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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Difference Between Botox A And Botox B?

Hi Doctor, I´m sorry my English is not good, but I can communicate with you. I´m 51 years old, 70 k and 166 tall. I have a cervical dystonia since 2005. The disease started after emotional problems. I have had dystonia in 1994 blepharospasm, I had my eyes closed for 6 months and after many treatments with antidepressants, anthroposophy, spiritual surgery... I had my eye open. Now the problem is in my neck, it turns left. The problem started with soft moviment, when I touched my head in my bed, in sofa... I didn´t have when I was in gravity. The problems started to be worst year by year. I didn´t know that was the same problem. I went in the same Neurologist that I went in the past, in 1994, and he told me that I had cervical dystonia. I had many problems for sleeping, my head didn´t stop. The Doctor gave me a medicine to relax my muscle and antidepressant. I felt better, but the problem continued and I observed that I felt worst when I was nervous. In the end of 2008 I started to put Botox and my neck started to change after 3 aplication, 9 months, The problem in my neck started to move for the gravity and it stopped when I touch my head in a sofa or bed or chair... I went for many neurologist in Brazil and in USA, but my neck continued bad. Tell me please about the surgery, is it good? Can I be cured? Tell me about the risks? Tell me please about the botox B, because the A is not enough for me. Thank you very much.
Tue, 4 Apr 2023
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General & Family Physician 's  Response
Hello,

Botox A and Botox B are different types of botulinum toxin, which is a protein that can relax muscles by blocking nerve signals. Botox A is the most commonly used type of botulinum toxin and is used for a variety of medical and cosmetic purposes, including the treatment of cervical dystonia. Botox B is another type of botulinum toxin that is less commonly used and is approved for the treatment of cervical dystonia in some countries, but not in others.

Regarding surgery, deep brain stimulation (DBS) and selective denervation surgery are two types of surgeries that may be considered for cervical dystonia. DBS involves implanting electrodes in the brain that are connected to a device under the skin that sends electrical impulses to the brain to help control movement. Selective denervation surgery involves cutting some of the nerves that control the muscles affected by dystonia. These surgeries can have risks and potential complications, so it's important to discuss the potential benefits and risks with your doctor.

If Botox A is not sufficient for your cervical dystonia, your doctor may consider using Botox B or other treatments. There are also other types of botulinum toxin available that may be effective for you. It's important to discuss your treatment options with your doctor to determine the best course of action for your situation.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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What Is The Difference Between Botox A And Botox B?

Hello, Botox A and Botox B are different types of botulinum toxin, which is a protein that can relax muscles by blocking nerve signals. Botox A is the most commonly used type of botulinum toxin and is used for a variety of medical and cosmetic purposes, including the treatment of cervical dystonia. Botox B is another type of botulinum toxin that is less commonly used and is approved for the treatment of cervical dystonia in some countries, but not in others. Regarding surgery, deep brain stimulation (DBS) and selective denervation surgery are two types of surgeries that may be considered for cervical dystonia. DBS involves implanting electrodes in the brain that are connected to a device under the skin that sends electrical impulses to the brain to help control movement. Selective denervation surgery involves cutting some of the nerves that control the muscles affected by dystonia. These surgeries can have risks and potential complications, so it s important to discuss the potential benefits and risks with your doctor. If Botox A is not sufficient for your cervical dystonia, your doctor may consider using Botox B or other treatments. There are also other types of botulinum toxin available that may be effective for you. It s important to discuss your treatment options with your doctor to determine the best course of action for your situation. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician