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November 8, 2009
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The Cleveland Clinic

Multiple Sclerosis: Treating Multiple Sclerosis With Botox

What Is Botox?

Botulinum toxin, called botox for short, is a muscle relaxing medication used to decrease spasticity related to multiple sclerosis and other neurological conditions.

Botulinum toxin is derived from the bacterium Clostridium Botulinum and is in a class of drugs called neurotoxins. There are two types of botulinum toxin available for therapeutic use:

Your doctor will decide which type of botulinum toxin is more appropriate for you. Many other types of botulinum toxin have been identified but are not used to treat MS symptoms.

The FDA, despite the drug's effectiveness, has not yet approved the use of botox to treat MS-related spasticity.

What Is Spasticity?

Spasticity refers to a wide range of involuntary muscle contractions that result in muscle spasms or stiffness. Spasticity interferes with voluntary muscle movement and usually involves the muscles of the legs and/or arms.

Spasticity may vary, based on many factors including infections, stress, pain, temperature, position, and time of the day. Over time, severe spasticity may cause decreased range of motion in the affected limbs.

Spasticity is the result of an imbalance in the central nervous system, caused by a trauma or disease in the brain and/or spinal cord. This imbalance causes hyperactive muscle stretch reflexes, which result in involuntary contractions and increased muscle tone.

Some doctors believe that an increased sensitivity in the parts of the muscles that are responsible for contracting (tightening), relaxing, and stretching the muscles contribute to spasticity.



Next: How does the botulinum toxin work? »

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Botox to Treat Multiple Sclerosis (MS)

What is multiple sclerosis?

Multiple sclerosis (MS) is a disease in which the nerves of the central nervous system (brain and spinal cord) degenerate. Myelin, which provides a covering or insulation for nerves, improves the conduction of impulses along the nerves and also is important for maintaining the health of the nerves. In multiple sclerosis, inflammation causes the myelin to eventually disappear. Consequently, the electrical impulses that travel along the nerves decelerate, that is, become slower. In addition, the nerves themselves are damaged. As more and more nerves are affected, a patient experiences a progressive interference with functions that are controlled by the nervous system such as vision, speech, walking, writing, and memory.

About 350,000 people in the U.S. have multiple sclerosis. Usually, a patient is diagnosed with multiple sclerosis between 20 and 50 years of age, but multiple sclerosis has been diagnosed in children and in the elderly....

Read the Multiple Sclerosis article »



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