Therapeutic Botox Injections in Novi, MI
About Therapeutic Botox
Therapeutic Botox uses botulinum toxin, a medication that temporarily reduces the signal from a nerve to a muscle. Injected into specific overactive muscles, it can reduce stiffness and involuntary tightness.
In physical medicine and rehabilitation, Botox is most often used to manage spasticity, the muscle tightness that can follow a stroke, traumatic brain injury, spinal cord injury or other neurological conditions. The goal is better comfort, easier care, and improved function, combined with stretching, bracing or therapy as appropriate.
Who may benefit
People with spasticity that interferes with movement, positioning, hygiene, sleep or comfort may be candidates, particularly when the tightness is concentrated in specific muscles.
What to expect
- Assessment of which muscles are overactive and what functional goals matter most to you.
- Injections into the selected muscles; the visit is typically brief.
- Effects usually begin within days to a couple of weeks and are temporary, so treatment may be repeated at intervals.
- Stretching, splinting or therapy afterward helps make the most of the muscle relaxation.
Physician-led care in Novi
Treatment at Excel Physical Medicine and Rehab is provided under the direction of Dr. Augustus (Peter) Evangelista, who is board certified in Physical Medicine and Rehabilitation and in Pain Medicine. Treatment plans can include on-site physical therapy in Novi.
Verify this physician's specialty and practice address in the Corewell Health directory or Trinity Health Michigan directory.
Common questions
- Is this the same as cosmetic Botox?
- The medication is related, but therapeutic Botox is used for medical purposes, such as reducing spasticity, with different doses and target muscles.
- How do I know if this treatment is right for me?
- Every treatment plan at Excel Physical Medicine and Rehab starts with a comprehensive physiatric assessment. Dr. Evangelista reviews your history, examines how the problem affects your function, and discusses whether this option makes sense alongside alternatives such as physical therapy.
This page is general patient education, not medical advice. Whether a treatment is appropriate for you is decided after an in-person evaluation. For emergencies, call 911.
Schedule a consultation
Start with a comprehensive physiatric assessment at our Novi office.