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Botox for Migraine Headaches

Botox for Migraine Headaches

What is Botox?
Botulinum toxin Type A (Botox) and Type B (Myobloc) are toxins produced by bacteria and then purified for medical usage. The toxin blocks the signal from nerves to muscles. It is injected into the skin or deeper into the muscle. As a result, the muscles reduce their contraction resulting in reduction of painful muscle spasms and/or the relaxation of wrinkles.

What should I do to prepare for the procedure?
Wear clothing that allows for easy access to the affected area if possible. No other preparation is needed.

What can I expect to happen during the procedure?
The injection itself is completed while you are seated or lying down. The area will be cleaned with an antiseptic solution. The “Botox” is then injected directly into the skin or muscle. The procedure frequently involves several injections in a small area.

How long will it take?
The actual injections take only a few minutes, but this will vary depending on the number of sites that are injected.

Will it hurt?
You should only feel the typical mild to moderate discomfort associated with an injection.

What should I do after the procedure?
You may be asked to limit your activity for several days after the injection. The pain may actually be worse for a day or two after the injection. Treat this pain with ice or cold packs (15-20 minutes at a time, for a few times each day). Do not use heat for the first 48 hours after the injection.
Make sure to call your doctor if you have severe pain, a fever, or any significant swelling or redness around the area of injection.

How long will it take to work?
While many people experience relief within 10 days, the maximal effect may take up to four weeks.

EMG: Weakness/Numbness in Limbs & Diabetic Neuropathy

EMG: Weakness/Numbness in Limbs & Diabetic Neuropathy

Used to aid in the diagnosis of problems resulting in numbness, weakness, and certain types of pain.

What is an EMG?
Electromyography (EMG) measures and records the electrical activity that muscles generate at rest and in response to muscle contraction. This study aids in diagnosing the source of pain, cramping, or weakness in the muscles.

What should I do to prepare for the procedure?
Wear clothing that allows for easy access to the affected area if possible. Shower the day of your test, and do not use any creams, moisturizers, or powders on your skin. Avoid aspirin, aspirin-containing products, or anti-inflammatory drugs (e.g., ibuprofen) for one week before the EMG if possible. (Consult your physician prior to stopping any medications.)

What can I expect to happen during the procedure?
The doctor inserts a small needle electrode into a muscle at rest and moves the needle in the muscle. The needle is connected by a wire to a computer. Needle movement and muscle contraction produce a waveform analyzed by your physician. The test is repeated on several different muscles.

How Long Will It Take?
The procedure takes about 30-90 minutes. This will vary depending on the number of nerves and muscles that need to be tested.

Will It Hurt?
You may have pain when the electrodes are inserted, which feels like an injection into the muscle. After the test, you may have muscle aches and discomfort for several days. Warm compresses and over the counter pain medication can help.

What should I do after the procedure?
You may resume your normal activities immediately. Resume any medication you stopped before
the test.

EEG: Altered Awareness or Memory Loss

EEG: Altered Awareness or Memory Loss

An EEG (electroencephalogram) is a procedure performed to evaluate the brain waves.  Normal brain waves have a particular rhythm and shape. Abnormal brain waves can suggest an underlying seizure disorder or other neurological conditions.  The procedure is performed in the office by neurodiagnostic technicians.  The brain waves are interpreted by neurologists. A routine EEG takes approximately one hour to complete.