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Sunday, 25 April 2010

NYT: Can botox stop essential tremor (hand, face, etc)?

Posted on 06:44 by Unknown
On April 22, 2010, the New York Times published a short story entitled "Can Botox Stop the Hands From Shaking?"

The story goes on to report that "Intramuscular injections of Botox, or botulinum toxin, may play a limited role in the treatment of wrist and voice tremors in patients with essential tremor."

Indeed, I do agree with the "limited" role botox has on essential tremor (emphasis on limited) whether the tremor involves the hand or head/neck region which is what I deal with more often.

Botox works GREAT when only 1 or 2 muscles are involved such as muscular dystonias where discrete muscles are afflicted such as torticollis (sternocleidomastoid muscle and/or trapezius muscles) and spasmodic dysphonia (thyroarytenoid muscle).

Unfortunately, in most cases of tremor (not dystonia), multiple different muscles are involved and it is very difficult to pinpoint and inject every single muscle that is suffering from tremor. A patient can end up with over a dozen injections to hit each affected muscle, and still not get a perfect outcome due to overall weakness from having so many injections.

Let's take vocal tremor... Vocal tremor often has both a laryngeal, oral, as well as neck component (patient's head often shakes while talking). As such, if one theoretically wanted to inject botox for vocal tremor, all these muscles may potentially need to be injected:

• thyroartenoid
• thyrohyoid
• sternothyroid
• infrahyoid
• omohyoid
• sternohyoid
• posterior cricoarytenoid
• lateral cricoarytenoid
• sternocleidomastoid
• superior pharyngeal constrictor
• middle pharyngeal constrictor
• inferior pharyngeal constrictor
• genioglossus
• hyoglossus
• styloglossus
• plalatoglossus
• levator veli palatini
• tensor veli palatini
• palatoglossus
• palatopharyngeus
• platysma
• etc.

That's a lot of muscles... which means a lot of injections... which means overall increased risk of overall weakness... AND the tremor may still be present.

However, botox injections may STILL be helpful to reduce symptoms of vocal tremor, but complete elimination of vocal tremor may be not be possible to achieve. Read more...

As many people already know, botox works great for wrinkles because discrete muscles are involved (just like for dystonia).

Our office provides botox injections for wrinkles, torticollis, spasmodic dysphonia, etc... but not for tremor UNLESS it is involving only a few muscles (very rare!).

