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Myobloc and Botox TherapySevere spasm not responsive to other treatments such as physical therapy, muscle relaxants, and trigger point injections are often responsive to Botulism toxin injections. This small injection inactivates the ACh receptor on the muscle causing prolonged muscle relaxation. After approximately four weeks the pain that is caused by muscle spasm improves. Side effects are rare and can include temporary dry mouth, pain on injections site, swallowing difficulty, and muscle weakness. This has also been found to be effective for headaches, sweating, torticolis, muscle twitches, and cosmetic wrinkles
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