromes
Parkinson's, Progressive supranuclear palsy, Hallovorden Spatz, Stiff person syndrome
Rehab Medicine Disorders related to muscular compression of normal anatomyThoracic outlet syndrome.
Disorders of Painful Muscular Spasm Spasticity: Post stroke, Cerebral Palsy, Multiple sclerosis Back pain Muscular tension headache Focal myofascial pain TMJ associated muscle spasm
Plastic Surgery
"Hyperactive muscles of facial expression" (wrinkles)Maseter hypertrophy Facial asymmetry (post Bells) Muscle flap paralysis during healing
Otolaryngology Vocal cord polyps Stuttering
Vasomotor rhinitis Hypersalivation
Genitourinary Detrusor – sphincter dyssynergia Vaginismus
Gastroenterology
Cricopharyngeal spasms AchalasiaAnismus Rectal fissures
Orthopedics Fracture stabilization (eg Jaw)
Dermatology "Hyperactive muscles of facial expression" (wrinkles) Hyperhydrosis (excess sweating) |