Especially in the last 20 years btx studies have gained intensity. It is most commonly used for the treatment of movement disorders and spasticity (excessive muscle contraction seen in paralyzed patients). In recent years, it has also been used in the treatment of pain and successful results have been reported. Btx temporarily disables nerve conduction at the nerve and muscle junction sites. In this case, a long period of temporary paralysis occurs in the muscles. This effect was also found to be effective in reducing pain.

In the treatment of chronic conditions such as migraine, it may be necessary to repeat the btx injection at intervals of 6 months on average. Some patients may develop immune reactions. This is an important effect that reduces the effectiveness of the medicine.

Btx injections are used in our clinic to treat the following disorders:

• Migraine
• Stress type headache
• Fibromyalgia
• Trigger Point Disease
• In spastic muscles
• Focal hand dystonia

Since Btx injection is made on muscles; it is recommended to apply EMG or ultrasound guidance to increase the chances of success.

Btx injections are not performed in pregnants, nurses and those with myasthenia.

We have successfully implemented botox therapy in migraine and other pain therapies in our largest pain relief center in Istanbul.