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Rosenthal is among more than 1,000 people who have received a procedure to help them burp since 2019, when an Illinois doctor first reported the steps of the intervention in a medical journal.
The platysma muscle lies just deep to the subcutaneous fascia and fat. [1] [3] It covers many structures found deeper in the neck, such as the external carotid artery, the external jugular vein, [4] the parotid gland, [4] the lesser occipital nerve, [4] the great auricular nerve, [4] and the marginal mandibular branch of the facial nerve.
The inability to belch -- known as no burp syndrome -- can cause discomfort and detract from quality of life. Here's why some doctors are using Botox injections to cure the condition.
Botox will temporarily weaken or paralyze the muscle. The direct effects of botox last for three months on average. For most patients with R-CPD, injection of botox into the cricopharyngeus muscle will reverse the symptoms, and for many, the effect will last beyond the first three months. 30% of patients describe some swallowing difficulty ...
Symptoms can also worsen while the patient is walking or during periods of increased stress. Other symptoms include muscle hypertrophy , neck pain, dysarthria and tremor. [ 2 ] Studies have shown that over 75% of patients report neck pain, [ 1 ] and 33% to 40% experience tremor of the head.
Botulinum toxin, or botulinum neurotoxin (commonly called botox), is a neurotoxic protein produced by the bacterium Clostridium botulinum and related species. [24] It prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromuscular junction , thus causing flaccid paralysis . [ 25 ]
Botulinum toxin (Botox) is often used to improve some symptoms of spasmodic dysphonia through weakening or paralyzing the vocal folds, thus preventing muscle spasms. [ 1 ] [ 33 ] The level of evidence for its use is currently limited; little is known about optimal dosage, frequency of injections, or exact location of injection.
Teaching people how to sit and stand properly can help reduce strain on the neck muscles and improve posture. Changing habits like bad posture or repetitive movements can help ease symptoms of torticollis. [26] Wearing a special collar can also support the neck and keep it in the right position during daily activities.