Botulinum toxin is used to treat many movement disorders such as cervical dystonia.

Cervical Dystonia 

This causes muscle spasms in multiple neck muscles with twisting or tilting of the head. It also decreases your range of motion in the neck lasting and can last more than 6 months.

Botulinum toxin injections may be repeated in 3 months. Then may be repeated every 4 months. 

Patient Monitoring 

You will need to stay at the clinic for up to 30 minutes after your injection, so we can watch you for side effects.

Home Care after Botulinum Toxin Injection

Some patients may have weakness in their neck or arms after treatment. You may feel sore at the injection site for the next 2-4 days. For the first 24 hours, you may apply ice, if needed, to the site. Place ice for 20 minutes on and 20 minutes off to decrease pain and discomfort. After 24 hours, you may use heat, if needed.

Your pain may go away right away, or it may take several days. There may be a time when you feel like you have more pain. This is called a pain flare. If this happens, limit your activities for the first 24 hours and do things that don’t cause pain. Keep taking your pain medicine as prescribed. You may return to your normal routine as soon as you are able. 

Most often, patients do not have any problems after treatment. There is a slight risk of infection or bleeding at the injection site. There is also a slight chance of neck or shoulder pain.

When to Call

  • Fever greater than 100.4° F by mouth for 2 readings taken 4 hours apart. 

  • Increased redness, swelling around the site. 

  • Any drainage from the site. 

Who to Call

Please call: (608) 265-3207.

After hours, nights and weekends, call: (608)-262-2122. If you live out of the area, call: (800) 323-8942, ask for the rehab doctor on call. Leave your name and phone number with the area code. The doctor will call you back.

If you are a patient receiving care at UnityPoint – Meriter, Swedish American or a health system outside of UW Health, please use the phone numbers provided in your discharge instructions for any questions or concerns.