botox not worked made it worse

[fairydust]

dd had botox a few weeks ago and it's not worked in fact it's made one leg worse so there goig to put her in plater to help keep it in a certain stretched position in the hope it'll help it

anyone had any experience of this???

Yes. im a paed physio and not all my patients get good results. I think some of it is to do with whether the calf muscles have shortened causing lack of range, or whether they are just tight. If theyre tight they can be relaxed with the botox (not allowed to call it that unless they actually used botox !) but if theyre short it wont make much difference and only surgery will help.

However - if the injection wasnt followed up with increased physio, its a bit harder to say why it didnt work.

Some places plaster or splint straight away after the injection so that you get a degree of lengthening and weakening of the muscles taking place while the botox is working.

sparklys ds was in plaster after botox. i know he also did some intense physio as well.

thanks fubsy - she's been splinted for the last year without any results from that.

she had botox in the calfs as well as the handstrings

also has intense phyiso regularly with not much results from that

I dont know an awful lot about it, but there is some literature that suggests that hypertonic muscles in cerebral palsy develop differently to "normal" muscle, which might be why some react poorly to treatment.

the trouble with stretching is that as soon as you release the stretch, the muscle often pings back like a rubber band. Which is why splints or plaster casting should give a longer lasting result. But the children with that amount of dynamic tone tend to be the ones who have difficulty tolerating splints.

How old is your daughter Fairydust, and how mobile is she?