Courtney had Botox treatment today in her left arm. As with many other break through treatments in TBI Braintree and Dr. Katz studied the effects of Botox on muscle spasticity some years ago. It has been found to greatly improve spasticity when used in targeted areas.
While the baclofin pump has made a tremendous difference most of the benefits are realized in the lower body. Courtney has significant spasticity in her left wrist, elbow and bicep that could have caused long term damage. The benefits of Botox will last about 3-4 months.
Although we haven't heard Courtney speak a word today I did hear her voice loud and clear when the first injection went into her arm and she cried out in pain. She made several other attempts during the day to vocalize and/or mouth words and began (once again) shaking her head - mostly no.
As I was helping Courtney off with her vest today her arm got stuck. She took her right hand pulled the vest off her left arm worked it around her back and pulled it off her right arm in a flash! I think she's tiring of having her spastic mother help her get dressed! She's also pulling on shirts and pants doing most of the work herself.
We finished out the day with courtney watching one of her favorite shows King of Queens.
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