Botulinum toxin treatment for tone management (1231)

Key points below

for tone management

What is botulinum toxin?

Botulinum toxin is a medicine used to weaken and relax a muscle. It is given as a shot (injection) into a muscle.  The toxin was made after studying the toxin that causes botulism.  It has been used carefully and safely for many years.  

How is it used? 

Botulinum toxin is used to treat many muscle problems like:

It is most commonly used in the elbow, wrist, and finger muscles. It is also used in the back and legs muscles.

It is often used to relax the muscles of children with a brain injury, cerebral palsy, or spinal cord injury.  Medicine brand names are Botox®, Xeomin® and Myobloc®. 

What does it do?

Botulinum toxin can help:

How is it done?

The shots may be given in clinic.  A numbing cream may be used on the skin so that the needle poke is less painful.  Your child will need to be as still as possible.  Sometimes the muscles are deep or hard to find or there are a large number of muscles to injection. In these cases the child may need to have anesthesia. The shot would then have to be given at the Surgicenter or in the operating room.  To help the doctor know they are in the right muscle:

What happens after the shot?

Who to call 

Pediatric Physical Medicine & Rehabilitation Nurse Line 414-266-6631. 

For other health and wellness information, check out this resource:


Call your child’s doctor, nurse, or clinic if you have any questions or concerns or if your child has special health care needs that were not covered by this information.