Botulinum toxin is used in orthopedics for various complaints and conditions, including:

• Muscle spasticity (e.g., in cerebral palsy)
• Chronic muscle tension and myofascial pain syndrome
• Dystonias (e.g., torticollis)
• Postoperative muscle spasms
• Trigger points and chronic pain syndromes
• Contractures after injuries or surgeries
• Chronic therapy-resistant plantar fasciitis (off label use)
• Shoulder and knee osteoarthritis (off label use)
• Tennis elbow (off label use)
• Golfer's elbow (off label use)
• Cervical syndrome and migraine

• Pain relief: Effectively reduces chronic pain and muscle tension.
• Improvement of mobility: Promotes muscle relaxation and improves the mobility of the affected joints.
• Long-lasting effect: The effects can last for several months before a repeat injection is needed.
• Non-invasive treatment: Offers an alternative to surgical procedures.
• Targeted application: Allows precise treatment of specific muscle groups.

• Examination: The orthopedist conducts a thorough medical history and physical examination to identify the affected muscle groups.
• Preparation: The area to be treated is disinfected. In some cases, a local anesthetic may be applied to make the injection more comfortable.
• Injection: Botulinum toxin is injected directly into the affected muscles with a fine needle. The exact dose and number of injections depend on the size and location of the treated muscles.
• Duration of treatment: A session usually lasts between 15 and 30 minutes.
• Frequency of sessions: The effects of botulinum toxin typically last several months. Repeated injections may be necessary to maintain the effect.

• Health issues: Inform the orthopedist about existing health issues, especially neurological disorders or allergies.
• Medications: Inform the orthopedist about which medications you are taking, including blood thinners and muscle relaxants.
• Allergies: Inform the orthopedist about known allergies to botulinum toxin or other medications.
• Preparation: No special preparations are required, but comfortable clothing can be helpful.

After the botulinum toxin therapy, the orthopedist will discuss the results and your reaction to the treatment. The orthopedist will assess whether further injections or complementary therapies are necessary. Additional recommendations may include physiotherapeutic measures, special exercises, or adjustments in daily life to support healing and pain relief.