This site is designed to inform those who want to learn more abou
Botox®, particularly persons who are considering whether to have a
injection with Botox® or Myobloc®.
Disclaimer
This web site provides information only, as one might obtain fro
reading a book or journal. It will not render medical advice of an
kind. Some of the uses of botulinum toxin are "off-label," that is, no
approved by the U.S. Food and Drug Administration, but all use
described below are accepted medical practice in the United States
Please direct scheduling requests and general inquiries to th
hyperlink below, but please do not use it for urgent situations.
About the Author
Dr. Steven Gulevich received the doctor of medicine (M.D.) degree fro
Duke University in 1985 and completed residency training in neurolog
and a post-doctoral fellowship in clinical neurophysiology. He i
board-certified in neurology and electrodiagnostic medicine (EMG) an
holds state licenses in Colorado, Kansas, and Nebraska. Dr. Gulevic
performs approximately two hundred Botox® injections annually.
About Botox®
Botox® is the brand name of botulinum toxin type A that has been in us
since about 1990. In 2001, botulinum toxin type B was introduced unde
the brand name Myobloc®. (Dr. Gulevich has experience with both). Bot
forms of this naturally occuring substance, Botox® and Myobloc®, ar
injected into muscle that is contracting abnormally. The medication
partially weaken the nerve to the muscle for about four to six months
Botox® has thus proven very useful in people who suffer from abnorma
contractions of muscle.
Botox® injections are often guided by an electromyogram (EMG). Th
hollow-needle EMG locates the area of worst contraction within th
muscle, allowing the Botox® to be injected at the site that wil
produce the best result
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