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Patient Services - Botox

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Botulinum neurotoxin (Botox) therapy offers a breakthrough in treatment of multiple musculoskeletal (skin and bone) and neurological (nervous system) conditions.

Botox is derived from a bacteria-produced toxin that is purified and diluted to the point of being extremely safe. Thus, it is a versatile medication that has been used safely for years in the treatment of neurological disorders such as cerebral palsy, blephrospasm and cervical dystonia. Over the last 10 years the understanding of the mechanisms of pain has greatly advanced and with it, the increased usage of Botox.

Our physicians administer Botox injections at our College Parkway and Orchard Park locations. Buffalo Spine and Sports Medicine is one of the few medical practices in all of Western New York to utilize this advanced medication.

Our physicians' extensive knowledge of muscle anatomy and function, coupled with the use of advanced electrodiagnostic and imaging tools, allows our physicians to precisely place the medicine in the specific target muscles.

Our team is one of the few in the country that uses Ultrasound imaging technology for visualization of affected muscles and guidance of injections.

Treatments are then followed with state-of-the-art physical therapy to retrain and reverse muscle imbalances that frequently lead to various painful musculoskeletal disorders. These disorders include:

Chronic migraine and daily headaches

Evidence for Botox efficacy is growing daily. A recent, controlled study of 250 patients showed a 50% reduction in symptoms in the group that received the medication. Even more encouraging---patient experience at Buffalo Spine and Sports Medicine shows an even greater percentage of improvement.

NOTE: The benefits of Botox have been shown to increase after three sequential applications, each three months apart. To be considered for this procedure, candidates need to have tried standard oral migraine prophylaxis medications first.

Click HERE to take our Chronic Migraine Questionnaire.

Chronic neck and low back pain

Chronic muscle pain after trauma such as work-related injuries and motor vehicle accidents, or in association with cervical and lumbar fusions, has been shown to benefit from intramuscular injection of Botox. Patients are considered for this procedure only after an extensive trial of physical therapy and rehabilitation.

Piriformis Syndrome

This is either a stand-alone painful condition of an overactive buttock muscle or is found in conjunction with a lumbar disc herniation and resulting lumbar nerve root irritation. Several studies have shown a significant benefit of Botox injection into the piriformis muscle. Patient experience has also been extremely favorable.

Cerebral Palsy with spastic hemi or monoplegia

Botox has again been proven to be very effective in improving ambulation, hygiene, and fine motors skills of cerebral palsy patients.

In cases of spastic limb hemi or monoplegia associated with spinal cord injury, traumatic brain injury or stroke, Botox has proven effective in improving ambulation, hygiene, and fine motors skills.

Upper limb /lower limb spasticity

Onobotulinum (Botox) has been used for over 20 years for control of spasms of the upper and lower limbs that have been caused by Stroke, Multiple Sclerosis, Parkinsons, and Traumatic Brain Injury conditions.

FDA has officially recognized Botox treatment as a first line intervention for upper limb spasticity.

Injections are typically done every three months and help decrease spasm that forces uncontrolled bending of the elbow, wrist and clenching of fingers in the upper limb and in and downward pointing of the foot and ankle in the lower limb.

Benefits include decreased pain, better range of motion, greater ease of self care and hygiene and improved balance and gait.

Temporomandibular and orofacial disorders/dystonias

Botox has been found to be effective in relaxing key overactive orofacial (facial) muscles. As a result, patients can better tolerate orofacial physical therapy and utilization of therapeutic prosthetic devices. Treatment for these conditions is frequently undertaken with a team approach, including an orthodontist who specializes in temporomandibular disorders.


Excessive sweating can be a socially debilitating condition. It can be present in the arm pit region, groin, feet and hands.

Onobotulinum( Botox) therapy can effectively decrease excessive sweating for up to 9 months and is recommended for patients that have failed topical application therapy.