Practical Guide to Botulinum Toxin Injections - by Surendra Barshikar & Fatma Gul & Merrine Klakeel & Amy Mathews (Paperback)

About the Book

"What a pleasure it is to write a foreword to Practical Guide to Botulinum Toxin Injections. During my first decade of physiatric practice, my tools for addressing spasticity and muscle hypertonicity were limited to casting/splinting, phenol injections, and surgery. The availability of neurotoxins has truly altered the approach to the management of spasticity (as well as bestowing youthfulness upon many a brow that previously was furrowed). While phenol neurolysis can play a meaningful role in preserving joint movement in spasticity, neurotoxins have permitted a nuanced and focal approach to balancing muscle forces. It is possible to target a single finger flexor or an entire limb without the prospect of neuropathic pain as an unwanted outcome. Neurotoxins have also been shown to diminish the severity and frequency of migraine headaches, modulate bladder function in hyper-reflexic conditions, and assist in controlling the flow of saliva and sweat via glandular muscle relaxation. For so many, the use of these toxins has been life-changing, helping to restore movement and relieve pain"--

Book Synopsis

Practical Guide to Botulinum Toxin Injections is the perfect solution for trainees and novice injectors looking for technical guidance performing chemodenervation procedures using botulinum toxin. This high-yield pocket book provides a visual roadmap for procedural targets with illustrations of each muscle and labeled injection sites and includes dosing recommendations for all clinically-available toxins.

The manual walks readers through a brief introduction to toxin use before diving into applications muscle by muscle. Each body region gives a closer look at the individual muscles involved, detailing muscle action, injection localization, recommended dosing and injection sites, and pearls and pitfalls where relevant. Later sections address other clinical applications including cervical dystonia, migraine, blepharospasm, hyperhidrosis, and special clinical syndromes such as writer's cramp. Complete with original illustrations detailing anatomy and suggested injection localization for targeted muscles, this "one-stop-shop" reference will appeal to anyone in physical medicine and rehabilitation, neurology, dermatology, pain management, and other fields seeking to acquire or reinforce skills.

Key Features:

• Over 135 detailed anatomic illustrations with suggested injection points
• Dosing recommendations for 95 muscles throughout the upper and lower limbs and axial muscle groups
• Coverage of clinical applications and syndromes to help providers recognize common patterns of muscle involvement
• Purchase includes digital access for use on most mobile devices or computers