Narrative Review: Botulinum Toxin Applications
in Sports Medicine
Volume 3 - Issue 4
Kuwabara A1* and Fredericson M2
- 1Resident Physician, Department of Physical Medicine and Rehabilitation, Stanford University, USA
- 2Professor of Orthopaedic Surgery, Department of Physical Medicine and Rehabilitation, Stanford University Medical Center, USA
Received: February 13, 2020; Published: March 03, 2020
Corresponding author: Resident Physician, Stanford University, Department of Physical Medicine and Rehabilitation, Bradford
Street, Redwood City, USA
DOI: 10.32474/OSMOAJ.2020.03.000169
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Abstract
Due to the botulinum toxin’s (BoNT) direct and highly selective ability to induce hypotonia as well as its potential to confer
potent antinociceptive efficacy, we hypothesize that there may be potential applications in sports medicine populations, which can
improve pain, range of motion, and ultimately return to play. From review of the literature, we have identified four different areas
of neuromuscular dysfunction for which treatment with BoNT has been shown to be effective: overactivity syndromes, muscular
imbalances, bio protection, and neuromuscular pain. BoNT has emerging evidence of multiple beneficial applications in sports
medicine. The evidence is strongest for plantar fasciitis and hip osteoarthritis. It is an effective and transient therapeutic option
that may improve return to play times.
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