Botox Specialist

Lower Merion Neurology PC

Neurologist located in Paoli, PA & Narberth, PA

Botox® is well-known as a cosmetic treatment for smoothing away facial wrinkles, but it’s also approved by the FDA to treat a variety of painful conditions, including migraines and dystonia. Sudhir Aggarwal, MD, PhD, at Lower Merion Neurology PC has years of experience injecting Botox to treat painful muscle spasticity and to prevent or reduce migraine headaches. To learn if you’re a good candidate for Botox injections, schedule an appointment online or call the office located in Paoli, Pennsylvania, and serving the larger Main Line area.

Botox Q & A

What is Botox?

Botox is a form of botulinum toxin that’s purified and approved for use in cosmetic and medical treatments. When Dr. Aggarwal at Lower Merion Neurology PC injects Botox, it actively blocks nerve signals that trigger muscle contractions. When the right dose is precisely injected into specific muscles, the muscles relax, which relieves painful symptoms.

What medical conditions does Botox treat?

Botox is especially beneficial for three medical conditions:

Chronic migraines

Migraine headaches are chronic when you have 15 or more headache days per month, eight of your headache days are migraines, and each migraine lasts at least four hours. Botox injections at Lower Merion Neurology PC effectively reduce the frequency of future migraines when injected into seven key areas around your face and neck.

Post-stroke spasticity

The damage caused by a stroke can interfere with communication between your brain and muscles. As a result, the brain continuously tells muscles to contract, and you develop spasticity or spasms in your limbs. You may experience long periods of painful muscle spasms and symptoms such as a bent elbow, an arm pressed against your chest, stiffness in your arms or legs, or a pointed foot.


Dystonia is a movement disorder known for involuntary muscle contractions that cause uncontrollable, repetitive movements, or spasms. This condition may occur in one part of your body or affect the entire body. Botox is a common treatment for cervical dystonia, or painful muscle contractions in your neck, as well as affected muscles throughout your body.

What should I expect during my Botox treatment?

Prior to your Botox injections at Lower Merion Neurology PC, Dr. Aggarwal fully explains the procedure. The number of injections you receive depends on the condition in need of treatment. However, Botox gradually wears off, which means your treatment must be repeated about every three months to maintain optimal results.

You may need more than one treatment to determine how well Botox works for you. For example, when Botox is used to prevent future migraines, you initially get two treatments spaced three months apart. Getting two treatments allows you to determine how well your migraine responds, then you can decide if you want to continue getting Botox injections.

To learn whether Botox can help your muscle-related pain, call Lower Merion Neurology PC or schedule an appointment online.