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    Botox for stroke spasms.
    PokyCarol posted:
    My experience with stroke was almost 12 years ago. I still have spasms in my left hand and have had Botox injections in the arm and hand, most recently in the hand, which made my hand very weak and almost useless for holding things. Injections in the hand are very painful. I prefer shots in the arm, but understand it is very difficult to identify which muscle needs it. I have had better results in the arm. I'm at the point where my doctor told me to call her if I want more, as it is time for it to wear out. Only lasts about 3 months. As of now, not planning to call her. Want to get some function back in the hand despite the spasms. I wear a splint at night, which my hand therapist made for me. I see the therapist once a week, and feel she is very helpful
    susiebelle responded:
    Just had botox in left arm apx 2 weeks ago hope is it will allow muscles to realax so muscle on top of arm doesn't have to fight so hard to control fingers. so far fingers are relaxed and a little movement but a way to go yet. The doctor that gave me the botox used emg maybe ems machine not sure about initials, to determine muscles affected and response she then gave botox accordingly trying to do less versus too much. Then prescribed appropriate therapy for my therapist to do which includes FES and exercises for me to do as well. She indicated that if needed there is a place in Philadelphia which has equipent and can determine precisley the muscles affected and amount of botox needed for each but I don't remember the name. She took her training nthere. I could find out name if someone wanted it . more than likely your rehab doctor or neurologist would know. Hope this is helpful.
    itmatsb replied to susiebelle's response:
    Sorry I don't know--what is FES? I had a stroke years ago and am still having some muscular problems.
    susiebelle replied to itmatsb's response:
    functional electrical stimulation

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