Botulinum toxin
Hello, Director Chen! At the beginning of the month, I came across a report about botulinum toxin, which piqued my curiosity and skepticism! Botulinum toxin can be used to treat "cankles," utilizing the principle of "disuse atrophy" to reduce muscle volume.
After the injection, aside from some bruising at the injection site, there is no discomfort, and normal activities can be carried out without any impact.
Three days post-injection, I began to feel less strength in my calves; for instance, when trying to run, it felt somewhat difficult, but walking was not affected.
Besides that, there were no other discomforts.
After two weeks, I noticed changes in the contour of my calves, with the effects peaking at 1-2 months, meaning the best results are achieved after 1-2 months.
Using botulinum toxin to treat cankles can reduce the circumference by 2-4 cm, and this effect can last for 6-8 months.
To maintain the results, further injections are needed after 6-8 months.
May I ask if this method will cause any damage to the calf muscles and surrounding nerves? Over time, will it affect walking? Additionally, would physical therapy help improve cankles? I apologize for taking up your valuable time.
Thank you!
ginkgo, 30~39 year old female. Ask Date: 2006/08/26
Dr. Chen Xianchang reply Rehabilitation
1.
It can lead to muscle atrophy and weight loss, which may slightly affect walking strength.
2.
It may cause muscle fibrosis or necrosis.
3.
Physical therapy focusing on strength training has a slower improvement rate.
Reply Date: 2006/08/26
More Info
Botox, or botulinum toxin, has gained popularity in recent years for various cosmetic and medical applications, including calf slimming. The mechanism behind its effectiveness in reducing the size of calf muscles involves the principle of "disuse atrophy." When Botox is injected into the calf muscles, it temporarily paralyzes the muscle by blocking the release of acetylcholine, a neurotransmitter responsible for muscle contraction. As a result, the muscle is less active, leading to a reduction in muscle size over time.
Regarding safety, Botox is generally considered safe when administered by a qualified healthcare professional. The most common side effects include localized bruising at the injection site, mild swelling, and temporary weakness in the treated muscle. In your case, you mentioned experiencing some bruising but no significant discomfort, which is typical. The feeling of reduced strength in the calf muscles after a few days is also expected, as the muscle is not contracting as it normally would. However, this does not imply any permanent damage to the muscle or surrounding nerves.
Concerns about long-term effects, such as muscle or nerve damage, are valid but largely unfounded when Botox is used appropriately. The effects of Botox are temporary, lasting about 6 to 8 months, after which normal muscle function returns. There is no evidence to suggest that repeated Botox injections will lead to irreversible damage to the muscle or nerves. However, it is essential to follow the recommended intervals between treatments to allow the muscles to recover fully.
As for physical therapy, it can indeed be beneficial for individuals with "carrot legs" or bulky calves. Physical therapy focuses on strengthening and stretching exercises that can improve muscle tone and flexibility. While Botox can reduce muscle size, physical therapy can help enhance overall leg aesthetics and function. A combination of both approaches may yield the best results, as physical therapy can help maintain muscle balance and prevent any potential compensatory issues that may arise from reduced muscle activity.
In summary, Botox is a safe and effective option for calf slimming, with minimal side effects when administered correctly. The temporary muscle paralysis does not lead to permanent damage, and normal function returns after the effects wear off. Incorporating physical therapy can further enhance results and improve overall leg health. If you are considering this treatment, it is crucial to consult with a qualified healthcare professional who can assess your individual needs and provide personalized recommendations.
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