Once we realized that muscles are the major generator of pain and that IMS achieved great success in these pains, use of BOTOX was but a short step away but here again our use of botox is different because it is guided by IMS results. So that we can use the minimum necessary dose into the muscles where it is needed most. This insight is only possible with extensive experience of IMS.
Botox however is expensive MRP-16500 per vial and many pain conditions may need upto three vials. So we try to minimize the amount of Botox by using IMS to cover the areas that do not get Botox. Botox effect is expected to last (6) month but IMS prolongs this ad makes it permanent. Botox is very useful when patients can’t tolerate IMS or are from outside Bombay or India so that we have to achieve more in a short time or when pain is so severe that is a kinder to start with botox bring down the pain level so that IMS can maintain the pain relief.