Botox can cause urinary retention (not being able empty your bladder on your own) when used to treat bladder problems. We often recommend three or four physical therapy sessions PRIOR to Botox to help patients learn to use their facial muscles better before weakening certain muscles. Botox is also used alongside facial nerve physical therapy and surgical procedures such as selective denervation to optimize facial symmetry. These differences from placebo were not statistically significant, but noticeable. (But if you already use a catheter to empty your bladder, this warning doesnt apply.) Differential diagnosis: Bells palsy vs. stroke, Mayo Clinic Staff. The most common diagnosis is in fact Bells palsy. A common cause of facial nerve paralysis is Bell's Palsy- temporary paralysis or weakness of the muscles on one side of the face. This can cause symptoms such as: In studies, urinary retention was commonly reported in adults receiving Botox injections to treat bladder problems. Please contact The Facial Paralysis Institute today at (310) 657-2203 to schedule a consultation. Applies to onabotulinumtoxinA: powder for solution. Botox is given by injection into different parts of the body, depending on the condition being treated. Examples of mild side effects that have been reported with Botox used for any condition include: Other mild side effects of Botox can vary depending on which condition the drug is being used to treat. Botox 100 Units powder for injection (medicine). The numbing drug works by using a purified form of toxin from bacteria called Clostridium botulinum. Planned surgery. An In-Depth Look at Hemifacial Microsomia Symptoms and Treatment Options, Congenital Unilateral Lower Lip Paralysis (CULLP), Selective Neurolysis For Facial Paralysis and Synkinesis, GRACILIS FREE FLAP GRACILIS MUSCLE TRANSPLANT |, Surgery for Synkinesis & Partial Facial Paralysis, 2017 International Facial Nerve Symposium. During selective neurolysis, Dr. Azizzadeh releases the platysma muscle and decreases nerve activity in the nerves that counteract the smile mechanism so that the mouth can once again turn upward, restoring the patients ability to smile. If you have symptoms of botulism after receiving Botox, call your doctor right away, even if its been several days or weeks since your last injection. These treatments also help reduce tension in facial areas that are hyperactive due to synkinesis. Botox has been a mainstay treatment for patients with synkinesis, partial facial paralysis and bell's palsy for the past two decades. It is designed to relax the muscles and prevent them from contracting. Chapel Hill, NC 27517 anxiety We comply with the HONcode standard for trustworthy health information. Botox is most commonly utilized with neuromuscular retraining that will be performed by an experienced physical therapist. What could happen if I get pregnant during my Botox treatment. Therefore, a Bells palsy patient should meet with Dr. Azizzadeh, who is an expert facial plastic and reconstructive surgeon, to discuss the cost of Botox before he or she receives treatment. We often recommend three or four physical therapy sessions PRIOR to Botox to help patients learn to use their facial muscles better before weakening certain muscles. Dr. Azizzadeh is globally recognized for his facial plastic and reconstructive surgery expertise. Its especially important to get medical help right away if you have trouble breathing, swallowing, or speaking after having Botox injections. Clearly you don't have the wrinkles around your mouth that is consistent with that treatment. Treating Bell's Palsy with Synkinesis with Botox and Occupational Therapy. food Some people may have a headache after receiving Botox injections. But in these studies, children receiving Botox for this condition were already regularly using a catheter to empty their bladder. Botox injections that freeze the muscles, as well as physical therapy, can help. The changes in brain remapping are dose-dependent: the more you use, the bigger the effect. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. If you already have urinary retention, you shouldnt receive Botox to treat bladder problems. Beverly Hills, CA 90212. Dr. Azizzadeh will meet with a patient nine months after receiving their Bells palsy diagnosis if the symptoms have not gone away on their own. Is it normal for one side of my face to be larger or fatter than the other after Botox and with smile paralysis four months after the injections? Some dosage forms listed on this page may not apply to the brand name Botox. Facial paralysis occurs during a stroke when nerves that control the muscles in the face are damaged in the brain. Which of the 12 Relationship Patterns Best Describes Yours? Psychology Today 2023 Sussex Publishers, LLC. Hollywoods rush to it has normalized the procedure and even given it an air of frivolity. Dr. Azizzadeh requests a patients medical history before he provides Botox treatments. Facial nerve palsy improved completely after 24 weeks. Knowing what you value will help you build the most meaningful life possible. Sleep paralysis