Safe, Effective Relief for Dystonia, Tremors, Spasticity & More
Hello, I’m Dr. Mitesh Chandarana, a neurologist and Botox injection specialist in Ahmedabad. I use Botulinum Toxin Therapy (commonly called Botox) to treat different movement disorders like dystonia, tremors, facial spasms, spasticity, and even migraines. Many people think Botox is only used in cosmetic treatments, but in my clinic, it’s a powerful and safe medical tool that helps improve quality of life.
Let me explain how I use Botox injections in my practice, what conditions I treat, and what you can expect from the treatment.
What Is Botulinum Toxin (Botox)?
Botulinum toxin is a medicine made from a protein produced by a bacteria called Clostridium botulinum. When used correctly in very small amounts, it can relax overactive muscles or reduce unwanted nerve signals. This helps stop muscle spasms, reduce pain, and improve movement.
When Do I Recommend Botox Injections?
As a Botox injection specialist, I usually suggest this treatment when regular medicines are not helping enough or are causing side effects. I’ve seen great results in many patients with the following conditions:
1. Dystonia
(Neck pulling, eye blinking, jaw movements, writing problems)
In dystonia, some muscles contract too much or in the wrong way. This causes twisting, abnormal postures, or tremors. Botox helps by relaxing those tight muscles, giving you relief from pulling, pain, or embarrassment.
I regularly treat:
- Blepharospasm – frequent blinking or forced eye closure
- Cervical dystonia – neck tilting, twisting, or pain
- Oromandibular dystonia – mouth, tongue, or jaw spasms
- Writer’s cramp – hand cramps only during writing
- Spasmodic dysphonia – voice breaks, hoarseness
2. Hemifacial Spas
(One-sided face twitching)
Botox helps stop the twitching and relaxes the face muscles, giving you peace and comfort.
3. Essential Tremors
If you have hand tremors that don’t improve with tablets, small doses of Botox can reduce the shaking. This helps with writing, eating, or drinking.
4. Spasticity (Tight Muscles After Stroke or CP)
After a stroke or in people with cerebral palsy, arms or legs can become very stiff and hard to move. Botox helps relax these stiff muscles and makes it easier for you to do daily activities or physiotherapy.
5. Motor Tics (Like in Tourette Syndrome)
In patients with tics that don’t get better with medicines, Botox can reduce the frequency and strength of the unwanted movements.
6. Migraine (Chronic Headache)
I also use Botox in patients who have chronic migraines — headaches that occur more than 15 days a month. Injections in specific areas reduce the pain and number of headache days.
How I Give the Injections
Giving Botox is not just about injecting — it’s about knowing exactly which muscle to target and how much to give.
Here’s what I do:
- I examine the muscle carefully.
- I decide how much Botox is needed and which muscles to treat.
- In some cases, I use EMG (electromyography) guidance. This helps me find the exact muscle that’s overactive.
I use thin, small needles and the procedure is done in the OPD clinic. There is no need for admission.
Most patients say it feels like a small pinch and is very well-tolerated.
When Will You See the Effect?
- The effect starts in 3 to 4 days
- Full improvement happens in 10 to 14 days
- The benefit lasts for 3 to 4 months
- After that, the injection can be repeated safely
I usually follow up after 2 to 3 weeks to check your progress and plan the next dose if needed.
Is It Safe?
Yes, Botox is very safe when given in the right amount by trained doctors. I’ve given more than 1000+ Botox injections over the years. In my clinic, we follow proper safety guidelines.
The most common side effect is temporary weakness of the nearby muscles. For example, droopy eyelid if we inject near the eye — but this goes away in a few days. Serious side effects are very rare.
I always start with the lowest effective dose and adjust over time.
What to Expect After the Procedure
- You can go home immediately after the injection
- Avoid heavy activity on the day of injection
- Don’t massage or rub the area for 24 hours
- You may notice improvement in a few days
- I will guide you on when to come back for the next dose
Who Should Not Take Botox?
Most people can take Botox safely, but I do avoid it in:
- Pregnant or breastfeeding women
- Patients with active infection in the injection area
- If you have certain nerve or muscle diseases (rare)
I always take a detailed history before starting.
Why Patients Choose Me for Botox Therapy
As a neurologist and botox injection specialist, I don’t just give the injection — I take time to:
- Listen to your concerns
- Explain the treatment
- Choose the right muscles and dose
- Follow up regularly to make sure you improve
I have a Botulinum Toxin Clinic dedicated to this therapy at my center in Ahmedabad.
Frequently Asked Questions (FAQs)
Q1. Is Botox a permanent cure?
No, but it gives long-lasting relief for 3–4 months. It can be safely repeated.
Q2. How many times can I take Botox?
There is no fixed limit. Many of my patients have taken 10+ cycles safely. I space them every 3–4 months.
Q3. Will it affect my thinking or brain?
No. Botox works only at the muscle level. It does not affect your brain or memory.
Q4. What if it doesn’t work for me?
Sometimes, we need to adjust the dose or injection site. Very few people don’t respond at all. In most cases, we see good results.
Q5. Is Botox painful?
The injection feels like a small prick. It is usually not painful. No need for anesthesia.
Q6. Do you use cosmetic Botox?
No. In medical cases, I use approved therapeutic botulinum toxin brands with proper dosage and guidelines.
Ready to Try Botox Therapy?
If you or your loved one is struggling with muscle spasms, tremors, migraines, or stiffness, this treatment can help. As a trained Botox injection specialist, I can guide you through it safely and effectively.
Book an Appointment Today
📞 Call: 8866843843
📍 Medisquare Superspeciality Hospital, Ahmedabad
