Muscle Relaxant Injections

Due to Therapeutic Goods Administration (TGA) guidelines we are unable to mention the muscle relaxant drug by name.

Muscle relaxant injections work by interrupting the nerve message to the muscle, or to reduce secretion from glands in patients with excessive saliva, or sweating.

Injection of a well known and clinically proven muscle relaxant drug is performed under Medicare for medically approved conditions such as Blepharospasm, Hemifacial Spasm, Dystonia, Spasmodic Torticollis (Cervical Dystonia), Headache (Chronic Migraine), Spasticity and Hyperhidrosis (excessive sweating).

Hemifacial Spasm is a condition where patients have facial twitching often with eye closure, due to irritation of the facial nerve. A similar condition can be seen following Bell’s Palsy (Synkinesis). Both types of facial twitching can be very effectively treated with the injection of a clinically proven PBS approved muscle relaxant drug.

Blepharospasm is a condition with repetitive blinking, at times such that the eyes cannot be opened without some intervention. The injection of a clinically proven muscle relaxant drug is a very effective treatment through weakening the muscles in the eyelid and around the eye to reduce the blinking intensity. In some patients with facial tics, these injections can also be helpful in reducing the intensity of the blepharospasm movements.

Axillary Hyperhydrosis is excessive sweating in the armpits. The injection of a clinically proven muscle relaxant drug reduces the amount of sweat produced, and in some cases (if it is a problem), the associated smell. Injections for excessive sweating under the arms (axillary hyperhydrosis) can be given under Medicare, making the treatment very affordable.

The injections  are fully covered for pensioners or healthcare card holders, with only a small gap for other patients.

Other areas of excessive sweating:

Palmar and Plantar Hyperhydrosis – excessive sweating of the hands and feet

Facial Hyperhydrosis – excessive sweating of the face

Generalised Hyperhydrosis – excessive sweating over most of the body

Treatment of excessive sweating depends on the location of the excessive sweating.  Injections are usually only useful for axillary (armpit) excessive sweating.  For other areas, treatment may include iontophoresis, medications and rarely surgery.

Chronic Migraine The injection of a clinically proven muscle relaxant drug can be a useful adjunct to other medications and lifestyle management in patients with chronic migraine. The cost of the muscle relaxant drug is covered by Medicare as Dr Silbert is a Medicare authorised injector, however in view of the complexity of management of chronic migraine there is an out of pocket expense (gap).