Botox For Back Pain
Chronic low back pain is a common condition with diverse etiologies. It is a major cause of functional impairment and disability. In recent years, our understanding of the pathophysiology of low back pain has improved significantly especially in regard to the contribution of dorsal root ganglia and pain mediators. The treatment of chronic low back pain is challenging. The vast majority of cases of LBP are self-limiting and resolve within a few weeks. However, up to 5% to 10% of individuals can have persistent symptoms associated with psychological illness and disability (Manchikanti 2009). Several treatment options are available, yet despite this, many individuals are unable to attain adequate relief and seek different therapeutic modalities.
One such option is intramuscular botulinum neurotoxin (BoNT) injections. Freeze-dried BoNT is reconstituted with saline solution and injected multiple times intramuscularly into the posterior lumbar region. The erector spinae muscle is the most superficially accessible muscle in this area and is located roughly 2 cm from midline of the lumbar spine on either side. Multiple injections on the affected side into the muscle at L1, L2, L3, L4, L5, or a combination of sites, are administered to encompass all or part of the entire mass of muscle. If pain involves the sacral region, injections can also be administered into the paraspinal sacral muscles.