CRPS and Botox for forehead?

Question

I have CRPS and wonder is it ok to get Botox

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry to hear of your CRPS.  CRPS does not prevent a patient from obtaining Botox but I would alert your injector to your full medical history.  Hope this helps.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question Rayz2014. I understand your concern. Botox is a purified protein
used to address wrinkles associated with facial expression. When injected into
the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The
most common areas of treatment are in the upper face. These include the
horizontal lines seen on the upper forehead when one raises the brows, the
vertical lines seen between the brows when one frowns (frown lines), and the
crow's feet seen around the eyes when one smiles. It is difficult to make an assessment without a
formal exam in the office where I can view the skin in multiple angles and observe
wrinkles formed with facial expression. However, I hope the information
provided here is useful.The safety record of Botox is well established.
The product has been used for over 20 years for a variety of treatments with
minimal side effects. Botox is amongst the safest treatments for treating
facial wrinkles.While Botox is one of the safest treatments
offered, there are some situations where it is not appropriate. These include
anyone who has an allergy to any of the inactive ingredients or who has had an
allergic reaction to any botulinum product including Botox, Dysport, Xeomin, or
Myobloc. The safety and efficacy of Botox has not been established in women who
are pregnant, trying to become pregnant, or breast feeding. Therefore, women in
these categories are advised to wait until breast feeding is completed prior to
having a Botox treatment. Botox should not be placed in the skin on the site of
an infection. Those who are taking an
aminoglycoside antibiotic, an anesthetic, D-penicillamine, antimalarials, or
immunosuppressants should not be treated, nor should those who have undergone
chemotherapy within the previous six months. It is important to avoid blood
thinners before and after a treatment. These include both prescription and
non-prescription medications such as warfarin (coumadin), aspirin, ibuprofen,
alcohol, fish oil, vitamin E, and ginko biloba. Those with conditions that affect
muscles and nerves such as amyotrophic lateral sclerosis (ALS or Lou
Gehrig's disease), myasthenia gravis, or Lambert-Eaton syndrome should not
undergo Botox treatments.The safety and efficacy of Botox treatments have
not been determined in women who are pregnant, trying to become pregnant, or
breast feeding. There is also no evidence that Botox crosses the placental
barrier, but such studies have not been published. While some physicians are
comfortable treating women who are pregnant, trying to become pregnant, or
breast feeding, in the absence of data I err on the side of caution and
recommend that my patients avoid Botox and other such cosmetic treatments until
they are no longer breast feeding.CRPS is not a known contraindication to receiving Botox treatments.With any injection, there are risks such as
pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take
special precautions to minimize these risks such as using a painless technique.
We also treat bruises with a laser as early as the next day. Bruises usually
resolve within two weeks if untreated. After a laser treatment bruises usually
resolve in 1-3 days, but may still take two weeks for full resolution. In
addition to these risks, with Botox there is also a risk that the product
spreads or diffuses to nearby structures. Spread to nearby muscles
can lead to side effects such as the temporary appearance of droopy eyelids or
a temporary asymmetric smile.After a Botox treatment, I recommend that my
patients avoid heat exposure, alcohol consumption, and strenuous exercise for
24 hours and not lie down flat for four hours. This is because all of these
activities may possibly lead to the movement of the product and consequent side
effects such as droopy eyelids as described above. Although there have been no
definitive studies shown that these actually occur and some physicians do not
provide such aftercare instructions, in the absence of data I err on the side
of caution and recommend that my patients avoid such activities.Please consult with a doctor for specific
recommendations. Good luck!

Marek Kacki, MD · Answer

There are no contraindications to Botox for cometic use in patients with this type of pain syndromes that I am aware of. Botox is used in CRPS for deep injections and its effect was well established to decrease the pain and prolong duration of standard injectable analgesics placed in the proximity of the spine.

CRPS and Botox for forehead?

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CRPS and Botox for forehead?

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Everything you need to know about Botox

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