Pediatric Botulinum Toxin Clinic
At URMC, we offer consultation and management of pediatric movement disorders with botulinum toxin injections. Dr. Vermilion, who directs this clinic, has specialized training in the use of botulinum toxin in pediatric movement disorders and spasticity.
The botulinum toxin program is embedded in the UR Cerebral Palsy clinic. This multidisciplinary clinic includes a developmental pediatric advanced practice provider, two pediatric neurologists, a pediatric orthopedic surgeon, a pediatric occupational therapist, and a pediatric physical therapist.
What is botulinum toxin?
Botulinum toxins are toxins that block nerve signals to muscles. This weakens the muscle and can help with various symptoms, including spasticity, dystonia, tics, or drooling (sialorrhea). Studies in children show that these medicines are safe in children and can be helpful in decreasing muscle tightness.
What will happen at my consultation?
At your consultation, you will meet with Dr. Vermilion who will review your child’s medical history. She will perform a neurological examination and discuss your goals for your child’s symptoms. You may also meet with a physical therapist and/or an occupational therapist. If Dr. Vermilion recommends botulinum toxin injections for your child, she will have you return for injections on another date after seeking insurance prior authorization.
What are the benefits of botulinum toxin?
Botulinum toxin injections generally start to take effect in about one week and last for approximately 3 months, or longer for some children. Potential benefits include:
- Improved range of motion in joints, making it easier to wear orthotics or perform daily activities
- Improved ease of care for caregivers
- Improved stability for walking
- Decreased pain from muscle spasms
Where is the botulinum toxin procedure done?
Most patients will have the procedure done right in our clinic. Patients can return home and resume normal activities after. For some patients, the procedure may be arranged under sedation with our Pediatric Sedation team. Sedated injections will be done at Golisano Children’s Hospital at Strong. Please discuss with Dr. Vermilion if you want to learn more about sedation as an option.
Interested in an appointment? A referral from one of your providers is required. They can refer to Pediatric Neurology and request a Botox consultation with Dr. Vermilion.
Where we are located:
Pediatric Movement Disorders Clinic
200 East River Rd.
Rochester, NY 14623
Appt: (585) 275-2808
Fax: (585) 275-3683