Botox® for Cervical Dystonia

Cervical dystonia, also known as spasmodic torticollis, is a neurological movement disorder that causes involuntary muscle contractions in the neck. This can result in abnormal head positions, neck twisting, pain, and stiffness.

Cervical dystonia can be painful, disruptive, and progressively disabling if not managed properly.

Botox® (botulinum toxin type A) is an FDA-approved, minimally invasive treatment for cervical dystonia. When injected into overactive neck muscles, Botox®:

• Blocks nerve signals to the targeted muscles
• Relaxes muscle contractions
• Reduces abnormal head and neck movements
• Decreases pain and stiffness

Botox® can significantly improve posture, reduce pain, and enhance quality of life for patients living with cervical dystonia.

Your provider may recommend Botox® injections if you:

• Have chronic neck pain or abnormal head posture due to cervical dystonia
• Experience limited neck mobility
• Are looking for a non-surgical treatment
• Have not responded adequately to oral medications or physical therapy

Botox® offers a targeted, effective, and reversible treatment option.

The procedure is typically done in an outpatient setting.

• You will be seated or lying comfortably.
• The skin is cleaned, and your provider will locate the specific muscles causing abnormal movement, often using electromyography (EMG) guidance for precision.
• Small amounts of Botox® are injected directly into the targeted muscles using a fine needle.
• The entire procedure usually takes about 20–30 minutes, and you can return home afterward.

• Onset of relief typically begins within 3–7 days.
• Maximum benefit is usually felt around 4–6 weeks after treatment.
• Pain, spasms, and abnormal posturing should significantly decrease.
• Results typically last about 3–4 months, after which repeat injections may be needed to maintain symptom control.
• Most patients find that with regular treatments, their symptoms become much more manageable over time.

Botox® injections are generally very safe. Rare but possible side effects include:

• Mild soreness or bruising at injection sites
• Temporary weakness in surrounding muscles
• Swallowing difficulties (dysphagia, usually mild and temporary)
• Dry mouth or voice changes (rare)
• Headache or flu-like symptoms (rare)

Our team uses precision-guided techniques to minimize risks and maximize safety and effectiveness.

Patients trust Horizon Spine & Pain of Utah because we offer:

• Board-certified pain management and movement disorder specialists
• Precision-guided Botox® administration using EMG when necessary
• Personalized care plans tailored to your needs and goals
• Minimally invasive treatments that restore comfort and improve daily function

We are committed to helping you move more freely, with less pain and better control.