Medical Edge Newspaper Column

The Changing Face of Botox

May 13, 2007
Readers:
First, it was infamous as a deadly food poison, causing paralysis of the muscles that control breathing. Then it was famous as a temporary wrinkle remedy. Now, botulinum toxin ("botox") is used for an increasing number of medical conditions.

Botox is approved to minimize fine facial wrinkles and to treat involuntary eyelid twitching and muscle contractions associated with crossed eyes. It can offer relief from sweating of the hands, feet and underarms and can help manage painful neck spasms (dystonia). It also can help treat muscle conditions associated with cerebral palsy, multiple sclerosis, stroke and Parkinson's, and improve swallowing and speaking problems for people with vocal cord disorders.

Newer applications include facial scar healing and treatment for types of impaired bladder control. Results are mixed on whether it should have a role in headache management.

If you're considering a treatment that involves botulinum toxin, make sure your doctor has considerable experience using the drug. Also check with your insurance company about coverage. The injections are costly and may not be covered.