How it works
Muscle contractions associated with Cervical Dystonia are thought to be caused by nerve signals sent from the brain to the affected muscles, telling them to contract or spasm. BoNT -the neurotoxin in Botox, Xeomin and Dysport- works in the muscle where it is injected to block signals that tell the muscle to contract. As a result, muscle contractions may be reduced.
Botulinum neurotoxin (Xeomin, Botox and Dysport are the three available products FDA approved for use in the U.S.) injections are a valuable treatment for many therapeutic indications and have revolutionized the treatment of spasticity and dystonia and myriad studies have shown that botulinum neurotoxin (BoNT) is an effective, well-tolerated, and well-established option for the treatment of dystonic and spastic movement disorders.
Usually botulinum neurotoxin (BoNT) can be used for the focal treatment of muscles involved in focal dystonia in the face, arm, or neck region (Albanese et al., 2015, Hallett et al., 2009) and, in the treatment of focal or segmental spasticity in limbs, such as the hand, forearm, and shoulder, or the foot, ankle, and knee.
What to expect
Xeomin or Botox is delivered by a doctor in the comfort of our KOI Wellbeing offices as an intramuscular injection or series of injections. The doctor will decide how many muscles need to be injected and the dose per muscle, and he or she may adjust that dose over time so that it is right for you. The injections take only 15-25 minutes and take effect within 2-24 hours. In general, treatment duration can no more frequently than every 12 weeks.
At KOI Wellbeing our doctors will provide treatment the same day you come in for your consultation if they determine treatment is right for you and will provide the benefit you wish. If you are a good candidate for Xeomin or Botox to address your needs the doctor will treat you the same day of your initial consultation and the cost of your 30 minute consultation ($175) is applied to the cost of your treatment.
What it costs
The amount of Xeomin or Botox needed for effectively treating dystonia and spasticity varies depending on the area treated and other factors specifically related to each patient. Generally you can expect the doctor to inject 15-100 units per treatment at a cost of $12/unit for Xeomin and $14/unit for Botox.
The difference between Botox and Xeomin
Xeomin and Botox are the same exact neurotoxin and equally effective in clinical studies but Botox tends to cost more because of it’s brand name. Xeomin is a cleaner product because it is manufactured without the protein binder that makes Botox more easily soluble. As a practical matter the protein makes it easier for the practitioner to dilute the BoNT powder for injecting, meaning Xeomin needs an extra three minutes to dilute.
The protein in Botox that makes speedy dilution possible though is also injected into the skin and absorbed by the body as an unnecessary additive that the body must process or store. For this reason- the additive absent in Xeomin and present in Botox- KOI Wellbeing prefers Xeomin to Botox.
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About the doctor
Dr. Patricia Lutfy, MD, DC is an expert at treating spasticity, dystonia, hyperhidrosis and chronic migraine headaches with botulinum toxin products and provides same-day consultation and treatment at our La Jolla KOI Wellbeing offices.
Dr. Lutfy is Board Certified in Physical Medicine and Rehabilitation and has treated hundreds of patients using advanced techniques and ultrasound guided injections. A 30 minute consultation with Dr. Lutfy costs $150 and if she determines these therapies are right for you the cost of your consultation is applied to the cost of treatment.
Call today to schedule your appointment 858.257.2808