Guest guest Posted July 16, 2011 Report Share Posted July 16, 2011 I had a patient with Botox injection for upper trap spasticity. She ended up with scapular winging, and difficulty elevating her arm. Pain was helped but at the expense of weakness. I don't think she would have chosen to do it again, after having to work so hard with scapular retraction/ depression ex. She never fully gained it back. Marsha Rutland, PT, ScD, OCS From: PTManager [mailto:PTManager ] On Behalf Of jmackpt@... Sent: Thursday, July 14, 2011 2:53 PM To: PTManager Subject: Botox Does anyone have any experience with a patient using botox injections to lessen the spasticity of an upper extremity? Any long term problems (shoulder subluxing)? I have a 64 yr old male with left hemiparesis due to congenital CP. He is independent in most adl's and uses a quad cane for ambulation. His siblings wants to relax his LUE. Thanks in advance for all your input. Joan Mackey PT, DPT Quote Link to comment Share on other sites More sharing options...
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