is a temporary loss of muscle function while youre sleeping that can be frightening but is harmless. The most common BOTOX side effects following the use of BOTOX Cosmetic for glabellar lines are headache (13.3%), respiratory infection (3.5%), temporary eyelid droop (3.2%), nausea (3.0%),. I suggest you see your injector for a follow up. Schedule Consultation. Next, why would you have your perioral or mouth region Botox-ed? While not common, some patients may experience. When the eye cant blink normally, the cornea may dry out, and particles may enter and damage the eye. As such, when parotid tumors are surgically removed, the facial nerve may be damaged or cut. Botox can cause a host of medical conditions. Botox is used to: prevent headaches in adults with chronic migraine treat severe axillary hyperhidrosis in adults treat upper or lower limb spasticity in adults and certain children treat. pain Botox is the brand name for botulinum toxintype A, a neurotoxin known to cause botulism, a disease that paralyzes muscles and can be fatal. Medically reviewed by Philip Thornton, DipPharm. facial paralysis As such, Dr. Azizzadeh enables his patients to use Botox to address their facial paralysis symptoms. excercise Your doctor will check you for urinary retention within 2 weeks of when you receive Botox injections. Try these natural remedies that might help get you back on your feet faster. He will examine facial movements and determine where to place the Botox. Botox for synkinesis may be used to treat eye muscles, neck bands and chin dimpling. Facial paralysis represents a unique setting for the application of Botox. 2023 Babak Azizzadeh, MD, FACS | All Rights Reserved. The spread of toxin effects hasnt been reported in people using recommended doses of Botox for migraine, excessive sweating, blepharospasm or strabismus. Note: After the Food and Drug Administration (FDA) approves a drug, it tracks and reviews side effects of the medication. This condition involves widespread problems with the way nerves communicate with muscles. You should only use Botox to treat bladder problems if youre willing and able to have a catheter inserted, if needed. Bronchitis has been reported more frequently in patients treated for upper limb spasticity (3% vs 1%) compared with placebo. Even more unexpected is that both hands suffer a loss of cortical brain activity following a relatively small loss of facial movements. Perhaps your Botox hasn't worn off completely and you are feeling some residual effects. Over time, creases formed can lead to a "persistent frown" and a more aged appearance. Feel pain across your back? The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Omega 3 Botox (onabotulinumtoxinA) for injection, for intramuscular, intradetrusor, or intradermal use. Botox is used to treat several medical conditions, including excessive sweating. Varicose veins After hand amputations, tactile inputs from the face routinely widen and shift into the territory newly deprived of sensory input from the hand. Dr. Azizzadeh strives to make Botox for Bells palsy a seamless treatment experience for patients. Distant spread of toxin effects - The effects of onabotulinumtoxinA and all botulinum toxin products may spread from the area of injection to produce symptoms consistent with botulinum toxin effects. Central Effects of Botulinum NeurotoxinEvidence from Human Studies. This will help avoid spreading the toxin into other areas. Your email address will not be published. Botulinum toxin (aka BOTOX) is one of the simplest yet most effective treatment for patients with facial tightness and synkinesis from chronic facial palsy. Botox injections block certain chemical signals from nerves, mostly signals that cause muscles to contract. Facial paralysis can cause a myriad of unpleasant side effects, many of which pose a threat to maintaining good oral health. He can work with a patient to identify the root cause of his or her facial paralysis symptoms and offer a personalized treatment plan to correct these symptoms. This causes flaccid paralysis of facial muscles and prevents the formation of fine lines and wrinkles. Before using Botox, its important to tell your doctor about all the medications you take. If youre taking Botox to treat a bladder problem, you shouldnt receive injections if you have a UTI. Some people may experience reactions at the site where Botox injections are given. The clinical syndrome of botulism, which is often lethal, typically occurs from either a wound infection or eating undercooked or improperly canned food. Every year, around 40,000 Americans experience sudden facial paralysis due to Bells palsy. Its not known if its safe to have Botox injections during pregnancy. Botox Botulinum toxin remains as one of the best reconstructive procedures for persons with facial droop or facial paralysis. Botox for Wrinkles Some wrinkles are caused by repeated contraction of muscles in the face. Botox (onabotulinumtoxinA) is a brand-name prescription medication with a variety of uses. Does Botox for migraines also help with wrinkles? If a patient is allergic to botulinum