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Frequently Asked Questions (FAQ)

Botox

What is Botox (onabotulinumtoxinA) used for medically?

Botox is a prescription medicine (a type of botulinum toxin) injected into muscles to block nerve signals. Medically, it is FDA-approved to treat several conditions, including Chronic Migraine (headaches 15 days/month) and Cervical Dystonia (involuntary neck muscle contractions).


How does Botox work to relieve pain?

For Chronic Migraine, Botox is thought to work by blocking the release of specific chemicals (neurotransmitters) that carry pain signals from the nerves to the brain. For Cervical Dystonia, it works by temporarily weakening the overactive muscles that cause the abnormal head position and painful spasms.


Is this the same Botox used for cosmetic treatments?

Yes, it is the same drug (onabotulinumtoxinA), but the dosage, injection pattern, and muscle targets are completely different for therapeutic conditions like chronic migraine and cervical dystonia compared to cosmetic use. These medical procedures must be performed by a trained specialist.


How often are the injections needed?

For both Chronic Migraine and Cervical Dystonia, injections are typically repeated every 10 to 12 weeks (approximately every three months). This is because the effects of the toxin gradually wear off as the body regenerates new nerve endings.


Orthovisc Injections

What is Orthovisc (High Molecular Weight Hyaluronan)?

Orthovisc is a brand of viscosupplementation used to treat knee pain caused by osteoarthritis (OA). It is a sterile, non-surgical solution injected directly into the knee joint. The active ingredient, high molecular weight hyaluronan, is similar to the substance that occurs naturally in healthy joint fluid.


How does Orthovisc work in the knee?

In an arthritic knee, the natural lubricating fluid (synovial fluid) breaks down, making the joint less protected. Orthovisc acts as a lubricant and shock absorber to supplement the joint fluid, reduce friction, and potentially decrease pain and inflammation.


Who is a candidate for Orthovisc injections?

You are generally a candidate if you have knee OA and have not received adequate pain relief from conservative, non-pharmacologic treatments like simple pain relievers (e.g., acetaminophen), exercise, and physical therapy.


Is Orthovisc a steroid (corticosteroid)?

No. Orthovisc is not a steroid. It is a hyaluronic acid injection. Unlike steroids, which primarily reduce inflammation, Orthovisc is intended to restore the lubricating and shock-absorbing properties of the joint fluid.


How long does the pain relief from Orthovisc last?

Clinical studies show that the beneficial effects of an Orthovisc series can last for up to six months (26 weeks). The duration of relief can vary based on the severity of your OA and your activity level.




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