Botulinum toxin type A or selective neurotomy for treating focal spastic muscle overactivity?

ConclusionBotulinum toxin type A has the highest level of evidence and the largest range of indications. However, the botulinum toxin effect is reversible and seems less effective, which supports a permanent surgical treatment such as selective neurotomy, especially for the spastic foot. Further research is needed to compare the effect of botulinum toxin type A and selective neurotomy for the different types of spastic muscle overactivity and clinical patterns.
Source: Annals of Physical and Rehabilitation Medicine - Category: Rehabilitation Source Type: research