Read the NYT article here.
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Posted in botox, dystonia, spasmodic dysphonia, torticollis, tremor | No comments
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  • punishment
  • purchase
  • purulent
  • pus
  • puzzle
  • pylori
  • quickly
  • quickmark
  • r. kelly
  • radiation
  • radio
  • radioactive
  • radioactivity
  • radiological
  • radiology
  • raft
  • ragweed
  • random
  • rapid
  • raspy
  • RAST
  • reaction
  • reader
  • real-time
  • rebound
  • reckitt
  • record
  • recording
  • records
  • recurrent
  • red eyes
  • reduction
  • referral
  • reflux
  • regurgitation
  • rehm
  • removal
  • renovation
  • renovations
  • repair
  • repellant
  • replacement
  • reporter
  • research
  • residency
  • resident
  • resistance
  • response
  • resurface
  • resurfacing
  • review
  • rhinitis
  • rhinoplasty
  • richmond
  • right
  • ringing
  • rinse
  • risk
  • robert
  • robot
  • robotic
  • rock
  • roger
  • roof
  • room
  • rotating
  • routine
  • rubber
  • runny nose
  • rupture
  • ryan
  • safe
  • sale
  • saline
  • saliva
  • salivary stone
  • saltwater
  • santa claus
  • scan
  • scans
  • scar
  • scheduling
  • science
  • scientist
  • SCIT
  • scopolamine
  • scramble
  • scratch
  • screening
  • SD
  • seafood
  • search
  • seasonal
  • seaweed
  • secondhand
  • secure
  • security
  • sedated
  • sedation
  • self-pay
  • sensory
  • sepsis
  • septal
  • septo
  • septoplasty
  • septum
  • sermo
  • service
  • set
  • severe
  • sex
  • shampoo
  • shape
  • shark
  • shenandoah university
  • shop
  • shortness of breath
  • shot
  • shots
  • show
  • shrimp
  • sialadenitis
  • sialendoscopy
  • sialoadenitis
  • sickness
  • side
  • side effect
  • silent
  • silver nitrate
  • singer
  • singing
  • singing cat
  • singulair
  • singultus
  • sinuneb
  • sinuplasty
  • sinus
  • sinus fracture
  • sinus infection
  • sinus lift
  • sinus surgery
  • sinusitis
  • skating
  • skin
  • skin cancer
  • skull
  • sleep
  • sleep disorder
  • SLIT
  • sluder
  • small
  • smartphone
  • smell
  • smoke
  • smoking
  • sms
  • sneeze
  • sneezing
  • snore
  • snoring
  • snot
  • snotty nose
  • social
  • social media
  • social networking
  • soda
  • sodium
  • soft
  • song
  • sore
  • sore throat
  • sour
  • spa
  • spam
  • spanish
  • spasmodic
  • spasmodic dypshonia
  • spasmodic dysphonia
  • spasms
  • special
  • specialist
  • speech
  • speech therapy
  • spinal
  • spinning
  • spit
  • splints
  • split tube
  • spray
  • spur
  • ssnhl
  • staph
  • starvation
  • stat
  • station
  • stem
  • stereoisomer
  • sterile
  • steroid
  • steroids
  • sticky
  • stink
  • stone
  • stones
  • stops
  • storybooks
  • strange
  • strep
  • strep throat
  • stridor
  • strobe
  • stroboscopy
  • stroke
  • stuck
  • stud
  • student
  • study
  • stuffed animals
  • stuttering
  • sublingual
  • submandibular
  • submaxillary
  • sudden
  • sudden hearing loss
  • sun
  • sunblock
  • sunscreen
  • sunshine
  • superbill
  • superbowl
  • superbug
  • support
  • surgeon
  • surgery
  • surgical
  • survey
  • suture
  • swallow
  • swallowing
  • swelling
  • sword
  • symbicort
  • symphony
  • symptom
  • symptoms
  • syndrome
  • T-tube
  • tablet
  • talk
  • talking
  • tall
  • target
  • taste
  • tea
  • teacher
  • technology
  • teen
  • teenager
  • teeth
  • television
  • temperature
  • terrorism
  • terrorist
  • test
  • testing
  • tests
  • text messaging
  • the doctors
  • the onion
  • theory
  • therapy
  • thick
  • throat
  • throat cancer
  • throat clearing
  • throat-clearing
  • thrombosis
  • thrombus
  • throwing
  • thyroid
  • thyroidectomy
  • tia
  • tic
  • tic cough
  • tick
  • tilt
  • time
  • times
  • tinnitus
  • tiny
  • Tionne
  • TLC
  • TMJ
  • tobacco
  • TOCPM
  • today
  • tongue
  • tonsil
  • tonsil stones
  • tonsillectomy
  • tonsilliits
  • tonsillitis
  • tonsilloliths
  • tonsillotomy
  • tonsilolith
  • tonsiloliths
  • tony
  • tooth
  • tooth pain
  • top
  • topical
  • TORD
  • torres
  • tors
  • torticollis
  • tour
  • toxin
  • toyota
  • trach
  • tracheostomy
  • training
  • trans
  • translation
  • transmedics
  • transmission
  • transplant
  • transplantation
  • transportation
  • trauma
  • treating
  • treatment
  • tremor
  • trend
  • triangle
  • trombone
  • trouble
  • tube
  • tubes
  • tucci
  • tumor
  • turbinate coblation
  • turbinate hypertrophy
  • turbinate reduction
  • turning
  • tutorial
  • TV
  • tween
  • tweet
  • twitching
  • twitter
  • two
  • tylenol
  • tympanic
  • type
  • ulcer
  • ulpa
  • ulrich
  • ultrasound
  • unable
  • unclog
  • under
  • uninsured
  • united kingdom
  • university
  • Update
  • upper
  • upper respiratory infection
  • uppp
  • urgent
  • URI
  • urine
  • urticaria
  • usa
  • USA today
  • uva
  • uvula
  • uvulectomy
  • uvulopalatopharyngoplasty
  • vaccination
  • vaccine
  • vagal neuropathy
  • vascular
  • vasomotor
  • vasomotor rhinnitis
  • vcd
  • ventilation
  • versus
  • vertigo
  • ves
  • vessel
  • viagra
  • vibration
  • video
  • viral
  • virginia
  • virus
  • viruses
  • vit d
  • vitamin
  • vitamin A
  • vitamin d
  • vivosonic
  • vlog
  • vocal
  • vocal cord
  • vocal cord dysfunction
  • vocal cord paralysis
  • vocal cord paresis
  • vocal cords
  • vocal process
  • voice
  • voice therapy
  • voicebox
  • voicelift
  • volume
  • vomit
  • vs
  • wait
  • waiting
  • wall
  • wall street journal
  • warm
  • warrenton
  • washes
  • washington
  • washington dc
  • washington post
  • water
  • watkins
  • wax
  • wearable
  • web
  • web 2.0
  • webapp
  • Website
  • Website Update
  • wedge
  • weight gain
  • whale
  • what to do
  • wheezing
  • where
  • whisperer
  • whispering
  • white
  • who
  • whooping
  • wierd
  • wifi
  • will.i.am
  • wind
  • windows 7
  • winter
  • wire
  • wireless
  • withdrawal
  • without
  • woman
  • word
  • world
  • world voice day
  • world's
  • worlds
  • wound center
  • wp
  • wrestling
  • wrong
  • wsj
  • x-ray
  • xeomin
  • xray
  • xylitol
  • xyzal
  • youtube
  • zenker's
  • zenkers
  • zeta
  • zicam
  • zinc
  • zyrtec