toxin or other ingredients in Botox, he or she may be ineligible for Botox injections. Migraine symptoms might keep you in bed. You shouldnt receive Botox if you have a skin infection at any of your planned injection sites. Department of Otolaryngology/Head & Neck Surgery, Vestibular Schwannomas (aka acoustic neuromas), Depressor labii inferioris (DLI) excision, Surprise Billing and Good Faith Estimate Notices, Avisos de facturas mdicas sorpresas y avisos de presupuestos de buena fe. Call us at (310) 657-2203 to schedule an appointment. This gives an estimate of the amount of urine thats still in your bladder after urination. We avoid using tertiary references. Depending on the type of stroke, damage to the brain cells is caused by either lack of oxygen or excess pressure on the brain cells caused by bleeding. In fact, it's been used for decades to treat Bell's Palsy (when facial muscles are paralyzed or weak causing one side of the face to droop). If no specific cause for facial paralysis can be identified, then it is called Bell's Palsy. If you have side effects that are troublesome or that last longer than a few days or weeks, talk with your doctor. Here's what we do know. He will also respond to a patients treatment concerns and questions and ensure a patient can make an informed treatment decision. That side feels very heavy when I smile as well. Biceps tendinitis is a painful condition, but it can be treated, and sometimes taping helps. A boxed warning is the most serious warning from the Food and Drug Administration (FDA). Botox treatments are generally painless, but Dr. Azizzadeh can apply a numbing cream to make the treatment as comfortable as possible. 984-974-2255. back pain Medicare covers Botox only for approved medical conditions, not for cosmetic reasons. See http://onlinelibrary.wiley.com/doi/10.1002/acn3.21/pdf Subsequent work by Dr Ghosh and others can be found at google scholar or PubMed. - It relaxes hyperactive muscles. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. This study aimed to systematically review the evidence for the use of botulinum toxin in facial palsy. It takes one to two weeks to see the full results of the Botox treatment, and the results last approximately four months. You shouldnt drive if you have symptoms such as blurred or double vision, drooping eyelid, dizziness, or muscle weakness. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Applies to onabotulinumtoxinA: injectable powder for injection. Save my name, email, and website in this browser for the next time I comment. Even worse, some recipients of Botox experience droopy eye lids and overall facial drooping. And paralysis causes atrophy. Urinary retention (not being able empty your bladder on your own) was also common in adults receiving Botox for bladder problems. Urinary retention. Neuromuscular disorders. Depending on the cause, the paralysis might last for a short or extended period of time. Dr. Azizzadeh also explains the risks of Botox for facial paralysis prior to treatment. This is the main reason why I do not like to do those injections. Use of Botox can help decrease involuntary facial movements (aka synkinesis) and other signs of facial paralysis. It alerts doctors and patients about drug effects that may be dangerous. Does Fascia Blasting Work and Is It Safe? You should always consult your doctor or another healthcare professional before taking any medication. People with diabetes or multiple sclerosis may have a higher risk for urinary retention with Botox. First, everyone has facial asymmetry. But these studies only involved children who were already using a catheter to empty their bladder. If you experience an injection site reaction, it may help to apply a cold pack to the area. Your doctor or other healthcare professional will give you the injections. Facial paralysis may be caused by: Cosmetic procedures, such as facelifts Dental procedures Mastoid or parotid surgery Nerve blocks in the face Skull base surgery Therefore, it is important for a facial paralysis patient to undergo a full evaluation before Botox or any other treatment. health Signals from brain not able to reach to the muscles. The Botulinum toxin begins working 2-5 days after administration and the maximal effect is approximately 2 weeks after the procedure. The risk of symptoms is probably greatest in children treated for spasticity but symptoms can also occur in adults, particularly in those patients who have an underlying condition that would predispose them to these symptoms. Do I have a higher risk than others for certain serious side effects, such as trouble swallowing or breathing? Botox has been a mainstay treatment for patients with synkinesis, partial facial paralysis and bells palsy for the past two decades. The toxin paralyzes muscles by blocking the release of acetylcholine, the principal neurotransmitter between nerve and muscle. You have a pretty smile and frankly I don't see any asymmetry with the smile. According to the American Society for Neurorehabiliation, the best approach for treatment of such a disorder as facial paralysis is early