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Following neurological injury to the brain, the nerves can send mixed messages to the muscles which change how tight or floppy the muscles are. Botox injections work by blocking the overactive nerve signals within a muscle which make the muscles tight and stiff. Blocking the nerve impulses means the muscle cannot contract, therefore it remains in a still, relaxed state. Once it is relaxed, it can be stretched regularly by a specialist physiotherapist in order to increase range of movement.

The effects of the Botox injections are temporary. The individual will notice that the muscles are more relaxed within 3-4 days and they will remain in this state for up to 3-4 months. Botox injections are not a cure for muscle tightness but with intensive physiotherapy, they will help to lengthen the musculature and increase range of movement.

Once you start to feel the effects of the Botox injections, your specialist physiotherapist will help you to stretch your newly relaxed muscles regularly and teach you how to do exercises at home. It is important that you complete stretches and strengthening exercises every day in order to gain optimal benefit from the Botox injection therapy.

Your physiotherapist will measure your range of movement using a goniometer in order to monitor your improvement. In order to stretch your muscles while you are resting, your physiotherapist may provide a splint for you to wear.

A splint is an external device worn on the limb that holds the joint in a certain position in order to maintain range of movement. Splints can be custom made by our neurological physiotherapists or they can be provided from our store.

Passive mobilisations and stretches of the shoulder and elbow by a specilaist physiotherapistAbove: Passive mobilisations and stretches of the shoulder and elbow by a specilaist physiotherapist

For more information about Botox injections, use the following links: If you have any questions that are left unanswered after viewing the pages on our site, do not hesitate to contact one of our Neurological Physiotherapists and we will endeavour to answer any queries that you may have. Call today on 0330 088 7800.

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