Blog Archive

  • ►  2011 (190)
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  • ▼  2010 (267)
    • ►  December (23)
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    • ►  May (22)
    • ▼  April (27)
      • Feeling Dizzy or Having Vertigo? There's an iPhone...
      • Sudden Hearing Loss Can Be Due to Erectile Dysfunc...
      • Fauquier ENT YouTube Recognized as a Top Medical V...
      • What is High Quality Research?
      • Does the EARDOC Work?
      • NYT: Can botox stop essential tremor (hand, face, ...
      • We Now Offer Sterile Ear Piercing Using Lab-Tested...
      • How Long Can You Survive Without Water or Food???
      • Chronic Cough May Be Due to Obstructive Sleep Apnea!
      • How a Tracheostomy is Performed Step-by-Step with ...
      • Step-by-Step Cartoons of Septoplasty Surgery to Co...
      • Pollen Under the Microscope Appears Unearthly Beau...
      • Not Only Can House Dust Cause Allergies, They Harb...
      • Fauquier ENT Blog Included in the Webicina Collect...
      • Doctor Sentenced to 5+ Months Jail For Using Non-F...
      • New Webpage on Balloon Sinuplasty to Treat Chronic...
      • What a 24 Hour Multichannel pH and Impedance Testi...
      • New Video On Balloon Sinuplasty for Chronic Sinusi...
      • New Webpage on Cryptolysis: A Minimally Invasive P...
      • CNN: Obstructive Sleep Apnea Increases Risk of Stroke
      • Mouth Breathing Can Cause Major Health Problems
      • April 16 is World Voice Day
      • Fox News Story on Spasmodic Dysphonia
      • RANDOM: Giant Stuffed Toys of Cells, Microbes, Ger...
      • Office Air Conditioner Broken!!!
      • Story on Botox in the Washington Post
      • WP: Washington DC Has One of the Highest Pollen Co...
    • ►  March (11)
    • ►  February (13)
    • ►  January (13)
  • ►  2009 (43)
    • ►  December (11)
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