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'Botox' can ease writer's cramp
December 21, 2006Botulinum toxin for writer's cramp: A randomiZed placebo-controlled trial and one-year follow-up
"Botox"' the popular anti- wrinkle treatment, can also ease writer's cramp, suggests a small study published ahead of print in the Journal of Neurology Neurosurgery and Psychiatry.
Writer's cramp describes the painful involuntary, spasmodic muscle contractions of the fingers, hand, or arm during writing. But it can also occur during other manual tasks.
Some people learn to write with their other hand, but in one in four cases, the condition affects both hands, and the condition is difficult to treat. It affects around three to seven in every 100,000 people.
Relaxation techniques, hypnosis, biofeedback, acupuncture, and 'writing re-education exercises' have all been used, but none of these brings sustained relief. And there is as yet no effective drug treatment.
Forty people with writer's cramp were randomly assigned to a course of injections containing either botulinum toxin (botox) or a dummy substitute in two doses, usually into two muscles, over a period of 12 weeks.
Of the 20 people given botox treatment, 14 (70%) said that their condition had significantly improved, and that they wished to continue treatment. Their improvement was confirmed using validated disability and pain scales.
Only six of the 19 people in the dummy group felt that their condition had improved. One person dropped out of the trial.
One person who received the dummy injection at the first session and botox at the second, also registered an improvement in symptoms.
After a year, half of the trial participants were still receiving botox injections, and were finding them helpful.
Side effects included mild and temporary muscle weakness and pain at the injection site. Symptom relief lasted from three to 18 months, with an average symptom free period of four and a half months.
BMJ Specialty Journals
Some people learn to write with their other hand, but in one in four cases, the condition affects both hands, and the condition is difficult to treat. It affects around three to seven in every 100,000 people.
Relaxation techniques, hypnosis, biofeedback, acupuncture, and 'writing re-education exercises' have all been used, but none of these brings sustained relief. And there is as yet no effective drug treatment.
Forty people with writer's cramp were randomly assigned to a course of injections containing either botulinum toxin (botox) or a dummy substitute in two doses, usually into two muscles, over a period of 12 weeks.
Of the 20 people given botox treatment, 14 (70%) said that their condition had significantly improved, and that they wished to continue treatment. Their improvement was confirmed using validated disability and pain scales.
Only six of the 19 people in the dummy group felt that their condition had improved. One person dropped out of the trial.
One person who received the dummy injection at the first session and botox at the second, also registered an improvement in symptoms.
After a year, half of the trial participants were still receiving botox injections, and were finding them helpful.
Side effects included mild and temporary muscle weakness and pain at the injection site. Symptom relief lasted from three to 18 months, with an average symptom free period of four and a half months.
BMJ Specialty Journals
Botox Current Events and Botox News RSSNew technique for injectable facial fillers improves comfort, recovery
Less pain during injections for wrinkle-fighting facial fillers. Less swelling afterward. Less time in the office waiting for anesthesia to take effect.
Baby boomers' boon? LED light and green tea cream to smooth facial wrinkles
Scientists in Germany are reporting a major improvement in their potential new treatment for facial wrinkles that could emerge as an alternative to Botox and cosmetic surgery.
Dysport proves safe, effective anti-wrinkle treatment, UT Southwestern plastic surgeons find
The new anti-wrinkle facial filler Dysport, which could be used as an alternative to Botox, noticeably reduced frown lines between the eyes, according to users and independent reviewers in a study involving plastic surgeons at UT Southwestern Medical Center.
Got migraines?
Migraine headaches are a drain - not only on the estimated 30 million Americans who suffer from them, but on the economy, too.
Recession cuts many, not all plastic surgery procedures
Showing sensitivity to weaknesses in the U.S. economy, plastic surgery was not spared from the recession's grasp. According to the newest national procedural statistics report from the American Society of Plastic Surgeons (ASPS), in 2008, doctors performed over 12 million cosmetic plastic surgery procedures - encompassing both surgical and minimally-invasive procedures.
'Smile doctors' create, restore and enhance patients' smiles
Imagine not having the ability to return the smile of a loved one or being too embarrassed by your mouth's appearance to display a smile.
Millennials' medspa influence
The American Academy of Cosmetic Surgery has released its results from a consumer survey asking 1,000 women their opinions on medical spas.
American Pain Society's low back guideline expanded to cover interventional procedures
For low-back pain patients and their doctors, the American Pain Society, www.ampainsoc.org, said today it is expanding its evidence-based, clinical practice guideline on diagnosis and treatment of chronic low back pain to include recommendations on surgery and other interventional treatments.
Botox for newborns
Botulinum toxin, also called Botox, is best known as one of the most commonly used molecules to reduce wrinkles. It is also known as one of the most poisonous naturally occurring substances.
Men are opting to remove spider veins over replacing hair
The American Academy of Cosmetic Surgery (AACS) is pleased to announce the results of its 2007 Procedural Data. This information is collected by polling the Academy's U.S.-based members.
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