Increase her Botox on her next October injections

Bismillahir Rahmanir Rahim
Assalamu alaikum warahmatullahi wabarakatuhu

Last April Muja had her fourth Botox injections on her hamstrings and abducters muscles for both legs. She needs it because her legs are stiff most of the time and she crosses her legs like scissors. This could dislocate her hips.

I went for Muja's Botox review at Rehabilitation Mobility Clinic of Developmental and Rehabilitation Paediatric at PMH, last Tuesday. After making some measurement on Muja tights, legs and feet the paediatrician Simon William found out that her feet measurement has improved, meaning she made some movements. He wanted to increase the Botox on her next injections appointment in October to make her upper legs move.

I told him that Muja is still getting stiff legs when she is not happy or sick or perhaps in pain. I notice that Botox has reduced her stiffness, but then it comes back to stiff after four months of injections. I find it very hard to separate her legs when changing her nappy and buckling her car seat belt.

Is it effective for a child with cerebral palsy to have an increase in Botox further down in his or her life? How much is too much? Does it really help with movement?


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