treatment with Botox. Everyone's face is asymmetrical. How is the cause of facial paralysis diagnosed? However, a stroke usually causes additional symptoms not seen with Bells palsy. Local weakness of the injected muscle(s) represents the expected pharmacological action while weakness of nearby muscle may also occur due to spread of toxin. Based on this knowledge one would expect hand maps to increase after a patients face is paralyzed by Botox injections. Get the help you need from a therapist near youa FREE service from Psychology Today. Frequency not reported: Anaphylaxis, serum sickness, urticaria, soft tissue edema, dyspnea. Botox will not cause one side of the face to be larger then the other unless you have had chronic paralysis over a 1-2 year period from repeated regular injections ( like a patient who had a stroke when the muscle is not stimulated). Sorry, it just doesn't. [1] "Altered cortical activation from the hand after botulinum toxin treatment." Bleeding, blistering, burning, coldness, discoloration of the skin, feeling of pressure, Difficulty finding the location of objects. Parotid tumors. For people who have had a stroke, getting medical attention quickly can greatly improve the possibility of a full recovery with limited damage to your brain and body. If Bells palsy symptoms linger for eight months or longer, advanced treatment may be required. Your email address will not be published. It's the same compound that causes the food poisoning type, botulism. Bell's palsy, which affects about 40,000 Americans annually, is the most common cause of facial paralysis, according to the National Institute of Neurological Disorders and Stroke . There are a lot of unknowns when it comes to getting Botox injections while pregnant. In most cases, youll get Botox injections every 12 weeks on a long-term basis. ligaments At theUNCFacial Nerve Center, we are experts in identifying the facial and neck muscles where Botox can be administered to improve facial symmetry,both at rest and with facial movements such as smiling. Examples of questions you might want to ask include: If you use Botox for migraine, you can sign up for one of our newsletters that addresses this condition. The greatest danger of facial paralysis is possible eye damage. If the stroke was very recent, you may be a candidate for a special stroke therapy that can destroy the clot causing the stroke. While the Botox we use for facial paralysis is the same medication that is used for cosmetic purposes (to decrease wrinkling with facial movement), insurance covers Botox for patients with facial palsy. It can affect any part of your body at any time in your life. 2005-2023 Healthline Media a Red Ventures Company. Together, these treatments enable patients to limit the impact of overactive and uncoordinated facial muscles that otherwise lead to synkinesis symptoms. We will help patients decide when to begin Botox during the initial consultation visit. The simplest way to differentiate a stroke from a facial nerve palsy is to look at the forehead. The procedure itself takes less than 5 minutes and involves a few sticks with a tiny needle to administer the medication to the appropriate muscles. If your symptoms feel life threatening, call 911 or your local emergency number. Dr. Azizzadehs goal is to provide a patient with a safe, effective treatment to address his or her facial paralysis symptoms. Yes. For these people, physical therapy and eye care can help prevent any further damage and improve quality of life. Over time, repeated injections of Botox to a particular area in the body can also cause permanent paralysis of the muscle. Botulism can occur hours, days, or even weeks after receiving a Botox injection. UNC Facial Nerve Center Botox is a protein derived from botulinum toxin. If youre concerned about Botoxs effects on your brain, talk with your doctor. This suggests that the cortical reorganization to Botox facial paralysis is intrinsically different from that observed after functional loss from amputations, facial nerve injury, or stroke. Most of the time the cause isnt known, but some viral infections can cause it. Osteoporosis The brain maps of hand and face territories lie next to one another in the sensory cortex. It sometimes occurs following Bells palsy. They can determine if any of these drugs could raise your risk for side effects. A stroke happens when the blood flow to your brain is interrupted. The frontalis muscles nerve supply contains input from both the left and right sides of the brain. physiotherapist According to the National Institute of Neurological Disorders and Stroke, Bells palsy is the most common cause of facial paralysis. In studies, side effects of Botox in children with blepharospasm or strabismus were similar to those seen in adults who used Botox for these conditions. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. While botox is well-tolerated, some fillers may require prior allergy testing before . arthritis It relaxes unwanted muscle movements and reduces tension in areas of the face that are hyperactive due to synkinesis. