Botox in Phoenix

[jaxi123]

I heard Dr Hibner is now doing up to 500 units of Botox. He also is botoxing the adductors and piriformis. Has anyone recently had this done in Phoenix?

[jaxi123]

Has anyone recently had Botox in Phoenix? If so how many units did you get and the outcome?

[Patty]

I have not had botox with Dr Hibner but have now had 3 rounds with 2 different doctors in Massachusetts with no help from my never ending rectal pain. I was told
I can return for more but why bother.

[nyt]

I can't answer how many units of botox Dr. Hibner is currently using. However, back in 2013 he injected botox into my piriformis (ultrasound guided) and adductors. I wasn't the first patient he was doing US guided botox injections to the piriformis so he has been doing that for a while. I think I was the first patient he did botox to the adductors on so he has been doing that for a while also.

[jaxi123]

I just saw him and he told me he has done 400-500 on patients. I wold think this would be too much

[nyt]

A study done on children in 2006 for spasticity used >15 U/kg of body weight or >= to 800 U total. There were 3 adverse events reported in 3 out of 108 patients.

Citation: Safety of high-dose botulinum toxin type A therapy for the treatment of pediatric spasticity. J Child Neurol. 2006 Mar;21(3):189-92.

Medscape has recommended doses for different muscles. Lower limb can use 300-400 U spread out over 5 sites. I didn't see any recommendations for pelvic floor.

https://reference.medscape.com/drug/bot ... ina-999222

There are more recommendations out there that you can look for if you Google. Only look at reliable sources though.

[Chocolatemom]

Jaxi- I am considering getting Botoxwith Dr. Hibner's associate Dr. Castellanos. What is your concern with the units?