Botox Therapy in Cerebral Palsy

Botox Therapy in Cerebral Palsy

Botox injection is a popular treatment of choice for selected spastic muscles. A cosmetic surgeon always recommends this therapy after doing a comprehensive evaluation including gait, posture and functional analysis. To decrease the joint pain, spasticity and increase the range of motion is the main goal of this therapy. You should follow a disciplined physiotherapy program after receiving this therapy to achieve the maximum benefit of Botox injections.

How does it work?

Skeletal muscles tighten in response to the release from nerve endings of the neurotransmitter acetylcholine. When BTA is injected into the muscle, the release of acetylcholine is blocked, resulting in a relaxation of overactive muscles. The injections generally take effect within a few days and last for three to six months.

Can Botox cure cerebral palsy?

Botox therapy is not a suitable treatment for all types of cerebral palsy. Only muscle spasticity and dystonia (muscle tone fluctuation) can be managed by this treatment with good results. Tight gastrocnemius muscles in toe walking children can be helped by injecting these muscles. It can make walking easier and more comfortable by relaxing the calf muscles and lower leg muscles. It also improves balance and reduces the number of falls. Tight hamstrings and adductor muscles are responsible for scissoring gait, difficulty in sitting, crouching, standing, etc. A comprehensive evaluation and proper planning are needed in these children before proceeding to the treatment. The need for the surgery should also be discussed with the best paediatric neurologist in Gurgaon and an orthopaedic surgeon so that they can be able to make the best plan in the best interest of the child.

What are the side effects of Botox?

The mild and short-lived side effects include:

  • Pain after injection requiring simple analgesia.
  • Mild, cold or flu-like symptoms
  • Increased frequency of falls within the first two weeks of injection.
  • A difficulty with swallowing, where upper limb or neck injected.
  • Temporary incontinence
  • Mood swings/irritability
  • Fatigue
  • Rare allergic reactions (Anaphylaxis).


In brief, botulinum injection (Botox) can be taken as an option in cerebral palsy treatment, when advised and administered by a best paediatric neurologist in Gurgaon with a broad area of experience. This treatment will not be beneficial if not combined with a good rehabilitation programme. .