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The empirical evidence supporting this is that ipsilateral (same-side) piriformis hypertrophy is a common image finding in piriformis syndrome, [24] and that botox injections reduce symptoms (by paralyzing a muscle for months the muscle shrinks).
This includes eliminating tight fitting clothing and tight belts, losing weight, avoiding activities that aggravate symptoms, and physical therapy to stretch the muscles and tendons present along the course of the lateral femoral cutaneous nerve. [3] [5] [4] Medications can be used for symptomatic treatment. [5]
Botulinum toxin, or botulinum neurotoxin (commonly called botox), is a neurotoxic protein produced by the bacterium Clostridium botulinum and related species. [24] It prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromuscular junction, thus causing flaccid paralysis. [25]
Therapy for notalgia paresthetica is directed at controlling symptoms, as no cure exists for the condition. Available treatments include local anesthetics, topical capsaicin, [6] [7] topical corticosteroids, [8] hydroxyzine, oxcarbazepine, palmitoylethanolamide and gabapentin. Paravertebral nerve block and botulinum toxin injections may also be ...
Botox or Dysport injections have the advantage of ready availability (the same form is used for cosmetic surgery) and the effects are not permanent. There is a risk of temporary paralysis of the muscles being injected or the leaking of the toxin into adjacent muscle groups, causing weakness or paralysis in them.
(The FDA recommends pausing Botox treatments while pregnant unless “the potential benefit justifies the potential risk to the fetus,” which include miscarriage, malformation, and, for the ...
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