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Updated: Jun 22, 2026

A Rat Model of Tibial Cortex Transverse Transport for the Treatment of Lower Limb Ischemia
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Published on: March 6, 2026

Botox therapy for ischemic digits.

Michael W Neumeister1, Christopher B Chambers, Margo S Herron

  • 1Springfield, Ill. From the Plastic Surgery Institute, Southern Illinois University School of Medicine.

Plastic and Reconstructive Surgery
|July 2, 2009
PubMed
Summary
This summary is machine-generated.

Botulinum toxin type A (Botox) injections effectively reduced chronic pain and healed ulcers in most Raynaud

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Area of Science:

  • Vascular Medicine
  • Pain Management
  • Regenerative Medicine

Background:

  • Raynaud's phenomenon presents significant challenges in managing chronic pain and ulcerations.
  • Current treatments like vasodilators and sympathectomies offer variable benefits.
  • Botulinum toxin type A (Botox) is explored as a novel therapeutic option.

Purpose of the Study:

  • To evaluate the outcomes of botulinum toxin type A (Botox) injections in patients with Raynaud's phenomenon experiencing chronic pain and ulcerations.
  • To assess the impact of Botox on pain reduction and tissue perfusion.

Main Methods:

  • A retrospective study analyzed outcomes in 19 patients with Raynaud's phenomenon and chronic ischemic hand pain.
  • Botox (50-100 units) was injected into the palm around neurovascular bundles.
  • Laser Doppler scanning measured blood flow changes pre- and post-injection.

Main Results:

  • 84% of patients reported reduced pain at rest, with 13 experiencing immediate relief.
  • All patients with chronic finger ulcers healed within 60 days.
  • Significant improvements in digital blood flow were observed, with long-term pain relief in 63% after a single injection.

Conclusions:

  • Botox injections demonstrated significant improvement in vascular perfusion and pain reduction in Raynaud's patients refractory to conservative treatments.
  • The findings suggest Botox as a promising treatment for Raynaud's phenomenon, warranting further research.
  • Abnormal vascular function in Raynaud's phenomenon may be positively modulated by Botox, though the precise mechanism requires elucidation.