Why choose Botox over intrathecal Baclofen (the Baclofen pump-ITB) or selective posterior rhizotomy (SPR)?
Botox is only chosen for two or three select muscle groups at a time. Commonly, Botox is injected into the hamstring groups and/or the calf muscles on both sides to improve walking and/or sitting and self-care skills. The Baclofen pump and selective posterior rhizotomies are for treating more diffuse muscle spasms and essentially all the muscles of the trunk and lower extremities at the same time in a more widespread manner. One cannot inject this many muscles at a single time with Botox without causing undue harm to the individual. Thus, Botox is for just two or three select muscles at a time, whereby the other treatments discussed (ITB and SPR) are more for diffuse spasticity and muscle involvement.
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- Why choose Botox over intrathecal Baclofen (the Baclofen pump-ITB) or selective posterior rhizotomy (SPR)?
- Why choose the Baclofen pump (intrathecal Baclofen - ITB) over selective posterior rhizotomy (SPR)?
