Botulinum Toxin Therapy at Shamir Medical Center

Botulinum toxin therapy is a modern, evidence-based neurological treatment used for conditions associated with excessive muscle activity, pain syndromes, and impaired motor control. At the Neurology Center of Shamir Medical Center, treatment is delivered in accordance with current international clinical recommendations.

The main goals of therapy are to reduce pain and muscle spasms, improve function, and enhance quality of life and daily activity.

Common indications for botulinum toxin therapy include:

• Chronic migraine — a proven preventive treatment that can reduce attack frequency and severity.
• Dystonia (cervical dystonia, facial dystonia, blepharospasm, writer’s cramp, and other forms).
• Spasticity after stroke, traumatic injury, and other neurological disorders.
• Trigeminal neuralgia when first-line medications are not sufficiently effective.
• Other neurological conditions accompanied by painful or functionally limiting muscle overactivity.

Before the procedure, patients undergo a neurologist consultation to confirm the diagnosis, assess indications, and develop an individualized treatment plan, including target muscles and dosing strategy.

Injections are performed by neurologists with specialized training and extensive experience in treating patients with chronic migraine, dystonia, and spasticity.

Dr. Lidiia Prakhova is one of the specialists at the center — a neurologist and Doctor of Medical Sciences, with more than 35 years of clinical experience, with expertise in demyelinating diseases and migraine.

Dr. Prakhova has over 10 years of experience performing botulinum toxin therapy for chronic migraine, various forms of dystonia, and spasticity, combining strong academic background with a calm, respectful, and patient-centered approach.

Advantages of treatment at Shamir Medical Center:

• strict adherence to international protocols;
• safe, minimally invasive procedures;
• experience across a wide spectrum of neurological conditions;
• care within a large multidisciplinary medical center with access to advanced diagnostics.