Dr. SudheerNeurologist
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Botox Therapy Treatment in New Delhi

Botulinum toxin (Botox) is a neurologist-administered treatment for several movement and pain disorders. Small, targeted injections relax overactive muscles or block pain pathways, giving relief that typically lasts three to four months before repeat treatment.

Medically reviewed 2026-08-08 Β· Dr. Sudheer Pandey, DrNB Neurology

What is Botox Therapy?

Botulinum toxin (Botox) is a neurologist-administered treatment for several movement and pain disorders. Small, targeted injections relax overactive muscles or block pain pathways, giving relief that typically lasts three to four months before repeat treatment.

Dr. Pandey offers Botox for hemifacial spasm, chronic migraine, blepharospasm, post-stroke spasticity and spasmodic dysphonia, among other indications. Each condition uses a specific injection pattern and dose, planned after detailed clinical assessment.

What are the symptoms of Botox Therapy?

Common symptoms include the features below. Patterns vary β€” a neurologist matches your history to the right diagnosis rather than treating a single symptom in isolation.

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Involuntary facial twitching (hemifacial spasm)
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Frequent disabling migraine days
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Forced eyelid closure (blepharospasm)
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Stiff, tight arm or leg after stroke
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Strained or broken voice (spasmodic dysphonia)
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Difficulty opening eyes or blinking
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Muscle spasms affecting walking or hand use
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Pain with abnormal posturing

What causes Botox Therapy?

Identifying the cause guides treatment. These are frequent contributors β€” your evaluation may reveal one factor or a combination.

Hemifacial Spasm

Blood vessel irritation of the facial nerve causes involuntary twitching.

Chronic Migraine

Defined as headache on 15 or more days per month with migraine features.

Blepharospasm

Abnormal contraction of eyelid muscles causing forced closure.

Post-Stroke Spasticity

Increased muscle tone after stroke affecting movement and comfort.

Spasmodic Dysphonia

Laryngeal muscle spasm causing strained or breathy voice.

Other Movement Disorders

Cervical dystonia and selected tremors may also benefit.

How does Dr. Sudheer treat Botox Therapy?

Care is personalised after examination and targeted tests. The usual pathway has three stages:

Diagnosis

Confirm the indication β€” chronic migraine criteria, hemifacial spasm, blepharospasm, dystonia or post-stroke spasticity β€” and review medicines that affect bleeding or neuromuscular function.

Treatment Plan

Condition-specific botulinum toxin mapping (for example PREEMPT for migraine or facial sites for hemifacial spasm) with documented units and follow-up timing.

Follow-up

Review response at two to four weeks, then schedule maintenance every three to four months while adjusting sites or dose based on residual symptoms.

When should I seek urgent care for Botox Therapy?

  • β€’ Sudden facial weakness with arm or leg weakness β€” may indicate stroke
  • β€’ Difficulty swallowing after neck or throat injections
  • β€’ Severe shortness of breath after treatment
  • β€’ Spreading weakness beyond the injected area

Frequently asked questions about Botox Therapy

Direct answers patients ask before booking a neurology consultation.

Common neurological indications include hemifacial spasm, chronic migraine, blepharospasm, post-stroke spasticity and spasmodic dysphonia. Suitability and exact dosing are confirmed at a dedicated neurology consultation before the first session.

Effects usually begin within one to two weeks and last about three to four months. Chronic migraine and spasticity often need repeat clinic sessions on a regular twelve-week schedule to maintain benefit.

Yes. Chronic migraine uses the PREEMPT injection protocol across head and neck muscles as a medical preventive treatment, not the smaller facial doses used for cosmetic wrinkle reduction.

Mild bruising, temporary weakness near the injection site or brief eyelid drooping can occur and usually settle. Serious complications are uncommon when injections are performed by a trained neurologist with condition-specific dosing.

Suffering from Botox Therapy? Get expert help today.

Same-week appointments at MGS Super Speciality Hospital (Punjabi Bagh) and Shree Aggarsain International Hospital (Rohini).

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