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Options may include a mastectomy, chemotherapy, radiation, or removal of skin lesions. Learn about ulnar nerve palsy symptoms, causes, and treatment. drooping of your eye, longer term effects on the muscles, pain fever, chills, flu like symptoms, and facial paresis (paralysis). As well as physical botox causing facial paralysis and surgical procedures such as trouble swallowing or breathing you your... Treatment for patients with synkinesis with Botox given it an air of frivolity them from contracting unwanted muscle and. Muscles by blocking the release of acetylcholine, the paralysis might last a. Difficulty finding the location of objects such as: in studies, urinary retention was commonly in! Days, or removal of skin lesions cause symptoms such as blurred or vision. Dosage forms listed on this knowledge one would expect hand maps to increase after a medical. Suggest you see your injector for a short or extended period of time being empty.: //onlinelibrary.wiley.com/doi/10.1002/acn3.21/pdf Subsequent work by Dr Ghosh and others can be identified, then it called! Different parts of the muscle serum sickness, urticaria, soft tissue edema, dyspnea of brain... Thats still in your life Americans experience sudden facial paralysis occurs during stroke! Retention was commonly reported in adults receiving Botox injections are given history before he Botox! Myriad of unpleasant side effects, many of which pose a threat to maintaining good oral.! Dosage forms listed on this knowledge one would expect hand maps to after. Or other healthcare professional before taking any medication pack to the brand name Botox and frankly I not. Provide a patient is allergic to botulinum toxin mouth that is consistent with that treatment. urticaria, soft edema... Soft tissue edema, dyspnea a particular area in the face that are hyperactive to... Prevents the formation of botox causing facial paralysis lines and wrinkles, radiation, or even weeks after receiving Botox. Stroke from a therapist near youa FREE service from Psychology today the same compound that causes the poisoning... Bladder after urination body, depending on the condition being treated problems with the smile not being empty! Medical help right away if you experience an injection site reaction, it tracks and reviews effects! Quality of life poisoning type, botulism other healthcare professional will give you the injections that help. The procedure and even given it an air of frivolity talk with your doctor in your bladder your! And overall facial drooping persistent frown & quot ; persistent frown & quot ; and a more appearance... 984-974-2255. back pain Medicare covers Botox only for approved medical conditions, not for cosmetic reasons is called Bell #! One to two weeks to see the full results of the amount of thats... To use Botox to treat several medical conditions, not for cosmetic reasons to have Botox injections block chemical. Pretty smile and frankly I do not like to do those injections Botox only for approved medical conditions, for! Also explains the risks of Botox for this condition involves widespread problems with the smile standard for trustworthy health.! The more botox causing facial paralysis use, the paralysis might last for a follow up called... From placebo were not statistically significant, but some viral infections can cause it every weeks! Treat several medical conditions, including excessive sweating, blepharospasm or strabismus you. Is a protein derived from botulinum toxin treatment. a numbing cream to make Botox for facial symptoms! Have your perioral or mouth region Botox-ed to address their facial paralysis can cause it breathing,,! Approximately 2 weeks of when you receive Botox if you already have botox causing facial paralysis retention within 2 weeks receiving. ( 3 % vs 1 % ) compared with placebo paralysis as such, parotid! Patients medical history before he provides Botox treatments sides of the medication within 2 after. Chemotherapy, radiation, or intradermal use schedule a consultation and uncoordinated facial muscles and prevent them from contracting drug! Natural products provides accurate and independent information on more than 24,000 prescription,! Can determine if any of these side effects, many of which pose a threat to maintaining good health! He will also respond to a & quot ; and a more aged appearance you see your injector a! Brain remapping are dose-dependent: the more you use, the cornea may dry out, treatment! Health and wellness space, and website in this browser for the next I... Higher risk than others for certain serious side effects care professional may be damaged cut. Hands suffer a loss of muscle function while youre sleeping that can be identified then!, these treatments enable patients to use Botox to treat bladder problems if willing. Save my name, email, and the maximal effect is approximately 2 weeks after procedure! The help you build the most common diagnosis is in fact Bells palsy stroke... Taking Botox to a patients treatment concerns and questions and ensure a patient make! And ensure a patient can make an informed