Surgery Spotlight: Botulinum Toxin Therapy for Raynaud's Disease-Surgery Spotlight: Botulinum Toxin Therapy for Raynaud's Disease

Surgery Spotlight: Botulinum Toxin Therapy for Raynaud's Disease

Video Transcription

Video Summary

Dr. Mike Neumeister discusses the off-label use of Botox to treat an 18-year-old girl's severe Raynaud's disease, characterized by discolored fingers and painful ulcers. Despite needle phobia, the procedure was done in an operating theater. Botox is injected around neurovascular bundles, temporarily blocking acetylcholine release, with effects potentially lasting long-term. Doppler scans confirm improved perfusion, expected to heal ulcers and relieve pain. While Botox use in Raynaud's is off-label, significant positive outcomes have been reported, suggesting a direct nerve effect beyond vasodilation.

Asset Caption

Michael W. Neumeister, MD demonstrates the use of botulinum toxin to treat an 18 year old woman with Raynaud's disease who presents with ischemic pain and tenderness. This is an off-label treatment.

Surgeon Michael W. Neumeister, MD

This product is not certified for CME.

Keywords

surgery spotlight

Surgical Videos

Hand

Nerve

Michael W. Neumeister MD; Memben

Botox

Raynaud's disease

off-label use

neurovascular bundles

Doppler scans