PROCEDURES
Vagal Nerve Stimulator (VNS)
Vagal Nerve Stimulator (VNS): The VNS is a long-term treatment for epilepsy used on patients who have not had successful results from anti-seizure medication and other more conservative treatment methods. This treatment involves implanting a generator device that is similar to a pacemaker in order to send regular pulses or electrical activity to the vagus nerve located in the neck. Most patients with epilepsy experience a significant reduction in the number and frequency of seizures with this treatment. Our physicians will monitor, maintain and reprogram your implant during your office visit with them.
Botox
Botulinum toxin, commonly known as Botox, is a synthetic chemical that can be used to block nerve signals for treatment of a wide range of conditions. Although most commonly known for its cosmetic purposes, our providers use it strictly for therapeutic purposes. Botox injections offer an effective therapeutic treatment for any many medical conditions, including muscles spasms, cervical dystonia, migraine and other neurological disorders.
Botox injections are administered directly into the affected muscles with no need for anesthesia. The injection effectively blocks nerve signals sent to the muscle to prevent it from contracting and reduce pain.
Patients may need anywhere from one to 15 injections during a single treatment session in order to successfully block nerve signals. The results of treatment are often most effective during the first two to six weeks after the injections, and will continue to last up to three months. Results can be maintained through routine follow-up injections.
Some patients may experience bruising or eyelid drooping as a side effect of Botox, but these symptoms usually go away on their own within a short time. Patients who are pregnant or breastfeeding should not receive Botox injections.
Baclofen Pump
Baclofen is usually taken by mouth several times per day. Intrathecal baclofen therapy (ITB) consists of delivering a liquid form of baclofen into the spinal fluid, using a device called a baclofen pump. The pump needs to be refilled at regular intervals (usually every 1 to 6 months) by a trained healthcare professional who possesses the equipment needed. The pump is refilled by inserting a needle through the skin into a refill port on the pump. The dose of baclofen can be adjusted at any time, but the adjustment must be done by a trained professional. When the battery approaches the end of its life, the pump needs to be replaced. When a problem with the baclofen pump is suspected, medical attention should be sought as soon as possible.