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#24361

botox 4 Months, 4 Weeks ago	Karma: 0
if muscles have memory, wouldn't botoxing the muscles help them to remember to be less spastic? Enter code here Please note: although no board code and smiley buttons are shown, they are still usable.

bodensarah

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Posts: 14

#24362

Re: botox 4 Months, 4 Weeks ago	Karma: 0
Botox does help keep the muscles less tense. I think botox though should be used as the patient continues PT. <small>[ 10-19-2009, 08:33 PM: Message edited by: Moderator ]</small> Enter code here Please note: although no board code and smiley buttons are shown, they are still usable.

coreniva

Gold Boarder

Posts: 290

Niva Herzig MS, PT
Founder, Core Dynamics Physical Therapy
www.coredynamicspt.com
177 North Dean Street, Suite 302
Englewood, NJ 07631
201-568-5060

#24363

Re: botox 4 Months, 3 Weeks ago	Karma: 0
Ms. Herzig, Have you run into cases where botox helped vestibule pain and if so, was that because the pudendal nerve was involved? Enter code here Please note: although no board code and smiley buttons are shown, they are still usable.

bodensarah

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Posts: 14

#24364

Re: botox 4 Months, 3 Weeks ago	Karma: 0
Yes, i have had patients decrease pain in vestibule post Botox. Enter code here Please note: although no board code and smiley buttons are shown, they are still usable.

coreniva

Gold Boarder

Posts: 290

Niva Herzig MS, PT
Founder, Core Dynamics Physical Therapy
www.coredynamicspt.com
177 North Dean Street, Suite 302
Englewood, NJ 07631
201-568-5060

#24365

Re: botox 4 Months, 3 Weeks ago	Karma: 0
Do you know which muscles they had botoxed that lead to their decrease in pain? Enter code here Please note: although no board code and smiley buttons are shown, they are still usable.

bodensarah

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Posts: 14

#24366

Re: botox 4 Months, 3 Weeks ago	Karma: 0
Also, is pain with urination a symptom of pelvic muscle spasms or should I be exploring IC? Enter code here Please note: although no board code and smiley buttons are shown, they are still usable.

bodensarah

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Posts: 14

#24367

Re: botox 4 Months, 3 Weeks ago

Karma: 0

To answer your first questions re:muscles, you need a pelvic floor muscle evaluation. someone needs to note which muscles are tight. usually this includes the muscles around the urogenital triangle.

Pain w/urination can be due to PFD. I cannot tell you to rule or rule out IC, but can tell you many people whom have IC have PFD.

coreniva

Gold Boarder

Posts: 290

Niva Herzig MS, PT
Founder, Core Dynamics Physical Therapy
www.coredynamicspt.com
177 North Dean Street, Suite 302
Englewood, NJ 07631
201-568-5060

#24368

Re: botox 4 Months, 3 Weeks ago	Karma: 0
Thank you for your responses. Can you please tell me the names of the muscles that could possibly make your urine burn when urinating? Can you just have PFD without IC and have urinary burning? thank you Enter code here Please note: although no board code and smiley buttons are shown, they are still usable.

bodensarah

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Posts: 14

#24369

Re: botox 4 Months, 3 Weeks ago	Karma: 0
Yes, you can have PFD without IC and still have burning w/urination. <small>[ 10-25-2009, 11:17 PM: Message edited by: Moderator ]</small> Enter code here Please note: although no board code and smiley buttons are shown, they are still usable.

coreniva

Gold Boarder

Posts: 290

Niva Herzig MS, PT
Founder, Core Dynamics Physical Therapy
www.coredynamicspt.com
177 North Dean Street, Suite 302
Englewood, NJ 07631
201-568-5060

#24370

Re: botox 4 Months, 3 Weeks ago	Karma: 0
which muscles would most likely cause the urine to burn if they were in spasm? Enter code here Please note: although no board code and smiley buttons are shown, they are still usable.