Clinique Neuro-Outaouais physicians are trained in the use of Botulinum Toxin Injections for a variety of medical conditions. The injections can be done with or without EMG guidance.

Botulinum Toxin

Botox and Xeomin are well-known brand names for a medicinal form of botulinum toxin type A. The toxin is produced by a specific bacterium that causes the food poisoning botulism. However, when injected in minute doses into specific muscles, botulinum toxin will block certain chemical signals from nerves, mostly signals that cause muscles to contract. This results in the paralysis of targeted muscle areas, which can have therapeutic effect, especially where muscles are chronically tight or spastic.


Health Canada approved the use of Botulinum Toxin to treat the following medical conditions:

  • Cervical dystonia: neck pain and abnormal head position associated with severe muscle spasms of the neck,
  • Blepharospasm: twitching of the eyelids,
  • Hemi-facial spasms: involuntary twitching of one side of the face,
  • Hyperhidrosis: excessive sweating,
  • Chronic migraine: headaches for more than 14 days a month,
  • Focal action dystonia: writer’s cramp,
  • Spasticity: involuntary, limiting and possibly painful, muscle stiffness due to medical conditions such as strokes, head trauma, cerebral palsy, multiple sclerosis,
  • Tremors: involuntary shaking of the upper limbs and/or head (not yet approved by Health Canada),

Side Effects

Though Botulinum Toxin injections are relatively safe when performed by an experienced physician, the following side effects can occur:

  • Pain and bruising at the injection site,
  • Redness at injection site,
  • Itching,
  • Headache,
  • Nausea,
  • Muscle weakness all over the body,
  • Vision problems,
  • Trouble speaking or swallowing,
  • Trouble breathing,
  • Loss of bladder control,


    • Patients require a physician’s referral.
    • At the first appointment, a Clinique Neuro-Outaouais physician will assess your condition.
    • A prescription for the Botulinum Toxin injection will be given to you and a second appointment will be scheduled.
    • You are required to bring the toxin to the second appointment to receive the injection.

A $30 fee will apply.

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