Botox Injections

Providing specialized neurological and pain management care with a patient-centered approach. Dr. Sader combines clinical expertise with compassionate care in assisting patients achieve their individual optimal health outcomes.  

In the practice, we use Botox for various indications, as it has been shown to be highly effective in the treatment of chronic migraine, cervical dystonia, hemifacial spasm, blepharospasm, spasticity, and a few rarer indications such as sialorrhea and trigeminal neuralgia.

Botox injections for some of these conditions (headaches, blepharospasm, hemifacial spasm) are almost painless. We generally utilize a 32g needle (really tiny) that most patients don’t even feel, and the whole procedure is done in less than a minute.

Botox injections for some of the other procedures (spasticity, dystonia) are done using electrical stimulation guidance (e-stim), to ensure we are in the right muscle before injecting. The patient will likely feel the muscle twitch when we are in it, which will also give them confidence that we are targeting the right muscle.

Generally, Botox injections are thought to be very safe. Like any procedure, there are always risks, including but not limited to, bleeding, infection, nerve or spinal cord damage but these are rare. A specific risk with Botox in the head & neck regions involve cosmetic effects, like a droopy eyelid. The risk of systemic side effects from Botox is very low, however dysphagia (difficulty swallowing), neck pain, and allergic reactions have been described.

The content above does not provide any medical diagnosis or treatment recommendations. Any information or content on this website is not intended to be a substitute for consulting with a qualified healthcare professional. You should always consult with your healthcare provider before making any decisions related to your health or treatment.