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Center for Physical Medicine and Rehabilitation

Dr. Curwen has spent much of the last two decades practicing medicine in Jackson, based out of Jackson-Madison County General Hospital. In 1996 years ago, he moved his outpatient practice to the Center for Physical Medicine and Rehabilitation, at 60 Lynoak Cove. For an appointment call
731-664-7744.
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Botox successfully treats muscle spasticity

Botox injections: They’re not just for getting rid of wrinkles. Physicians like Dr. David Curwen have been utilizing Botox (Botulinum toxin) to treat muscle overactivity in a variety of medical conditions.

“I have been successfully treating spasticity or uninhibited muscle contractions for several years,” said Dr. Curwen, who is board certified in physical medicine and rehabilitation.

Botulinum toxin is a biological agent that is FDA approved for the treatment of specific conditions, including spasmodic torticollis, blepharospasm and dystonia, as well as the well-known cosmetic applications. Botulinum toxin has been used to treat limb muscle spasticity, which evolves as a consequence of brain trauma, stroke, cerebral palsy and other neurological conditions.

Spasticity can lead to painful muscle/joint contracture and can inhibit the useful function of the limb, Dr. Curwen said. “Using EMG guidance, we can selectively treat a single muscle or the group of muscles.”

It takes three to five days for the Botox to take effect, he said. “It lasts three to four months.” However, it is still considered an “off label” use; FDA approval is expected this summer.

Dr. Curwen notes that many other potential applications are under study for botulinum toxin, including pain management. Botox is one of the brand names for Botulin toxin Type A; in Europe it is marketed as Dysport. Botulin toxin Type B is also available as Myobloc.