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Ans-

Very often I see so called failures of botulin toxin and we have tried analyzing why that has happened the major reasons as we have found are:
1- physicians have not spent time analyzing the child before injecting botulin,if your physician has not spent at least 30 -45 minutes in analyzing the problems of your child the chances that he/she will not do a good job are very high
2- a lot of parents have had their children given botulin shots in camps,such camp mentality usually harms because-

a) children are not evaluated well by the physician
b) the physician comes on a flying visit ,injects and leaves leaving the followup to either the therapist or to parents and never cares for reevaluating the child again
c) the dosages are not given well
d) the child is usually not fully asleep and the drug doesn’t reach the correct spot
e) the hype that is created is that this one shot will cure your child from cerebral palsy or that your child will start walking after the shot no one talks about how hard you have and or your therapist has to work
f) nobody cares about the splints
g) plasters may not be given when they are needed

SO THINK 10 TIMES BEFORE YOU ALLOW YOUR CHILD TO GET A SHOT IN CAMP SETTING

3- the third most common cause of so called failures is that as a parent you are not educated about the efforts that you have to make ,your child needs at least 3 hours of therapy and splints
4- the next most common cause of so called failure is because the child may need a plaster in addition to botulin which he may not have received
5- the last cause of so called failure is because that you aren’t informed and you expect your child to be cured of cerebral palsy by one shot of botulin which it will not, it is a drug and has its effect the duration may be prolonged by doing it well, adding plasters, giving oral drugs, wearing splints and wearing splints

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