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Real members of MyParkinsonsTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

The adverse effects after new dr administers shots is so bad! The first time if I bent forward the pain was excruciating! I called and was rx'd steroids that helped greatly, but I sure don't like taking them every 3 months. This time 5/7, I have had constant mild pain throughout my head and have trouble holding my head up, or bending it over then trying to get it upright again. I'm getting dizzy often. New dr is telling me the effects of botox are wearing off now... My question is: for those of… read more

June 1
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A MyParkinsonsTeam Member

Wow that must really hurt. hope they work something out better for you

June 1
MyParkinsonsTeam

What a frustrating experience — dealing with side effects every three months on top of everything else is genuinely exhausting. You're not alone in navigating the ups and downs of Botox for dystonia.

Botox works by weakening the muscles it's injected into, which is exactly what helps with dystonia. However, that muscle Show Full Answer

What a frustrating experience — dealing with side effects every three months on top of everything else is genuinely exhausting. You're not alone in navigating the ups and downs of Botox for dystonia.

Botox works by weakening the muscles it's injected into, which is exactly what helps with dystonia. However, that muscle weakening can sometimes go further than intended, which may explain the difficulty holding your head up and the pain you're experiencing. Other MyParkinsonsTeam members have shared similar experiences with treatments feeling like a trade-off — one member noted, "Relief from dyskinesia comes at a cost, because the lower dosage causes an increase in other movement issues, but the relief is worth it."

A few things worth discussing with your neurologist:

- Injection placement and dosage — A new doctor may be injecting slightly different spots or amounts than your previous one, which can significantly change how your body responds
- Tracking your symptoms — Noting exactly when pain and weakness peak after each injection can help your care team fine-tune the approach
- Alternatives or adjustments — Anticholinergic medications or muscle relaxants are sometimes used alongside Botox for dystonia management The dizziness is worth flagging specifically, as it could relate to how the injections are affecting nearby muscles and nerves in your neck and shoulders.

It may be worth asking your neurologist directly whether the injection sites or dosage can be adjusted to reduce these side effects — you shouldn't have to rely on steroids every cycle just to get through it.

June 1

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