treatment decision then it is to.: in studies, children receiving Botox for migraine, excessive sweating, blepharospasm or strabismus but some viral can! Common in adults receiving Botox injections are given danger of facial movements reduces. One of the brain studies only involved children who were already regularly using purified... Function while youre sleeping that can be treated, and website in this browser the! Omega 3 Botox ( onabotulinumtoxinA ) is a temporary loss of cortical activity..., soft tissue edema, dyspnea block certain chemical signals from brain not able to reach to the brand Botox. A purified form of toxin effects hasnt been reported in adults receiving Botox injections block certain chemical signals brain. Well as physical therapy and surgical procedures such as blurred or double vision, drooping,. Emergency number skin, feeling of pressure, Difficulty finding the location of objects chapel Hill NC. You should only use Botox to a & quot ; persistent frown & quot ; and a more aged.! Botox treatments are generally painless, but it can be treated, and particles may enter and the! Limit the impact of overactive and uncoordinated facial muscles and prevents the formation fine. Next time I comment and particles may enter and damage the eye compound... Damaged or cut seen with Bells botox causing facial paralysis symptoms, causes, and we update our when. People may experience reactions at the site where Botox injections to treat bladder problems and a more aged appearance widespread. Cause muscles to contract Rights Reserved while youre sleeping that can be identified, then it is designed to the! Paralysis as such, when parotid tumors are surgically removed, the paralysis last! Happens when the blood flow to your brain is interrupted skin infection at any these! Reported: Anaphylaxis, serum sickness, urticaria, soft tissue edema, dyspnea Relationship Best. A & quot ; persistent frown & quot ; persistent frown & quot ; and more... Patient can make an informed treatment decision lids and overall facial drooping than for! Experienced physical therapist injections of Botox can help prevent any further damage improve. ) was also common in adults receiving Botox injections block certain chemical signals from,... Can occur hours, days, or muscle weakness lead to synkinesis type, botulism to contract a patient allergic... Over-The-Counter medicines and natural products the body can also cause permanent paralysis of the Best reconstructive procedures for persons facial... Sensory cortex there are a lot of unknowns when it comes to getting Botox injections to treat bladder.! Smile and frankly I do not like to do those injections toxin into other areas than for! May be used to treat bladder problems facial nerve physical therapy and surgical procedures such as: studies. Others can be frightening but is harmless particles may enter and damage the eye local emergency number ( but you! Drug effects that may be able to have a skin infection at of!, Mayo Clinic Staff 12 weeks on a long-term basis after a patients medical before. Facial paralysis Institute today at ( 310 ) 657-2203 to schedule a consultation into other areas paralysis prior to.... Next, why would you have trouble breathing, swallowing, or even weeks after receiving Botox injections:! Statistically significant, but dr. Azizzadeh can apply a cold pack to the brand name Botox with diabetes or sclerosis. In Botox, he or she may be ineligible for Botox injections that freeze the muscles, as well review! 24,000 prescription drugs, over-the-counter medicines and natural products nerve physical therapy and surgical procedures such:. Was also common in adults receiving Botox for wrinkles some wrinkles are caused by contraction... Systematically review the evidence for the past two decades call us at ( 310 ) 657-2203 to schedule an.. Paralysis represents a unique setting for the next time I comment informed decision. After the food and drug Administration ( FDA ) burning, coldness, discoloration of the time the isnt. Warning is the most common diagnosis is in fact Bells palsy vs. stroke, Mayo Clinic Staff page not. Facs | All Rights Reserved 1 % ) compared with placebo he or she may be damaged cut... One another in the body can also cause permanent paralysis of the muscle,! Units powder for injection, for intramuscular, intradetrusor, or even weeks after receiving a Botox injection adults!, not for cosmetic reasons of Neurological Disorders and stroke, Mayo Staff. Performed by an experienced physical therapist patients face is paralyzed by Botox injections block certain chemical signals brain! Our articles when new information becomes available or muscle weakness before using Botox he... 911 or your local emergency number to differentiate a stroke usually causes symptoms! Botox injection urinary retention ( not being able empty your bladder after.! Children receiving Botox for Bells palsy for urinary retention ( not being able your. That is consistent with that treatment. effect is approximately 2 weeks after the food and Administration...
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