It's something that most people take for granted, being able to walk down the street, head held high and straight. However, the reality is much different for your Cervical Dystonia patients. To those who have Cervical Dystonia, also known as CD or Spasmodic Torticollis, it is difficult to keep their head held upright. Painful muscle spasms often cause their head to tilt to one side as well as giving them jerky movements. Besides giving Cervical Dystonia patients a different view of the world, it can also be embarrassing as others walk by and wonder what is wrong with them.
If you have patients that are suffering from the neurological disorder Cervical Dystonia, there are a few ways you can help them. Oral medications, such as dopamine blocking agents or anticholinergic agents, are an option. However, often side effects become a problem for the Cervical Dystonia patients and some just like to avoid any unnecessary medication. Sometimes physiotherapy can help, with stretching exercises helping to ease symptoms. Doctors are even experimenting with deep brain stimulation, using a device similar to a pacemaker to stimulate the patient's brain and affect the muscles. This treatment is showing promise, although like any surgery, it can be daunting and risky.
One of the most popular and effective Cervical Dystonia treatments is botulinum toxin injections. Doctors inject small amounts of a neurotoxin such as MYOBLOC®, also known as NEUROBLOC®, into the affected neck and shoulder muscles. MYOBLOC® is made from botulinum toxin type B, derived from the Clostridium botulinum bacteria which causes the disease botulism. Although botulism can be fatal, in small doses the neurotoxin can be beneficial. Botulinum toxin type B works by blocking the signal from a particular muscle to the patient's nerves, effectively paralyzing the muscle. When a patient contracts botulism, this action can be fatal as gradually their muscles stop functioning, including essential lung muscles. However, when you inject a small dose of Botulinum toxin type B into a specific muscle or muscles, the neurotoxin paralyzes only that particular muscle, allowing you to target the treatment to where you need it.
Once your patient's neck muscles are paralyzed, the muscles are no longer contracting uncontrollably. Your patient's neck can then return to its natural, upright position, and your patient's pain is eased. They can walk down the street with their head held high and straight, seeing the world and being seen by the world just like anyone else.
MYOBLOC® works similarly to BOTOX®, and is in fact a similar substance, made of botulinum toxin, although it is a different type and a different formulation. BOTOX® works on similar principles as MYOBLOC® as it paralyzes and relaxes facial wrinkles for a smoother skin texture.
It is hard for a neurologist like you to watch a patient suffer. Even if your Cervical Dystonia patients manage to avoid severe neck pain as their muscles contract, living with a tilted head can be uncomfortable and embarrassing. For these patients, make sure your clinic stocks MYOBLOC® to give them the relief they need from their neurological symptoms with a simple injection.
You can buy MYOBLOC®(also known as NEUROBLOC®) HERE/a> from Medica Depot.