Local experts clarify medical uses and risks of botulinum toxin injections

Health professionals in Davidson County are clarifying that botulinum toxin injections serve a wide range of medical purposes, not just cosmetic enhancements. Dr. Rhea Rogers, a board-certified physician, explained that the substance works by relaxing overactive muscles. It temporarily blocks nerve signals to weaken those muscles, a process described by the Cleveland Clinic. This mechanism allows the treatment to address various conditions as patients age.

Rogers identified several medical applications for the injections, including migraine headaches, overactive bladder, and temporomandibular joint issues. She noted that the treatment is also used for vulvodynia and painful intercourse to relax the involved muscles. Excessive sweating is another condition where the injections are effective. Rogers stated that insurance covers many of these medical uses, making the treatment accessible for a broader group of patients.

Aging expert Amy O'Rourke shared an example of a client who received botulinum toxin treatment for an overactive bladder. The client was previously confined to her room but began visiting programs and going out after the treatment. O'Rourke said the experience changed her perspective on the injections. She emphasized that the treatment has strong medical reasons for use, not just cosmetic ones.

Gerontologist Sam Cradduck emphasized that patients must treat botulinum toxin as medicine. She advised against choosing the cheapest provider for the treatment. Instead, patients should seek the best available provider. O'Rourke agreed, stating that individuals should research who is giving the treatment. She recommended checking how often the provider has performed the procedure and verifying references. Cradduck noted that the face contains many muscles with different functions, so the injector needs specific knowledge.

Patients should be aware of potential risks associated with the injections. Cradduck explained that the injectables can affect the wrong muscle. If injected into the neck area, the treatment can impact swallowing. The effect is temporary, but patients must wait for the drug to wear off before the issue resolves. Cradduck also pointed out that the substance has medication interactions. Older adults who take more medicines require extra care because their bodies process the treatment differently.

Rogers noted that botulinum toxin injections usually last about three to four months. In contrast, fillers can last anywhere from six months to 24 months, depending on the type and usage. Rogers explained that fillers are used to restore volume as the shape of the face changes with age. They can also be used in the hands. Unlike botulinum toxin, fillers do not dissolve and stay in the body for a long time, even after the initial effect has worn off.

Rogers added that noninvasive machines offer alternatives to needles. She mentioned one machine that uses electromagnetic technology to tighten the pelvic floor and help with bladder issues. O'Rourke suggested that patients examine their motives before deciding on treatment. She noted that some people are bothered by their appearance in the mirror while others are not. Rogers emphasized the importance of informed consent and understanding the reason for the treatment before proceeding.