Download Botulinum Toxin Injection Guide by Odderson Ib. R. PDF
By Odderson Ib. R.
Botilinum toxin is used usually through physiatrists for the remedy of sufferers with migraines, tics, spasms, dystonia, hyperhidrosis (excessive sweating), and ache. Botulinum Toxin Injection advisor by way of Ib R. Odderson, MD, PhD, is the 1st accomplished guide that covers botulinum toxin injections for neurologic stipulations and their wide selection of useful functions.
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0. Revised August 2005. MDVU. MD Virtual University. We Move. BTX-B Dosing Guidelines. 0. Botulinum Toxin Type B (Myobloc). html. 05. 06. MDVU. MD Virtual University. We Move. BTX-A Adult Dosing Guidelines. Management of Spasticity with Botulinum Toxin Type A (Botox). 0. Revised August 2005. Extended Digits 53 Muscles possibly involved Extended Digits Extensor indicis proprius Extensor digitorum communis Extensor digitorum Extensor indices Palmaris longus tendon Median nerve Flexor digitorum superficialis Flexor carpi radialis Radial artery Ulnar nerve and artery Flexor carpi ulnaris Radial nerve Flexor digitorum profundus Cephalic vein Radius Extensor carpi radialis longus and brevis Extensor digitorum Ulna Extensor carpi ulnaris Extensor digiti minimi 54 Spasticity/Dystonia: upper extremities Writer’s Cramp 1/3 Dosing Ranges Botox (BTX-A) units1 Myobloc (BTX-B) units2 Injection sites per muscle Flexor digitorum profundus 15 (15–40) 250–1,500 1–3 Flexor carpi radialis 15 (15–50) 500–2,500 1–2 Flexor digitorum superficialis 15 (15–40) 250–1,500 1–3 Flexor carpi ulnaris 15 (15–50) 500–2,500 1–2 Pronator teres 10 (10–35) 500–1,500 1–2 Pronator quadratus 10 (10–35) 500–1,500 1 Flexor pollicis longus 10 (5–25) 1,000–2,500 1 Dilution 100 U/4 cc Dilutions, see page xxvii EMG needle 27 G, 37 mm Injection Technique Flexor digitorum profundus Midbelly of the muscle at the midpoint of the biceps tendon and the ulnar styloid process.
We Move. BTX-A Pediatric Dosing G uidelines. Management of Spasticity with Botulinum Toxin Type A (Botox). 0. Revised August 2005. 62 Spasticity/Dystonia: upper extremities Pediatric Dosing Botox (BTX-A)1 Total maximum body dose per visit: lesser of 16 U/kg or 400 U. Adult dosing should be substituted for children heavier than 60kg. 0 mL, except in select situations Dilution: 1–5 mL per vial. More dilute solutions may be more effective in larger muscles. Chapter Spasticity/Dystonia: Lower Extremities 3 • Flexed Hip • Adducted Thigh • Flexed Knee • Extended (Stiff) Knee • Equinovarus Foot • Valgus Foot • Striatal Toe • Flexed Toes • Safety Information Update • Pediatric Dosing for Lower Extremities 63 64 Spasticity/Dystonia: lower extremities Flexed Hip 1/2 Dosing Ranges Myobloc (BTX-B) units3 Botox (BTX-A) units1 Injection sites per muscle Iliopsoas with or without u ltrasound/ fluoroscopy guidance 100 50–200 3,000–7,500 2–3 Psoas with ultrasound/ fluoroscopy guidance 100 50–200 3,000–7,500 1–2 Rectus femoris 100 75–200 2,500–5,000 1–4 Adductor longus, brevis, maximus* 200/leg 75–300* 5,000–10,000* 2-6 Dilution 100 U/4 cc Dilutions, see page xxvii EMG needle 25 G, 50 mm to 22 G, 75 mm Pediatric dosing see page 89.
Revised August 2005. MDVU. MD Virtual University. We Move. BTX-B Dosing Guidelines. 0. Botulinum Toxin Type B (Myobloc). html. 05. 06. MDVU. MD Virtual University. We Move. BTX-A Adult Dosing Guidelines. Management of Spasticity with Botulinum Toxin Type A (Botox). 0. Revised August 2005. Extended Digits 53 Muscles possibly involved Extended Digits Extensor indicis proprius Extensor digitorum communis Extensor digitorum Extensor indices Palmaris longus tendon Median nerve Flexor digitorum superficialis Flexor carpi radialis Radial artery Ulnar nerve and artery Flexor carpi ulnaris Radial nerve Flexor digitorum profundus Cephalic vein Radius Extensor carpi radialis longus and brevis Extensor digitorum Ulna Extensor carpi ulnaris Extensor digiti minimi 54 Spasticity/Dystonia: upper extremities Writer’s Cramp 1/3 Dosing Ranges Botox (BTX-A) units1 Myobloc (BTX-B) units2 Injection sites per muscle Flexor digitorum profundus 15 (15–40) 250–1,500 1–3 Flexor carpi radialis 15 (15–50) 500–2,500 1–2 Flexor digitorum superficialis 15 (15–40) 250–1,500 1–3 Flexor carpi ulnaris 15 (15–50) 500–2,500 1–2 Pronator teres 10 (10–35) 500–1,500 1–2 Pronator quadratus 10 (10–35) 500–1,500 1 Flexor pollicis longus 10 (5–25) 1,000–2,500 1 Dilution 100 U/4 cc Dilutions, see page xxvii EMG needle 27 G, 37 mm Injection Technique Flexor digitorum profundus Midbelly of the muscle at the midpoint of the biceps tendon and the ulnar styloid process.