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Botulinum toxin, or botox. What is BTX A?

BTX A, or botulinum toxin type A (commonly known as Botox), is a neurotoxin protein produced by the bacteria Clostridium botulinum. In medicine, it is used to temporarily relax muscles by blocking the nerve signals responsible for their contractions. As a result, BTX A is used in the treatment of muscle spasticity. In the context of movement therapy, it helps improve muscle function, reduce pain and increase patients' comfort.

Why choose our center

Team qualification Our team consists of experienced orthopedists and physiotherapists who work together to determine the best therapeutic approach.

Stress-free and in complete comfort Botox administration is performed under sedation, under the care of an anesthesiologist and anesthesia nurse.

Precise dosage tailored to the patient We use a precise calculation of the drug dose based on the patient's weight, instead of standard doses set according to general guidelines.

USG control for complete accuracy Each administration of BTX A is carried out under ultrasound control, ensuring that it hits precisely defined, even the smallest muscles.

Innovative administration technique The drug is administered subcutaneously, allowing it to effectively act on the entire neuromuscular plate. Unlike traditional intramuscular administration, our method reduces the risk of fibrosis and muscle damage, even with repeated applications.

Set for a result

This method, in order to achieve optimal therapeutic results, requires a close combination with intensive rehabilitation, during which the therapist, using specialized orthotic aids and therapeutic techniques, aims to increase the length of individual muscle groups and improve their functionality.

  • The effect of action appears after 3-7 days
  • The maximum effect occurs after 2-4 weeks
  • The effect lasts for an average of 3-6 months

Sustained treatment results

The combination of BTX-A, serial plastering and a dedicated rehabilitation camp gives very good and, more importantly, lasting results in the treatment of spasticity in children with MPD. It enhances the pharmacological effects of botulinum, perpetuates the ranges of motion developed in rehabilitation and allows better development of correct activity patterns in daily life. Parents observe an improvement in their children's motor functions, a reduction in pain and an increase in overall quality of life.

With this multi-step, carefully coordinated approach, our program of administering BTX-A in children with cerebral palsy is an innovative, effective and safe form of spasticity treatment that offers hope for a better future and greater independence for many young patients.

Following botulinum toxin (BTX-A) injections into the hip and lumbar muscles, we apply a special upright corset that, by reducing excessive lumbar lordosis and promoting straightening at the hip joints, contributes to the gradual lengthening of these muscles, preventing the perpetuation of flexion contracture and promoting normal posture and motor function.

What sets us apart

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Subfascial administration of the drug

This rare and highly effective method ensures better distribution of the drug over the entire muscle, reduces the risk of complications and maximizes therapeutic effects.

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Comprehensive rehabilitation

After Botox administration, we offer rehabilitation stays that include physiotherapy, serial plastering and orthotic adjustments. If necessary, we apply electrostimulation to the spine and ensure that the medical team is involved throughout the treatment process.

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Specialized dosage protocols

We have developed detailed dosage regimens tailored to each muscle, including hard-to-reach ones such as the iliac-lumbar and paravertebral. This precision allows us to deal effectively with problems such as asymmetry and scoliosis.

Botox Frequently Asked Questions

The procedure involves the precise administration of botulinum toxin to selected muscle groups to reduce their tension and improve the child's motor function.

Yes, the procedure is most often carried out under sedation, which means a brief, complete shutdown of the child's consciousness. This ensures comfort and minimizes the stress associated with the insertions.

The injection may involve several muscle groups, such as the hip and lumbar muscles, hip adductors, ischiofemoral groups or calf muscles, depending on the individual child's needs.

The toxin is administered through the abdominal shell directly into the muscle located in the spinal region. The procedure requires a high degree of precision and is often assisted by ultrasound for increased effectiveness.

Yes, the Institute uses a special program in which a delordotic corset is worn on the day of surgery to prevent flexion contracture of the hip joints and improve mobility. In some cases, longer use of the corset may be recommended.

The effects of botulinum toxin usually last from 3 to 6 months. After this time, muscle tension may partially return, but with rehabilitation it rarely returns to pre-treatment levels.

Yes, if necessary, the treatment can be repeated, but not more than twice a year, as a sequential therapy.

The most common side effects are:

  • local soreness and bruising at the injection site
  • Transient weakness of the injected or adjacent muscles
  • rarely - feeling of fatigue or systemic weakness

Serious complications, such as damage to internal organs or respiratory muscle paralysis, are extremely rare in experienced centers.

The injection itself takes several to several dozen minutes, and if sedation is used, the entire procedure (including preparation and awakening) can take up to 1-2 hours. The child can usually return to daily activities the same day, but should avoid putting heavy stress on the injected muscles.

Rehabilitation usually begins immediately after the procedure, as recommended by doctors and physiotherapists, to take full advantage of the toxin's effects and improve the child's motor function.

Why is our approach effective?

By uniquely combining techniques - Botox, physiotherapy, plastering and additional interventions - we achieve maximum therapeutic results. Our methods are optimal for patients, and proper therapy planning (e.g., administration every six months or every year) ensures long-term improvement in muscle function and quality of life.

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