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Neurology

Botulinum Toxin Injection

Therapeutic botulinum toxin injections for dystonia, spasticity and movement disorders by Dr. Bharath Kumar Surisetti in Hyderabad.

500+Injections
9+Years Exp.
95%Improvement
Botulinum Toxin Injection

Overview

Botulinum toxin (BoNT) is the most effective treatment for a wide spectrum of neurological conditions involving abnormal or excessive muscle activity. By blocking acetylcholine release at the neuromuscular junction, it produces localised, reversible muscle relaxation lasting 3-4 months.

Dr. Bharath Kumar Surisetti offers comprehensive therapeutic botulinum toxin injection services covering dystonia, spasticity, blepharospasm, hemifacial spasm, chronic migraine prevention and hyperhidrosis — using precise anatomical targeting and individualised dosing protocols.

Symptoms & Conditions We Treat

Focal Dystonia

Sustained abnormal posturing of specific muscle groups — cervical, limb or task-specific dystonia

Spasticity

Velocity-dependent muscle stiffness from upper motor neurone lesions including stroke and cerebral palsy

Blepharospasm

Involuntary forced eye closure from orbicularis oculi spasm causing functional visual impairment

Hemifacial Spasm

Unilateral, irregular facial muscle twitching from facial nerve irritation

Chronic Migraine Prevention

ONABOTULINUMTOXIN A for prevention of chronic migraine (15+ headache days per month)

Hyperhidrosis

Excessive sweating of palms, soles or axillae significantly affecting social and professional life

Our Treatment Approach

1

Clinical Assessment and Indication Review

Thorough neurological evaluation to confirm the diagnosis, severity and appropriateness of botulinum toxin therapy.

2

Muscle Selection and Dose Planning

Anatomy-guided injection site mapping and individualised dose calculation based on muscle size and disease severity.

3

Precise Injection

Targeted injections using anatomical landmarks or EMG guidance to maximise benefit and minimise spread.

4

Response Assessment and Re-injection

Clinical review 4-6 weeks post-injection with dose adjustment and scheduling of repeat sessions every 12-16 weeks.

Treatment Options

Dystonia Treatment

  • Cervical dystonia (torticollis)
  • Writer's cramp
  • Limb dystonia
  • Oromandibular dystonia

Spasticity Management

  • Post-stroke upper limb spasticity
  • Lower limb spasticity and equinus
  • Cerebral palsy spasticity
  • Multiple sclerosis spasticity

Headache Prevention

  • Chronic migraine (PREEMPT protocol)
  • 31 injection site protocol
  • Tension-type headache overlap
  • New daily persistent headache

Autonomic Disorders

  • Palmar hyperhidrosis
  • Axillary hyperhidrosis
  • Plantar hyperhidrosis
  • Sialorrhoea management

Why Choose Srilekha's Clinic?

Expert Neurologist

Dr. Bharath Kumar Surisetti is DM Neurology trained with 9+ years of botulinum toxin injection experience

500+ Injections Performed

Extensive procedure experience across dystonia, spasticity, migraine and hyperhidrosis indications

95% Improvement Rate

Consistent symptom improvement using evidence-based dosing protocols

EMG-Guided Precision

Electromyography guidance available for complex dystonia to ensure accurate muscle targeting

Scheduled Repeat Cycles

Proactive re-injection scheduling ensures no gap in therapeutic benefit between sessions

Full Neurological Support

Botulinum toxin therapy integrated with complete neurological care for the best long-term outcomes

Neurology FAQ

Frequently Asked Questions

Quick answers about this condition. Can't find what you need? Chat with us directly.

Dr. Bharath Kumar uses botulinum toxin for cervical dystonia, blepharospasm, hemifacial spasm, post-stroke spasticity, chronic migraine, essential tremor and drooling (sialorrhoea).

Effects last 3–4 months. Repeat injections maintain the benefit. Some patients require lower doses over time as muscles adapt.

Fine needles are used and the procedure is generally well tolerated. EMG guidance ensures precise placement. Local anaesthetic cream can be applied beforehand.

Avoid rubbing the site, strenuous exercise, lying down, and heat for 4 hours post-injection. Normal activities can be resumed the same day.

Book via WhatsApp +91 9963 138 139. All injections are performed personally by Dr. Bharath Kumar at Habsiguda, Hyderabad.