Dr. Moran says he often saw children who would be walking on the tiptoes because calf muscles had contracted. After a Botox injection, those calf muscles would lengthen and the child would have a more normal gait. I have seen children eliminate their braces and be able to walk more normally and for longer periods of time with far less effort. The injections only temporarily paralyze the muscles, wearing off in six to nine months when the injection may be repeated. An added benefit of the injection is that while the spastic or contracted muscle is relaxed under the influence of the drug physical therapy may be more effective.
Side effects are minimal, usually only temporary pain or swelling at the site of the injection.
Then we can adjust the dosage with the next injection. Dosage has been well studied and there have been no significant allergic reactions to the injections.