Botulinum Toxin Injection for Digital Ischemia

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Botulinum Toxin Injection for Digital Ischemia

By Adil Ahmed 2 Videos FEATURING Amanda Dempsey, Paul Ghareeb, Erica Smearman

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February 24, 2022

Hand and digit ischemia is challenging to treat, resulting in chronic pain, activity limitations, tissue ...
read more ↘ loss, and even amputation. Medical management is the mainstay of baseline treatment, but acute ischemic crises require additional intervention.

We describe the indications, insurance considerations, complete vs. selective hand injections, and stepwise technique for proper dilution and injection of Botulinum Toxin to treat acute hand and digit ischemia.

8 total injection sites - 6 on the volar/palmar hand for the thumb and common digital arteries, with 2 additional injections for the radial and ulnar arteries at the wrist.

100 units total Botulinum injected - 1cc each at the 6 volar/palmar hand sites, 2cc each over the radial and ulnar arteries
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